Sponsored by:
Senator JOSEPH PENNACCHIO
District 26 (Essex, Morris and Passaic)
SYNOPSIS
Requires managed care plans to allow any clinical laboratory to participate in provider network.
CURRENT VERSION OF TEXT
As introduced.
An Act concerning health benefit plans and supplementing Title 26 of the revised statutes.
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. A carrier which offers a managed care plan shall not deny a clinical laboratory the right to participate as a provider in the carrier's provider network under the same terms and conditions currently applicable to all other participating clinical laboratories if the health benefits plan provides coverage for laboratory services provided by clinical laboratories and the laboratory is licensed pursuant to R.S.45:9-42.26 et seq. and accepts the terms and conditions of the contract.
2. The Commissioner of Banking and Insurance, pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), shall adopt rules and regulations necessary to effectuate the purposes of this act.
3. This act shall take effect on the first day of the second month following enactment.
STATEMENT
This bill provides that a health insurance carrier which offers a managed care plan that provides coverage for laboratory services provided by clinical laboratories shall not deny a licensed clinical laboratory the right to participate as a provider in the carrier's provider network under the same terms and conditions currently applicable to all other participating clinical laboratories.