Legislation


A 851 – New Jersey

Status: Inactive / Dead
Year Introduced: 2018
Link: https://www.njleg.state.nj.us/bills/BillView.asp?BillNumber=A851

SETS LEVEL FOR HEALTH CARE BENEFITS; REQUIRES EMPLOYEE CONTRIBUTIONS; PROHIBITS REIMBURSEMENT OF MEDICARE PART B; ADDS MEMBER TO SHBP/SEHBP PLAN DESIGN COMMITTEES; REQUIRES RETIREES TO PURCHASE HEALTH CARE THROUGH EXCHANGES. Under the bill, all government entities in the State will be required to consider and include, to the extent appropriate, feasible, and cost effective, as part of each plan: wellness programs; patient-centered medical homes; reference-based pricing; on-site medical clinics; comprehensive urgent care centers; greater use of generic drugs and prescriptions by mail; network improvements to enhance in-network utilization and reduce out-of-network utilization; and adjustments to in-network deductibles, copays, and out-of-pocket expense limits, and other components, to enhance in-network utilization and reduce out-of-network utilization. The government entity must consider for each plan the inclusion of research-proven best practices in the delivery of health care and the optimization of a network of high-value providers. The commission states that “ in general the State should follow the best practices which have evolved elsewhere to minimize costs while providing quality health benefits.”


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