Senate Commerce Committee Statement to Senate, No. 3133 (State of New Jersey, December 4, 2023)

Summary

This is the Senate Commerce Committee statement to Senate, No. 3133 with committee amendments, State of New Jersey, dated December 4, 2023. The committee reports Senate Bill No. 3133 favorably and with committee amendments. As amended, the bill provides that a network agreement between a carrier, or the carrier's contracted vendor, and a health care provider cannot mandate only one form of payment, and a carrier is also prohibited from restricting the method of payment to an out-of-network health care provider to only one form. The committee replaced the language in the bill with new provisions concerning the method and manner of payment for reimbursement by carriers. As amended and reported, the bill is identical to Assembly Bill No. 4913 (2R).

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     SENATE COMMERCE COMMITTEE

                    STATEMENT TO

                  SENATE, No. 3133
                   with committee amendments



 STATE OF NEW JERSEY
                    DATED: DECEMBER 4, 2023

    The Senate Commerce Committee reports favorably and with
committee amendments Senate Bill No. 3133.
    As amended, the bill provides that 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 amended and reported, Senate Bill No. 3133 is identical to
Assembly Bill No. 4913 (2R), as also reported by the committee on
this date.

COMMITTEE AMENDMENTS
    The committee amended the bill to replace the language in the bill
with new provisions concerning the method and manner of payment
for reimbursement by carriers, or a carrier’s contracted vendor, to
health care providers.


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