Legislation


A 4207 – New Jersey

Status: Inactive / Dead
Year Introduced: 2020
Link: https://www.njleg.state.nj.us/bills/BillView.asp?BillNumber=A4207

Concerns standards for non-renewal or termination of certain health care professionals from insurance carrier’s provider network. This bill requires carriers which offer managed care plans to establish a policy governing removal of health care providers from the provider network that provides, if a licensed health care professional has been participating in the carrier’s provider network for five years or longer, the carrier may not fail to renew or terminate the professional’s contract, unless the carrier:
(1) provides the health care professional and the commissioner with written notice of the non-renewal or termination one year prior to the effective date of the non-renewal or termination, which documents the cause for the professional’s non-renewal or termination; and
(2) the commissioner finds that the non-renewal or termination is with good cause.


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