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Senate Commerce Committee Statement to Senate, No. 2853 (October 22, 2020)

Summary

A statement of the Senate Commerce Committee to the Senate on Senate Bill No. 2853 of the State of New Jersey, dated October 22, 2020. The committee reports the bill favorably and with committee amendments. The bill prohibits certain provisions in agreements between insurance carriers and dentists. It prohibits a carrier from including in an agreement with a participating dentist a provision that allows the carrier to deny payment for a covered procedure or service and prohibits the dentist from collecting the amount owed from the covered person. The committee amended the bill to limit it to covered procedures and services and to add certain terms and definitions.

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“Senate Commerce Committee Statement to Senate, No. 2853 (October 22, 2020).” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2020-10-22-scm-s2853-s1-2ab6587bf7/, SHA-256 d4b4d1889008cc1dc0bee71a6eeaff0e0508db5137e9315114a179af646bbaf4.

Full text

     SENATE COMMERCE COMMITTEE

                     STATEMENT TO

                   SENATE, No. 2853

 STATE OF NEW JERSEY
                    DATED: OCTOBER 22, 2020

   The Senate Commerce Committee reports favorably and with
committee amendments Senate Bill No. 2853.
   This bill prohibits certain provisions in agreements between
insurance carriers and dentists.
   Specifically, the bill prohibits a carrier from including in an
agreement between the carrier and a participating dentist a
provision that:
   (1) allows the carrier to deny payment to a participating dentist
for a covered procedure performed or for a covered service
provided on behalf of a covered person; and
   (2) prohibits the dentist from collecting the amount owed from
the covered person for that procedure or service.

COMMITTEE AMENDMENTS:
    The committee amended the bill to:
    (1) limit the provisions of the bill to covered procedures and
services;
    (2) provide that nothing in the bill exempts or limits a participating
dentist from the provisions of the “Insurance Fraud Prevention Act”;
and
    (3) add certain terms and definitions.


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