A 1239 – New Jersey

Status: Inactive / Dead
Year Introduced: 2020
Link: https://www.njleg.state.nj.us/bills/BillView.asp?BillNumber=A1239

This bill is designated the “Healthcare Disclosure and Transparency Act” and requires providers of health benefits plans to:

(1) disclose in writing to a covered person, at the time of enrollment in the plan and upon request thereafter, the reimbursement methodology that the carrier or entity uses to determine amounts of reimbursement for out-of-network services; and

(2) establish and maintain a website to serve as an information clearinghouse for covered persons to obtain information to assist them in their health care needs.

A link to the website must be featured and prominently displayed on the back of each health benefits card issued to covered persons to ensure that they are aware of the website. The bill requires a health care facility, at least three days prior to an elective procedure, to provide a written disclosure form to the covered person on which the health care facility shall make certain disclosures regarding whether the health care facility and physicians providing services at the facility are in-network or out-of-network with respect to the covered person’s health benefits plan and information concerning the financial responsibility of the covered person with regard to services received at the facility. The health care facility must, prior to the performance of the procedure, ensure that the covered person signs and returns the disclosure form to the health care facility.


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