Legislation


A 3403 (see companion bill S 2146) – New Jersey

Status: Inactive / Dead
Year Introduced: 2020
Link: https://www.njleg.state.nj.us/bills/BillView.asp?BillNumber=A3403

Establishes Center for the Study of Health Care Billing Data. This bill establishes a Center for the Study of Health Care Billing Data (hereinafter, the “Center’), whose purpose is to analyze the health care provider billing data that is to be provided to the Center by carriers offering health benefits plans in the State, and to develop and maintain a database of health care provider billing data that accurately reflect the usual and customary charges of health care providers in the State. Further, the bill provides that a carrier that provides for both in-network and out-of-network benefits in a managed care plan offered to individuals or employers in this State, shall utilize the database to determine its responsibility for an insured’s out-of-network charges, and shall include provisions in its plan documents describing the use of the database for that purpose.


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