A 03928 (see companion bill S 01323) – New York
Introduced: 2019 Status: Inactive / Dead
Relates to the reimbursement of out-of-network providers of clinical laboratory services by organizations providing or offering comprehensive health services plans.
A 04882 – New York
Introduced: 2019 Status: Inactive / Dead
Requires hospitals to inform emergency care patients whether the attending physician participates in the insured’s insurance policy; requires insurance companies to cover the cost of out-of-network care for patients who are unconscious or otherwise unable …
A 1151 – New York
Introduced: 2021 Status: In Process
Requires health insurers to offer coverage of health care provided by out-of-network providers.
A 1390 – New Jersey
Introduced: 2022 Status: In Process
“Health Care Consumer’s Out-of-Network Protection, Transparency, Cost Containment and Accountability Act.” This bill is intended to provide remedies for individuals who are treated by physicians and treated in facilities that do not belong to a …
A 1928 – New Jersey
Introduced: 2018 Status: Inactive / Dead
REQUIRES HEALTH CARE PROVIDERS, CARRIERS, AND EMPLOYERS TO MAKE CERTAIN DISCLOSURES REGARDING HEALTH CARE COSTS AND ALLOWS SHBP TO NEGOTIATE DIRECTLY WITH HOSPITALS IN CERTAIN CIRCUMSTANCES. With regard to health care facilities, the bill requires …
A 1983 (see companion bill S 4787) – New York
Introduced: 2021 Status: In Process
Requires notification to insureds that an out-of-network physician may be used in their procedure, test or surgery and such physician’s services shall not be covered by their insurance policy; such services must be covered if …
A 2039 (see companion bill S 485) – New Jersey
Introduced: 2018 Status: Enacted
OUT OF NETWORK CONSUMER PROTECTION, TRANSPARENCY, COST CONTAINMENT AND ACCOUNTABILITY ACT: a health care facility is required to: (1) disclose whether the health care facility is in-network or out-of-network with respect to the covered person’s …
A 2342 (see companion bill S 3735) – New York
Introduced: 2021 Status: In Process
Requires Medicare and Medicaid managed care providers to provide coverage for certain out-of-network health care when the patient has a long term relationship with a medical professional who is not a recurring provider under the …
A 2385 – New Jersey
Introduced: 2018 Status: Inactive / Dead
“HEALTHCARE DISCLOSURE AND TRANSPARENCY ACT.” Providers of health benefits plans must disclose in writing to a covered person, at the time of enrollment in the plan and upon request thereafter, the reimbursement methodology that the …
A 2451 (see companion bill S 1692) – New Jersey
Introduced: 2022 Status: In Process
The bill requires health insurers, as well as the State Health Benefits Plan and NJ Family Care, to provide benefits for services provided by an “out-of-network” provider to the same extent as they would be …
A 2765 (see companion bill S 4502) – New York
Introduced: 2019 Status: Inactive / Dead
Requires notification to insureds that an out-of-network physician may be used in their procedure, test or surgery and such physician’s services shall not be covered by their insurance policy; such services must be covered if …
A 2789 (see companion bill S 1065) – New Jersey
Introduced: 2022 Status: In Process
In the event that a laboratory that performs an HIV screening test under the bill is out-of-network with respect to a covered person’s health benefits plan, the carrier is to reimburse the laboratory for the …
A 2839 – New York
Introduced: 2019 Status: Inactive / Dead
Requires insurance companies to issue joint checks for payment to an insured and a health care provider in certain circumstances. An insurance company subject to article thirty-two of this chapter, shall issue and provide an …
A 289 (see companion bill S 2121) – New York
Introduced: 2021 Status: In Process
Relates to enhancing coverage and care for medically fragile children; requires that health plans adopt policies and procedures tailored to the unique healthcare needs of this population.
A 3347 – New Jersey
Introduced: 2018 Status: Inactive / Dead
HEALTH CARE CONSUMER’S OUT-OF-NETWORK PROTECTION, TRANSPARENCY, COST CONTAINMENT AND ACCOUNTABILITY ACT. Because the bill requires disclosure of network status by all physicians and health care facilities, it requires third party administrators to notify every physician …
A 3470 (see companion bill S 2521) – New York
Introduced: 2021 Status: In Process
Relates to medical billing and debt (Part A); relates to defining certain terms (Part B); relates to standardized consolidated itemized general hospital bills (Part C); relates to regulation of the billing of facility fees (Part …