New Jersey Senate Bill S1840

New Jersey 2022-2023 Regular Session

• Introduced: 2/28/22
• Refer: 2/28/22

Caption

Makes technical corrections to individual health coverage and small employer health benefits programs and to NJ FamilyCare.

Impact

The changes introduced by S1840 are expected to improve the accessibility and efficiency of healthcare coverage in New Jersey. By simplifying the income verification process, the bill allows the Commissioner of Human Services to utilize existing records from the Department of Treasury and Department of Labor, which can expedite eligibility assessments for participants seeking NJ FamilyCare. This approach may particularly benefit low-income families and uninsured individuals who need access to health services but previously faced barriers due to complex paperwork and verification processes.

Summary

Senate Bill S1840 aims to make technical corrections to the laws governing the New Jersey Individual Health Coverage (IHC) and Small Employer Health Benefits (SEH) programs, as well as modifications to the NJ FamilyCare program. The bill revises the refund calculation formula for these programs to restore it to a previously effective standard, ensuring that the minimum loss ratio remains at 80 percent. This adjustment is significant as it directly impacts how premiums are calculated and distributed back to policyholders in the form of refunds or credits, intended to enhance clarity and compliance for health benefit providers.

Contention

While supporters argue that S1840 will streamline enrollment and improve the outreach efforts for NJ FamilyCare, critics may voice concerns regarding the implications of such changes on local oversight and care standards. The alteration of protocols, particularly in verifications and claims submissions, raises questions about the adequacy of monitoring and ensuring that all eligible individuals, especially children and vulnerable populations, receive the necessary support without delays. The balance between efficient administration and comprehensive care needs will be a critical discussion point as the bill progresses.