New Jersey 2024-2025 Regular Session

New Jersey Assembly Bill A2471

Introduced
1/9/24  

Caption

Establishes cap on amount that hospital can charge patients for laboratory services to 150% of Medicare.

Impact

If enacted, A2471 will significantly influence hospital billing practices, particularly for patients who may not be insured or do not meet specific income thresholds established under previous laws. The existing law, P.L.2008, c.60, provides that uninsured patients with a family gross income below 500% of the federal poverty level can only be charged 115% of the Medicare rate. The new bill extends similar protective measures to a broader range of patients, ensuring a uniform pricing structure for lab services.

Summary

Assembly Bill A2471 seeks to regulate the amounts that hospitals can charge patients for laboratory services in New Jersey. It establishes a cap limiting these charges to 150% of the applicable payment rate determined by Medicare. The purpose of the bill is to ensure that patients are not overcharged for essential laboratory services, reflecting a growing concern over healthcare costs and patient financial burdens.

Contention

The bill's introduction has sparked discussions regarding the implications for hospital revenue and patient access to necessary services. Opponents may argue that imposing a cap could limit hospitals' ability to recover costs and impact operational sustainability. However, supporters posit that the legislative measure is a crucial step in making healthcare more affordable and tackling the financial disparities faced by patients in paying for medical services.

Companion Bills

NJ A3950

Carry Over Establishes cap on amount that hospital can charge patients for laboratory services to 150% of Medicare.

Previously Filed As

NJ A1962

Establishes cap on amount that hospital can charge patients for laboratory services to 150% of Medicare.

NJ S2475

Requires hospital laboratories and bio-analytical or clinical laboratories to offer test for hepatitis C to certain individuals; authorizes certain laboratories to perform rapid tests for hepatitis C.

NJ S276

Establishes certain medical billing requirements concerning specific nature of charges or expenses for health care services.

NJ A1712

Establishes certain medical billing requirements concerning specific nature of charges or expenses for health care services.

NJ S3450

Requires certain electronic medical programs to include demographic data entry feature; requires laboratories to record certain patients' demographic information; requires certain hospitals and laboratories to implement cultural competency training program.

NJ A1950

"Stop Sepsis Act"; requires hospitals to establish sepsis recognition and treatment protocols, train staff, and establish quality measures.*

NJ S3409

Prohibits hospital from billing patient for facility fee for services rendered to patient at outpatient facility affiliated with hospital.

NJ A4743

Prohibits hospital from billing patient for facility fee for services rendered to patient at outpatient facility affiliated with hospital.

NJ S1976

Prohibits hospital from billing patient for inter-hospital medical transport services under certain circumstances.

NJ A2218

Secures protections for patients and providers accessing and providing reproductive health care services; establishes right of residents to reproductive health care activity that is restricted in other states.*

Similar Bills

CA AB304

Training programs: clinical laboratories and personnel: grants.

CA SB339

Medi-Cal: laboratory rates.

NJ A4877

Requires health insurance and Medicaid reimbursement of clinical laboratories regardless of managed care plan participation.

CA AB481

An act to amend Section 1269 of, and to add Section 1206.

LA HB1216

Provides relative to the guidelines for clinical laboratory personnel

FL H0115

Clinical Laboratory Personnel

HI SB1154

Relating To Health.

HI SB1154

Relating To Health.