Senate Commerce Committee Statement to Assembly, No. 4913 (State of New Jersey, December 4, 2023)

Summary

This is the Senate Commerce Committee statement to [Second Reprint] Assembly, No. 4913, State of New Jersey, dated December 4, 2023. The committee reports Assembly Bill No. 4913 (2R) favorably. Under the bill, a network agreement between a carrier, or the carrier's contracted vendor, and a health care provider for the provision of health or dental care services is prohibited from mandating only one form of payment to the health care provider. The bill also prohibits a carrier from using a health care provider's preferred method of payment as a factor when deciding whether to provide credentials. As reported, the bill is identical to Senate Bill No. 3133.

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Full text

     SENATE COMMERCE COMMITTEE

                    STATEMENT TO

                      [Second Reprint]
               ASSEMBLY, No. 4913

 STATE OF NEW JERSEY
                    DATED: DECEMBER 4, 2023

    The Senate Commerce Committee reports favorably Assembly Bill
No. 4913 (2R).
    Under the this bill, any network agreement between a carrier, or the
carrier’s contracted vendor, and a health care provider for the provision
of health or dental care services is prohibited from mandating only one
form of payment to the health care provider. A carrier, or the
carrier’s vendor, is also prohibited from restricting the method of
payment to an out-of-network health care provider providing out-of-
network covered services to only one form of payment.
    The bill also requires a carrier, or the carrier’s contracted vendor,
to provide certain information to a health care provider, prior to
initiating its first payment to the health care provider, where one of
the available payment methods includes a fee and before changing
the available payment methods. The bill prohibits a carrier from using
a health care provider’s preferred method of payment as a factor when
deciding whether to provide credentials to a health care provider.
   As reported, Assembly Bill No. 4913 (2R) is identical to Senate Bill
No. 3133, as amended and reported by the committee on this date.


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