S 3518 (see companion bill A 5466) – New JerseyStatus: Inactive / Dead
Year Introduced: 2021
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, “carrier” means an insurance company, health service corporation, hospital service corporation, medical service corporation, or health maintenance organization authorized to issue health benefits plans in this State, and shall include the State Health Benefits Program, the School Employees’ Health Benefits Program, the Medicaid program, and a Medicaid managed care organization. The bill requires the Commissioner of Banking and Insurance or the Commissioner of Human Services, as appropriate, to approve a network for a health benefits plan only if the plan meets certain requirements concerning the number of providers in the network and the medical specialties and geographic proximity of those providers.
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