S 220 (see compaion bill A 4305) – New Jersey

Status: Inactive / Dead
Year Introduced: 2018
Link: https://www.njleg.state.nj.us/bills/BillView.asp?BillNumber=S220

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 BENEFITS THROUGH EXCHANGES; PROVIDES SUBSIDES FOR OUT-OF-POCKET COSTS. 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.

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