A 5341 (see companion bill S 975) – New Jersey
Introduced: 2019 Status: Inactive / Dead
Establishes three-year Medicaid demonstration project to pay for certain drugs according to outcome-based system.
A 536 (see companion bill S 1616/A 2841) – New Jersey
Introduced: 2022 Status: In Process
Under the bill, a pharmacy or pharmacist may provide to an insured information regarding the insured’s total cost for pharmacist services for a prescription drug. A pharmacy benefits manager is not to prohibit a pharmacy …
A 5362 – New Jersey
Introduced: 2021 Status: Inactive / Dead
Expressly allows health care professionals located outside New Jersey to provide services using telemedicine and telehealth to patients in New Jersey.
A 5381 (see companion bill S 6075) – New York
Introduced: 2023 Status: In Process
Requires notice and additional review for managed care providers of the methodologies and fee schedules and other materials used for determining medicaid reimbursement rates. To increase transparency and promptness in the annual capitated rate development process …
A 54 – New York
Introduced: 2017 Status: Inactive / Dead
Includes certain out of home services such as transition from a hospital, nursing facility or other institutional setting to the home within home care insurance coverage. Does not prevent use of utilization review or preauthorization …
A 540 (see companion bill S 395) – New Jersey
Introduced: 2020 Status: Inactive / Dead
This bill would expand the federal Medicare health care coverage program to every New Jersey resident, regardless of age, health, or disability status. Currently, Medicare is generally available only to people who are age 65 …
A 5411 (see companion bill S 4620) – New York
Introduced: 2021 Status: In Process
Requires health plans operating in the state to furnish the cost, benefit, and coverage data as required to the enrollee, his or her health care provider, or the third-party of his or her choosing.
A 5449 (see companion bill S 2389) – New Jersey
Introduced: 2019 Status: Inactive / Dead
Requires New Jersey State Board of Pharmacy to establish prescription drug pricing disclosure website and certain pharmaceutical manufacturing companies to provide prescription drug price information.
A 5451 – New Jersey
Introduced: 2021 Status: Inactive / Dead
Revises emergency care services referral standards for providers of telemedicine and telehealth.
A 546 (see companion bill S 148) – New Jersey
Introduced: 2020 Status: Inactive / Dead
“Consumer Freedom From Unwanted Expense in Health Insurance Coverage Act.” The bill provides that, notwithstanding any other law, rule, or regulation to the contrary, a resident shall have the right to purchase a health insurance …
A 5466 (see companion bill S 3518) – New Jersey
Introduced: 2021 Status: Inactive / Dead
Requires health benefits plans and carriers to meet certain requirements concerning network adequacy. This bill requires carriers to take certain action to ensure that health benefits plans meet certain network adequacy requirements. Under the bill, …
A 547 – New Jersey
Introduced: 2020 Status: Inactive / Dead
“Health Care Consumer’s Out-of-Network Protection, Transparency, Cost Containment and Accountability Act.” This bill is intended to provide remedies for individuals who are treated by physicians and treated in facilities that do not belong to a …
A 5496 (see companion bill S 4210) – New Jersey
Introduced: 2019 Status: Inactive / Dead
REQUIRES PHARMACY BENEFITS MANAGER UNDER CONTRACT WITH SHBP AND SEHBP TO REPORT PRICE PAID TO PHARMACY AND AMOUNT CHARGED TO SHBP AND SEHBP. This bill will requires a pharmacy benefit manager that has a contract …
A 5499 (see companion bill S 49) – New Jersey
Introduced: 2019 Status: Enacted
Authorizes DOBI to establish State-based exchange for certain health insurance plans; requires DHS to apply for federal funds for integration of Medicaid eligibility platform and exchange.
A 5500 (see companion bill S 3809) – New Jersey
Introduced: 2019 Status: Enacted
Expands rate review process in DOBI for certain individual and small employer health benefits plans.
A 5504 (see companion bill S 3812) – New Jersey
Introduced: 2019 Status: Enacted
Applies 85 percent loss ratio requirement to certain large group health beneftis carriers