In the 2018 legislative session, New Jersey passed the Out-of-network Consumer Protection, Transparency, Cost Containment and Accountability Act (A 2039/S 485), which protects patients from surprise out-of-network medical bills. Among other mandates, providers would have to tell their patients before scheduling an appointment whether the provider is in or out of the person’s insurance network, as well as disclose all the financial liability the patient is likely to have for the given procedure. The measure also puts robust reporting and transparency requirements on carriers.
The state also introduced a number of bills aimed at increasing insurance and prescription cost transparency in the current session, with more likely to come.
2020 Legislative Session: 1/14/2020 - 1/12/2021 (2020-2021 term). *Current session bill updates are ongoing. Check back weekly for updates.