A 4422 – New Jersey
Introduced: 2022 Status: In Process
This bill stipulates that the provisions of the “Out-of-network Consumer Protection, Transparency, Cost Containment and Accountability Act” apply to transportation by emergency medical service helicopter. In addition, the bill establishes a cap of $1,000 on …
A 4425 – New Jersey
Introduced: 2022 Status: In Process
Prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions for covered persons solely because of change in health benefits plan or pharmacy benefits manager.
A 443 – New Jersey
Introduced: 2018 Status: Inactive / Dead
INSURANCE NETWORK TRANSPARENCY: Requires health care provider participating in carrier network to give notice to covered person of provider’s referral to out-of-network provider.
A 4437 – New York
Introduced: 2015 Status: Inactive / Dead
Prohibits Medicare charges by healthcare providers in excess of statutory limitations
A 4467 – New Jersey
Introduced: 2022 Status: In Process
This bill would require the Division of Medical Assistance and Health Services in the Department of Human Services to establish a Medicaid Managed Care Organization (MCO) Oversight Program to ensure the availability of accessible health …
A 4485 – New Jersey
Introduced: 2022 Status: In Process
This bill requires health insurance carriers to provide an adequate network of physicians. Under the bill, a carrier will ensure that a network have a sufficient number of physicians to ensure that 100 percent of …
A 450 – New Jersey
Introduced: 2018 Status: Inactive / Dead
LIMITS PAYMENTS UNDER HEALTH BENEFITS PLANS TO IN-NETWORK AMOUNTS IN CERTAIN CIRCUMSTANCES; PROHIBITS OUT-OF-NETWORK HEALTH PROVIDERS FROM CHARGING CARRIERS MORE THAN 150 PERCENT OF MEDICARE RATE IN CERTAIN CIRCUMSTANCES. With respect to a covered service …
A 4516 (see companion bill S 3211) – New Jersey
Introduced: 2022 Status: In Process
Authorizes provision of comprehensive health care coverage to certain undocumented immigrants and children.
A 4538 – New Jersey
Introduced: 2022 Status: In Process
Expands Medicare health care coverage to all New Jersey residents.
A 4538 (see companion bill S 3638) – New Jersey
Introduced: 2023 Status: In Process
Expands Medicare health care coverage to all New Jersey residents.
A 4554 (see companion bill S 2806) – New Jersey
Introduced: 2018 Status: Inactive / Dead
Requires filing of certain findings on out-of-network arbitrations and requires Commissioner of Banking and Insurance to conduct surveys and produce certain reports. Specifically, the bill requires any entities contracted with by the Commissioner of Banking …
A 4562 – New York
Introduced: 2018 Status: Inactive / Dead
NEW YORK STATE PHARMACEUTICAL DRUG MANUFACTURER AND WHOLESALERS DISCLOSURE ACT. Requires pharmaceutical drug manufacturers and wholesalers to annually report to the New York department of health and to the general public, all of its gifts …
A 4600 – New York
Introduced: 2017 Status: Inactive / Dead
Requires a health care provider or facility which has determined to cease to do business or which is transferring its ownership or otherwise interrupting its services for a permanent or extended period to, at least …
A 4676 (see companion bill S 3185) – New Jersey
Introduced: 2016 Status: Enacted Year Enacted: 2018
PRESCRIPTION DRUG PATIENT PROTECTION ACT: Requires pharmacy benefits managers to obtain, in accordance with the bill’s provisions, a certificate of authority from the Commissioner of Banking and Insurance in order to operate in this State. …
A 4688 (see companion bill S 3000) – New Jersey
Introduced: 2020 Status: Inactive / Dead
Codifies and establishes certain network adequacy standards for pediatric primary and specialty care in Medicaid program. The bill defines network adequacy to mean the adequacy of the provider network with respect to the scope and …
A 4717 (see companion bill S 5623) – New York
Introduced: 2017 Status: Inactive / Dead
Establishes civil penalties for violations concerning the pharmacy benefit manager contract appeals process; five thousand dollars for each violation recoverable by the attorney generals office; relates to the process for appeals