Legislation


A 1714 – New Jersey

Status: Inactive / Dead
Year Introduced: 2018
Link: https://www.njleg.state.nj.us/bills/BillView.asp?BillNumber=A1714

REQUIRES HEALTH INSURANCE CARRIERS TO COMPLY WITH CERTAIN NETWORK ADEQUACY REQUIREMENTS. The bill prohibits the Commissioner of Banking and Insurance from issuing conditional approval of provider network adequacy. The bill provides that in the case of a carrier seeking approval for a tiered network, the preferred tier of the network must separately meet all requirements for provider network adequacy. The bill also provides that each health care provider that is used to meet provider network adequacy requirements shall be in the carrier’s network or, in the case of a tiered network, in the same tier of the tiered network, for all covered services provided by that provider.


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