Bill Text: NJ A4503 | 2012-2013 | Regular Session | Introduced
Bill Title: Prohibits bio-analytical laboratories from charging certain patients more than 115% of the applicable Medicare rate.
Spectrum: Partisan Bill (Democrat 1-0)
Status: (Introduced - Dead) 2013-11-25 - Introduced, Referred to Assembly Health and Senior Services Committee [A4503 Detail]
Download: New_Jersey-2012-A4503-Introduced.html
Sponsored by:
Assemblyman CRAIG J. COUGHLIN
District 19 (Middlesex)
SYNOPSIS
Prohibits bio-analytical laboratories from charging certain patients more than 115% of the applicable Medicare rate.
CURRENT VERSION OF TEXT
As introduced.
An Act concerning bio-analytical laboratories and supplementing P.L. 1953, c. 420 (C.45:9-42.1 et seq.)
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. A bio-analytical laboratory operating in this State pursuant to the "Bio-analytical Laboratory and Laboratory Directors Act (1953)," P.L. 1953, c. 420 (C. 45:9-42.1 et seq.) shall charge an amount no greater than 115% of the applicable payment rate under the federal Medicare program established pursuant to Pub. L. 89-97 (42 U.S.C. s. 1395 et seq.) for laboratory services provided to or on behalf of a patient who is:
a. an uninsured resident of this State; or
b. a covered person under a health benefits plan for whom:
(1) benefits for laboratory services under the health plan have been exhausted; or
(2) the laboratory services provided are not covered by the health benefits plan.
2. This act shall take effect immediately.
STATEMENT
The bill ensures that certain patients are charged reasonable rates for certain services provided by bio-analytical laboratories operating in the State.
The bill prohibits a bio-analytical laboratory from charging an amount in excess of 115% of the applicable payment rate under the federal Medicare program for laboratory services rendered to a patient who is either: an uninsured resident of this State; or a covered person under a health benefits plan for whom benefits for laboratory services under the plan have been exhausted or for whom the laboratory services are not covered by the health benefits plan.
