New Jersey 2022-2023 Regular Session

New Jersey Senate Bill S1177

Introduced
1/31/22  
Refer
1/31/22  
Report Pass
5/16/22  
Engrossed
5/26/22  
Refer
5/26/22  
Report Pass
6/2/22  
Engrossed
6/16/22  
Enrolled
6/16/22  
Chaptered
7/29/22  

Caption

Revises out-of-network arbitration process.

Impact

The legislation amends existing laws to streamline the reimbursement process for out-of-network healthcare providers and ensure greater financial predictability for patients. By mandating that out-of-network providers cannot bill patients for costs beyond standard in-network expenses in certain circumstances, the bill aims to protect consumers from unanticipated financial burdens. Additionally, it allows for binding arbitration when providers and insurance carriers cannot come to a financial agreement after a service is rendered, which adds a layer of protection for both parties by providing a structured method to resolve disputes regarding payment.

Summary

S1177 seeks to refine the arbitration process surrounding out-of-network healthcare services, particularly ensuring that patients receiving inadvertent out-of-network care are not placed at a financial disadvantage. The bill establishes that patients will have their out-of-pocket expenses capped at the level they would pay for similar in-network services, preventing unexpected high medical costs. This legislation is a response to the broader issue of surprise billing, where patients receive large bills from out-of-network providers despite seeking care in good faith at in-network facilities during emergencies or urgent situations.

Sentiment

The sentiment surrounding S1177 is generally supportive, with stakeholders recognizing the need to balance cost containment in healthcare with ensuring access to necessary services without financial penalty. Advocacy groups and healthcare providers overwhelmingly view this as a positive step towards protecting patients, though concerns remain about how the bill may affect the payment decisions of insurance companies and the sustainability of out-of-network provider compensation. Some critics argue that the changes could unintentionally lead to reduced access to out-of-network options as providers adjust to the new reimbursement frameworks.

Contention

One of the notable points of contention within discussions of S1177 is the potential impact on healthcare providers' compensation for services rendered out-of-network. While proponents argue that limiting how much patients must pay will lower healthcare costs for consumers, some healthcare providers voice concerns that the new limitations may lead to reduced fee structures for out-of-network care, making it less viable for them to accept patients needing such services. Additionally, the process for arbitration itself is subject to scrutiny, as it is expected to clarify the final payment but also introduces complexity into dispute resolutions between providers and insurers.

Companion Bills

NJ A4032

Same As Revises out-of-network arbitration process.

Previously Filed As

NJ A4032

Revises out-of-network arbitration process.

NJ A1390

"Health Care Consumer's Out-of-Network Protection, Transparency, Cost Containment and Accountability Act."

NJ A382

"Health Care Consumer's Out-of-Network Protection, Transparency, Cost Containment and Accountability Act."

NJ S645

Relative to out-of-network billing

NJ S2195

Unanticipated Out-of-network Bills For Health Care Services

NJ SB497

Revises provisions relating to certain arbitrations concerning the cost of medically necessary emergency services. (BDR 40-1214)

NJ HB2872

Ambulances; creating the Out-of-Network Ambulance Service Provider Act; minimum allowable rates; billing; payments; processes; effective date.

NJ HB758

Revise health care laws relating to out-of-network services

NJ SB0241

INS-BILLING/NETWORK ADEQUACY

NJ HB2807

Insurance; Oklahoma Out-of-Network Surprise Billing and Transparency Act; effective date.

Similar Bills

NJ A4032

Revises out-of-network arbitration process.

CO HB1149

Prior Authorization Requirements Alternatives

TN HB1503

AN ACT to amend Tennessee Code Annotated, Title 8; Title 56; Title 63 and Title 68, relative to health care.

LA HB61

Provides relative to surprise billing (Item #37) (OR INCREASE SG EX See Note)

CT SB00352

An Act Creating A Process For Family Child Care Providers To Collectively Bargain With The State.

NJ A5671

Revises certain laws governing police and fire interest arbitration.

NJ S4521

Revises certain laws governing police and fire interest arbitration.

NJ A608

Prohibits person appointed as arbitrator who subsequently serves as mediator from resuming the role of arbitrator unless the parties agree.