New Jersey 2022-2023 Regular Session

New Jersey Assembly Bill A4913

Introduced
12/5/22  
Refer
12/5/22  
Refer
1/12/23  
Report Pass
3/9/23  
Engrossed
6/30/23  
Refer
11/27/23  
Report Pass
12/4/23  
Enrolled
12/21/23  
Chaptered
1/8/24  

Caption

Requires carriers to offer health care providers more than one method of payment for reimbursement.

Impact

If enacted, A4913 will have a significant effect on state laws concerning healthcare reimbursement practices. Specifically, the bill enforces that any agreements between healthcare providers and insurance carriers must not limit the payment options available. This measure intends to protect healthcare providers from the risks associated with payment processing fees and streamline their experience in receiving reimbursements. Moreover, the bill mandates notification of any fees related to the payment methods, enhancing provider awareness and choice.

Summary

Assembly Bill A4913 requires insurance carriers to offer healthcare providers multiple payment methods for reimbursement, codifying the expectation that providers should not be restricted to a single payment option. This bill targets transparency and convenience for healthcare providers, ensuring that they are offered a reasonable range of payment methods including checks and electronic funds transfers. This legislation is intended to eliminate practices that force providers to accept only specific methods such as credit cards, thereby enhancing their financial operations and administrative efficiencies.

Sentiment

The sentiment regarding A4913 appears largely favorable among healthcare providers who see the bill as a necessary update to existing regulations that benefit their financial management. Supporters argue that this change is essential for mitigating financial burdens that stem from limited payment options imposed by insurance companies. However, there could be reservations or opposition from some insurance carriers who fear that this might lead to increased operational costs and regulatory complexities.

Contention

Notable points of contention surrounding A4913 include the potential implications for insurance carriers and the concern over the enforcement of the new rules. While proponents emphasize the need for diverse payment options, some insurance representatives worry about the bill's impact on their billing systems and financial models. Additionally, the potential for civil penalties for non-compliance may lead to debates about the practicality and fairness of enforcement, with concerns that it could disproportionately affect smaller carriers.

Companion Bills

NJ S3133

Same As Requires carriers to offer health care providers more than one method of payment for reimbursement.

Previously Filed As

NJ S3133

Requires carriers to offer health care providers more than one method of payment for reimbursement.

NJ A1877

Requires carriers to offer health care providers more than one method of payment for reimbursement.

NJ S776

Requires carriers to offer health care providers more than one method of payment for reimbursement.

NJ A5188

Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

NJ SB438

Health insurance; methods of payments to providers; requiring notice of certain fee. Effective date.

NJ S3996

Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

NJ SB1249

Prohibits health carriers from using reimbursement methods that charge a fee to health care providers

NJ SB925

Health insurance; carrier business practices, method of payment for claims.

NJ HB2085

Health insurance; carrier business practices, method of payment for claims.

NJ SB204

Health care provider panels; vertically integrated carriers, reimbursements to providers.

Similar Bills

NJ A5188

Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

NJ S3996

Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

NJ S3133

Requires carriers to offer health care providers more than one method of payment for reimbursement.

NJ A1877

Requires carriers to offer health care providers more than one method of payment for reimbursement.

NJ S776

Requires carriers to offer health care providers more than one method of payment for reimbursement.

NJ A2841

Establishes new transparency standards for pharmacy benefits manager business practices.

NJ S1616

Establishes new transparency standards for pharmacy benefits manager business practices.

NJ A536

Establishes new transparency standards for pharmacy benefits manager business practices.