New Jersey Assembly Bill A5029

New Jersey 2024-2025 Regular Session

• Introduced: 11/14/24
• Refer: 11/14/24

Caption

Restricts certain billing practices for early intervention program services.

Impact

The legislation is intended to create a more structured and predictable billing environment for families, particularly those who may already be under financial stress from caring for a child with special needs. By limiting the timeframe in which providers can bill patients, and disallowing collection attempts on overdue invoices, A5029 is designed to reduce confusion and adverse financial impacts on families that might arise when services are billed years later. This updated approach aligns with the overall goals of the early intervention services program, which is to support developmental needs during critical early years.

Summary

Assembly Bill A5029 seeks to amend existing regulations concerning billing practices for early intervention services provided to infants and toddlers experiencing developmental delays or disabilities. The bill stipulates that healthcare providers participating in the early intervention program cannot issue bills for services rendered more than one year after the date of service. Furthermore, if a bill is issued late, healthcare providers are not allowed to pursue collection efforts from patients. This intervention aims to alleviate the financial burden on families who may face unexpected medical expenses related to the care of their children.

Contention

While the bill primarily has proponents who advocate for the support of families with children requiring early intervention, there may be concerns raised by healthcare providers about potential revenue impacts. Some providers might argue that the restrictions could further complicate their operations or financial sustainability, particularly in scenarios where delayed billing stems from issues around insurance claims or administrative oversight. The balance between ensuring families are not overwhelmed with unexpected bills and maintaining the viability of service providers might emerge as a point of discussion as the bill moves forward.