Bill Text: NJ A3558 | 2016-2017 | Regular Session | Introduced
Bill Title: Places freeze on future enrollment in tiered network health benefits plans until new legislation and regulations governing those plans are in effect.
Spectrum: Partisan Bill (Democrat 4-0)
Status: (N/A - Dead) 2016-05-20 - Reviewed by the Pension and Health Benefits Commission Recommend to not enact [A3558 Detail]
Download: New_Jersey-2016-A3558-Introduced.html
Sponsored by:
Assemblyman JOHN S. WISNIEWSKI
District 19 (Middlesex)
Assemblyman REED GUSCIORA
District 15 (Hunterdon and Mercer)
Assemblyman JAMEL C. HOLLEY
District 20 (Union)
Assemblywoman ELIZABETH MAHER MUOIO
District 15 (Hunterdon and Mercer)
SYNOPSIS
Places freeze on future enrollment in tiered network health benefits plans until new legislation and regulations governing those plans are in effect.
CURRENT VERSION OF TEXT
As introduced.
An Act concerning certain health benefits plans and supplementing P.L.1997, c.192 (C.26:2S-1 et al.).
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. a. Notwithstanding the provisions of any other law, rule or regulation to the contrary, any health benefits plan offered by a carrier as a managed care plan with more than one level or tier of in-network benefits, based on different levels of reimbursement and cost sharing accepted by the health care providers in that network, shall cease to enroll additional participants until such time as new legislation and accompanying regulations to govern those plans are in effect.
b. For the purposes of this section, "carrier" shall include, in addition to 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, the State Health Benefits Commission and the School Employees' Health Benefits Commission.
2. This act shall take effect immediately.
STATEMENT
This bill places a freeze on future enrollment in tiered network health benefits plans until new legislation and accompanying regulations to govern those plans are in effect.
