LEGISLATIVE FISCAL ESTIMATE

ASSEMBLY, No. 2549

STATE OF NEW JERSEY

219th LEGISLATURE

 

DATED: JUNE 22, 2021

 

 

SUMMARY

 

Synopsis:

Requires certain health care providers, SHBP, and School Employees' Health Benefits Program to submit certain health care claims data to DOBI.  

Type of Impact:

Potential annual expenditure increase to State General Fund

Agencies Affected:

Department of Banking and Insurance

 

 

Office of Legislative Services Estimate

Fiscal Impact

Annual

 

State Cost Increase

Indeterminate

 

 

 

 

·         The Office of Legislative Services (OLS) notes that this bill may result in an annual, likely marginal, increase in State expenditures that would be realized through the requirement under the bill for the Commissioner of Banking and Insurance to maintain and make available to the public data that is to be provided to the Department of Banking and Insurance (DOBI) by health care providers who are reimbursed by the State Medicaid Program, the State Health Benefits Program (SHBP), and the School Employees’ Health Benefits Program (SEHBP); and to establish procedures to ensure privacy and confidentiality for the health care claims data.

 

·         The OLS notes that the bill’s fiscal impact on the State may be minimized or absorbed by the DOBI’s existing operational budget.

 

 

BILL DESCRIPTION

 

      This bill requires health care providers reimbursed by the State Medicaid Program, the SHBP, and the SEHBP, to annually submit to the Commissioner of Banking and Insurance information regarding health care claims data from all health care payers for the ten services or benefits having the highest costs within each respective program.  The commissioner shall maintain this information and make it available upon request and at no cost to the public for the purposes of research or policymaking.  Furthermore, the commissioner shall establish procedures to ensure privacy and confidentiality of patients and adopt a standard reporting form in paper and electronic formats for the purposes of submitting health care claims data pursuant to the bill.

 

 

FISCAL ANALYSIS

 

EXECUTIVE BRANCH

 

      None received.

 

OFFICE OF LEGISLATIVE SERVICES

 

      The OLS notes that this bill may result in an annual, likely marginal, increase in State expenditures that would be realized through the requirement under the bill for the Commissioner of Banking and Insurance to maintain and make available to the public data that is to be provided to DOBI by health care providers who are reimbursed by the State Medicaid Program, the SHBP, and the SEHBP; and to establish procedures to ensure privacy and confidentiality for the health care claims data.

      The OLS notes that the bill’s fiscal impact on the State may be minimized or absorbed by the DOBI’s existing operational budget.

 

 

Section:

Commerce, Labor and Industry

Analyst:

Juan C. Rodriguez

Senior Fiscal Analyst

Approved:

Thomas Koenig

Legislative Budget and Finance Officer

 

 

This legislative fiscal estimate has been produced by the Office of Legislative Services due to the failure of the Executive Branch to respond to our request for a fiscal note.

 

This fiscal estimate has been prepared pursuant to P.L.1980, c.67 (C.52:13B-6 et seq.).