S 1952 – New JerseyStatus: In Process
Year Introduced: 2022
The bill provides that, in the event that a laboratory is out-of-network with respect to an individual’s health benefits plan, the person’s health benefits carrier is to reimburse the laboratory at the carrier’s in-network rate, or in any other reasonable amount as agreed upon by the laboratory and the carrier, less any applicable copayment, coinsurance, or deductible, and the laboratory will be prohibited from billing the covered person for the screening test, other than for the applicable copayment, coinsurance, or deductible. This prohibition will not apply in situations in which: (1) the laboratory checks its records and determines that the covered person was previously screened for hepatitis C; (2) the person is advised that, because of the prior test, the person may be liable for the full cost of a subsequent test if the person’s health benefits plan does not provide coverage for the test; (3) and the person, voluntarily and in writing, requests or agrees to undergo the subsequent test.
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