New Jersey 2022-2023 Regular Session

New Jersey Senate Bill S1401

Introduced
2/10/22  

Caption

Prohibits offering of health benefit plans in the State that do not meet certain standards; requires Commissioner of Banking and Insurance to take enforcement action against offering of plans not in compliance.

Impact

The bill directly responds to potential threats posed by federal policies encouraging the expansion of association health plans and the sale of short-term limited-duration insurance. In doing so, S1401 seeks to maintain New Jersey's stringent health insurance requirements, which aim to prevent substandard health coverage from being offered within the state. The enforcement measures outlined will require the Commissioner to take action against any non-compliant plans, thereby reinforcing consumer protections in the health insurance marketplace.

Summary

Senate Bill S1401, introduced by Senator Nia H. Gill, aims to enhance the standards for health benefit plans offered in New Jersey. The legislation prohibits the Commissioner of Banking and Insurance from approving health benefit plans that do not comply with existing New Jersey statutes. This includes plans from hospital, medical, and health service corporations, as well as commercial insurers and health maintenance organizations. The intent is to protect citizens by ensuring that all health plans meet rigorous state standards and provide reliable coverage.

Contention

One of the notable points of contention surrounding S1401 is the potential pushback from proponents of federal deregulation in health insurance. Supporters of the bill argue that allowing non-compliant plans could undermine the quality of healthcare in New Jersey. Conversely, opponents may view the bill as a barrier to competition and choice in the health insurance market, particularly as federal policies appear to promote alternative forms of health insurance coverage that may not align with state standards. This tension raises questions about the balance between state protections and federal flexibility in healthcare provision.

Companion Bills

No companion bills found.

Previously Filed As

NJ A4166

Requires insurance carriers offering dental benefit plans to provide certain level of coverage and reimbursement.

NJ S2913

Prohibits carriers from offering dental plans with dental benefit waiting periods.

NJ S2890

Requires 90 days' notice of cancellation or nonrenewal of stop loss insurance for small employer health benefits plans.

NJ A3284

Requires 90 days' notice of cancellation or nonrenewal of stop loss insurance for small employer health benefits plans.

NJ A1831

Makes various changes to SHBP plan offerings and governance.

NJ A2493

Requires health insurance carriers to offer clear cost share plans for individual health benefits plans.

NJ A1356

Requires health benefits plans and carriers to meet certain requirements concerning network adequacy and mental health care.

NJ A5012

Requires certain standards be established for contracts between pharmacy benefits managers and health benefits plans.

NJ S4203

Requires certain standards be established for contracts between pharmacy benefits managers and health benefits plans.

NJ S3477

Requires health benefits plan and carriers to meet certain requirements concerning network adequacy and mental health care.

Similar Bills

No similar bills found.