A 450 – New Jersey
Introduced: 2018 Status: Inactive / Dead
LIMITS PAYMENTS UNDER HEALTH BENEFITS PLANS TO IN-NETWORK AMOUNTS IN CERTAIN CIRCUMSTANCES; PROHIBITS OUT-OF-NETWORK HEALTH PROVIDERS FROM CHARGING CARRIERS MORE THAN 150 PERCENT OF MEDICARE RATE IN CERTAIN CIRCUMSTANCES. With respect to a covered service …
A 4737 – New York
Introduced: 2017 Status: Inactive / Dead
LONG TERM HEALTH CARE INSURANCE CAPS: Relates to long term care insurance education; caps allowable increases in premiums; prohibits exclusions for pre-existing conditions.
A 4761 (see companion bill S 3201) – New Jersey
Introduced: 2018 Status: Inactive / Dead
REVISES CERTAIN ASPECTS OF OUT-OF-NETWORK ARBITRATION PROCESS UNDER THE “OUT-OF-NETWORK CONSUMER PROTECTION, TRANSPARENCY, COST CONTAINMENT AND ACCOUNTABILITY ACT.” The act establishes an arbitration system for out-of-network health care services provided in certain emergency and inadvertent …
A 481 – New Jersey
Introduced: 2020 Status: Inactive / Dead
“The New Jersey Healthcare Choice Act”; permits health insurers licensed in other states to provide coverage in New Jersey under certain circumstances. This bill allows health insurers licensed in other states to provide individual health …
A 4937 – New York
Introduced: 2017 Status: Inactive / Dead
Provides for increased podiatry care and benefits under individual and group accident and health insurance policies and contracts within non-profit medical and dental indemnity, or health and hospital service corporations.
A 4959 (see companion bill S 2270) – New York
Introduced: 2017 Status: Inactive / Dead
Requires insurers to provide certificate holders with at least thirty days prior written notice of termination of group health insurance coverage.
A 5137 (see companion bill S 3480) – New Jersey
Introduced: 2023 Status: In Process
The Small Business Health Insurance Affordability Act; revises certain requirements for individual and small employer health benefits plans.
A 5200 – New Jersey
Introduced: 2023 Status: In Process
Requires health insurance coverage of prescribed anti-obesity medication.
A 5244 – New Jersey
Introduced: 2019 Status: Inactive / Dead
AUTHORIZES CERTAIN USES OF TELEMEDICINE AND TELEHEALTH IN FACILITIES FOR PERSONS WITH DEVELOPMENTAL DISABILITIES AND TRAUMATIC BRAIN INJURY. This bill provides that, if there is reasonable cause to believe that a life-threatening emergency is occurring at …
A 5247 (see companion bill S 551) – New Jersey
Introduced: 2019 Status: Inactive / Dead
CREATES A STATEWIDE HEALTH INSURANCE MARKETPLACE PURSUANT TO THE FEDERAL “PATIENT PROTECTION AND AFFORDABLE CARE ACT.” The board shall develop and implement a plan of operation for the marketplace, which shall include, but not be …
A 5248 (see companion bill S 562) – New Jersey
Introduced: 2019 Status: Enacted
PRESERVES CERTAIN REQUIREMENTS THAT HEALTH INSURANCE PLANS COVER ESSENTIAL HEALTH BENEFITS. In light of federal efforts to repeal and replace the Affordable Care Act, including repeal of the essential health benefits requirements contained in that law, …
A 54 – New York
Introduced: 2017 Status: Inactive / Dead
Includes certain out of home services such as transition from a hospital, nursing facility or other institutional setting to the home within home care insurance coverage. Does not prevent use of utilization review or preauthorization …
A 5496 (see companion bill S 4210) – New Jersey
Introduced: 2019 Status: Inactive / Dead
REQUIRES PHARMACY BENEFITS MANAGER UNDER CONTRACT WITH SHBP AND SEHBP TO REPORT PRICE PAID TO PHARMACY AND AMOUNT CHARGED TO SHBP AND SEHBP. This bill will requires a pharmacy benefit manager that has a contract …
A 5504 (see companion bill S 3812) – New Jersey
Introduced: 2019 Status: Enacted
Applies 85 percent loss ratio requirement to certain large group health beneftis carriers
A 5506 (see companion bill S 3808) – New Jersey
Introduced: 2019 Status: Enacted
Repeals statute authorizing offering of “Basic and Essential” health benefits plans under individual health benefits plans and other statutes concerning basic health plans; makes conforming amendments.
A 5676 – New York
Introduced: 2017 Status: Inactive / Dead
Allows health insurance reimbursements for certain mental health services provided by licensed mental health counselors