ASSEMBLY, No. 1451

STATE OF NEW JERSEY

221st LEGISLATURE

 

PRE-FILED FOR INTRODUCTION IN THE 2024 SESSION

 


 

Sponsored by:

Assemblyman  ROBERT J. KARABINCHAK

District 18 (Middlesex)

 

 

 

 

SYNOPSIS

     Concerns certain unfair practices of health insurers.

 

CURRENT VERSION OF TEXT

     Introduced Pending Technical Review by Legislative Counsel.

  


An Act concerning health insurers and unfair practices and supplementing chapter 30 of Title 17B of the New Jersey Statutes.

 

     Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

     1.    a.  It shall be a deceptive and unfair practice for a health insurer to:

     (1)   represent to any person that a health care provider is part of the managed care network of the health insurer, if the health care provider is not or will not be part of the insurer’s managed care network; or

     (2)   provide any person an inducement to purchase insurance from the health insurer, or to switch to a certain health benefits plan offered by the health insurer.

     b.    As used in this section, “inducement” means a monetary or other incentive, including, but not limited to a medical device.

 

     2.    This act shall take effect on the 90th day next following enactment.

 

 

STATEMENT

 

     This bill provides that it shall be a deceptive and unfair practice for a health insurer to:

     (1)   represent to any person that a health care provider is part of the managed care network of the health insurer, if the health care provider is not or will not be part of the insurer’s managed care network; or

     (2)   provide any person a financial inducement to purchase insurance from the health insurer, or to switch to a certain health benefits plan offered by the health insurer.

     As used in the bill, “inducement” means a monetary or other incentive, including, but not limited to a medical device.