New Jersey 2024-2025 Regular Session

New Jersey Senate Bill S1976

Introduced
1/9/24  
Introduced
1/13/26  
Refer
1/9/24  

Caption

Requires study and implementation of reference-based pricing for SHBP and SEHBP.

Impact

The proposed legislation would significantly impact how hospitals manage medical transport and billing, particularly in emergency situations. By restricting the ability to charge patients in specified cases, the bill aims to alleviate the financial burden on individuals who may not have the option of alternative transport. This could lead to modifications in the operational procedures of emergency services and hospitals as they adjust to ensure compliance with the new law while also managing their financial models.

Summary

Senate Bill S1976, introduced by Senator Holly T. Schepisi, seeks to amend current hospital billing practices in New Jersey by prohibiting hospitals from charging patients for inter-hospital medical transport services under specific circumstances. The bill states that if a hospital uses its own ambulance or rescue squad to transport a patient when no alternative transport options are clinically appropriate, the patient cannot be billed for those services. This initiative is primarily aimed at protecting patients from unexpected medical costs associated with necessary emergency transport between hospitals.

Sentiment

The sentiment around S1976 is largely positive among consumer advocates and healthcare reform supporters who see it as a necessary step toward reducing healthcare costs and protecting patients. However, there are concerns expressed by some healthcare administrators and insurers about the implications for hospital revenue and the potential for increased costs to be shifted elsewhere within the healthcare system. The discussions reflect a broader debate about healthcare affordability and access, making the bill a focal point of healthcare policy discourse.

Contention

Notable points of contention surrounding the bill include concerns from various stakeholders about its financial implications. Opponents fear that prohibiting billing may lead to financial losses for hospitals that rely on these transport fees, potentially impacting their ability to provide services. Additionally, the definition and application of what constitutes 'clinically appropriate' transport options may lead to disputes in real-world scenarios, underscoring the complexities of implementing such a policy effectively. Overall, the bill emphasizes the sometimes conflicting priorities of patient care and healthcare economics.

Companion Bills

NJ S4076

Carry Over Requires study and implementation of reference-based pricing for SHBP and SEHBP.

NJ S2132

Carry Over Establishes pilot project to permit voters in military service on active duty overseas, and their eligible family members, to vote in certain elections using the Internet; makes appropriation.

Previously Filed As

NJ S2995

Requires study and implementation of reference-based pricing for SHBP and SEHBP.

NJ A2149

Requires SHBP and SEHBP to implement referenced based pricing program and bundled payment program.

NJ A3369

Requires SHBP, SEHBP, Medicaid, and NJ FamilyCare to cover anti-obesity medications.

NJ S250

Concerns annual reporting requirements of SHBP and SEHBP commissions.

NJ A1802

Concerns annual reporting requirements of SHBP and SEHBP commissions.

NJ A4209

Requires health insurers, SHBP and SEHBP to provide coverage for diagnosis, evaluation and treatment of lymphedema.

NJ A1965

Prohibits insurers, SHBP, and SEHBP from charging fee for paper bills and notices.

NJ A612

Requires health insurers, SHBP, and SEHBP to provide coverage for certain drug regimens for treatment of AIDS or HIV under certain circumstances.

NJ S2244

Requires private health insurers, SHBP, SEHBP, Medicaid, and NJ FamilyCare to cover wigs under certain circumstances.

NJ S2716

Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.

Similar Bills

TX SB2238

Relating to the authority of a county or municipality to prohibit or restrict the use of a certain mode of transportation on a roadway.

NJ S1976

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

CA AB394

Public transportation providers.

TX HB3418

Relating to prohibitions on certain employment for sex offenders.

TX HB4316

Relating to the authority of a county or municipality to prohibit or restrict the use of a certain mode of transportation on a roadway.

TX HB4348

Relating to a prohibition on certain roadway projects and to the distribution of affordable housing funds to local governmental entities that violate that prohibition.

SC S0399

Public Transit Trespass

CA AB1779

Alcoholism and drug abuse recovery and treatment programs: inducement of participants.