A 3694 (see companion bill S 1156) – New York
Introduced: 2017 Status: Enacted
MENTAL HEALTH AND SUBSTANCE USE DISORDER PARITY REPORT ACT: Relates to establishing the mental health and substance use disorder parity report act to ensure compliance of insurers and health plans with state and federal requirements …
A 3715 (see companion bill S 1410) – New Jersey
Introduced: 2022 Status: In Process
Limits certain provisions in restrictive covenants and limits enforceability of restrictive covenants. Under the bill, an employer may require or request that an employee enter into a restrictive covenant as a condition of employment or …
A 3717 (see companion bill S 728) – New Jersey
Introduced: 2018 Status: Enacted
PROHIBITS PHARMACY BENEFIT MANAGERS FROM MAKING CERTAIN RETROACTIVE REDUCTIONS IN CLAIM PAYMENTS TO PHARMACIES: After the date of receipt of a clean claim for payment made by a pharmacy, a pharmacy benefits manager shall not …
A 3721 (see companion bill S 3525) – New York
Introduced: 2019 Status: Inactive / Dead
Relates to reimbursement for ambulance services; requires insurers to submit payments directly to ambulance providers who are in-network or, for out-of-network ambulance providers, requires the issuance of a joint check to the insured specifying both …
A 3770 (see companion bill S 1348) – New York
Introduced: 2023 Status: Enacted
Relates to notification changes to the model contract with managed care providers under the medical assistance program; requires the department to post on its website certain changes required to be submitted to the centers for …
A 3779 – New York
Introduced: 2021 Status: In Process
Relates to the New York state of health transparency act; requires certain information be listed on the New York state of health marketplace for each plan.
A 3815 (see companion bill S 2145) – New Jersey
Introduced: 2020 Status: Inactive / Dead
Allows health maintenance organizations to include charity care assessments for purposes of meeting certain loss ratio requirements. This bill allows health maintenance organizations to include the amounts that the health maintenance organizations remit as part …
A 3816 – New York
Introduced: 2023 Status: In Process
Requires health insurers to offer coverage of health care provided by out-of-network providers.
A 3817 – New Jersey
Introduced: 2020 Status: Inactive / Dead
Requires health care provider participating in carrier network to give notice to covered person of provider’s referral to out-of-network provider. This bill requires a health care provider, under a managed care plan that provide for …
A 383 (see companion bill S 2498) – New York
Introduced: 2019 Status: Inactive / Dead
Shortens time frames during which an insurer has to determine whether a pre-authorization request is medically necessary from three business days to three days.
A 3843 (see companion bill S 2283) – New Jersey
Introduced: 2020 Status: Enacted
Requires health insurance and Medicaid coverage for testing of coronavirus disease 2019 and for telemedicine and telehealth during coronavirus disease 2019 state of emergency.
A 3845 (see companion bill S 2685) – New Jersey
Introduced: 2018 Status: Inactive / Dead
ENSURING TRANSPARENCY IN PRIOR AUTHORIZATION ACT: Requires a utilization review entity to make certain disclosures regarding its prior authorization requirements and restrictions, on its website and in writing, including certain statistics concerning approvals and denials, …
A 3857 (see companion bill S 2460) – New Jersey
Introduced: 2018 Status: Inactive / Dead
AUTHORIZES VISITING ADVANCED PRACTICE NURSES WHO ARE NOT CERTIFIED BY ENDORSEMENT IN NEW JERSEY TO ENGAGE IN THE LIMITED PRACTICE OF PRESCRIBING MEDICATIONS AND DEVICES, IF THEY HAVE APPROPRIATE EDUCATIONAL QUALIFICATIONS. If the board determines …
A 3858 – New Jersey
Introduced: 2024 Status: In Process
Requires collection of data by health insurers regarding health insurance claims and decisions made using automated utilization management systems.
A 3860 – New Jersey
Introduced: 2020 Status: Enacted
Establishes certain requirements to use telemedicine and telehealth to respond to coronavirus disease 2019 (COVID-19).
A 3901 – New York
Introduced: 2019 Status: Inactive / Dead
Requires health insurance coverage for clinical laboratory services if a covered health care provider directs a specimen to be sent to an out-of-network laboratory or refers a patient to an out-of-network laboratory for clinical laboratory …