Senate Commerce Committee Statement to Senate, No. 3416 — State of New Jersey (March 24, 2025)

Summary

A Senate Commerce Committee statement to the Senate on Senate Bill No. 3416, State of New Jersey, dated March 24, 2025, reporting the bill favorably. The bill establishes additional network adequacy standards for health insurance carriers that offer a managed care plan. It requires the Commissioner of Banking and Insurance to adopt regulations ensuring covered persons have reasonable and timely access to physician specialists at in-network hospitals and facilities, including anesthesiologists, radiologists, pathologists and emergency medicine physicians. The statement says current law already requires network standards on scope of benefits, geographic service area and access to medical specialists.

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Cite this document

“Senate Commerce Committee Statement to Senate, No. 3416 — State of New Jersey (March 24, 2025).” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/s3416-scm-statement-3-24-25-9ffb4cd413/, SHA-256 a2f5cc7a4e7da787d2fa1366178309a26a456a357e4b35884d3805257fb6adad.

Full text

SENATE COMMERCE COMMITTEE

STATEMENT TO

SENATE, No.
3416

STATE
OF NEW JERSEY

DATED: MARCH
24, 2025

The Senate Commerce Committee reports favorably Senate
Bill No. 3416.

This bill establishes additional network adequacy
standards for health insurance carriers that offer a managed care plan. Current
law requires regulations for those carriers to include standards for the
adequacy of the provider network with respect to the scope and type of health
care benefits provided by the carrier, the geographic service area covered by
the provider network, and access to medical specialists. This bill requires
the Commissioner of Banking and Insurance to adopt regulations to ensure that covered
persons have reasonable and timely access to physician specialists at
in-network hospitals and facilities, including anesthesiologists, radiologists,
pathologists, emergency medicine physicians, and services under their
supervision.

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