Archive for Legislation

Update from Trenton

Legislation, NJPCAC Member News on November 29th, 2016 No Comments

Two of NJPCAC’s priority issues are heating up in Trenton as Legislators tackle an aggressive pre-holiday agenda. The Out of Network issue and the NJPCAC-led initiative to reform New Jersey’s “Codey Act” to allow for value-based/alternative payment model health care are expected to see action.

Out of Network Bill

Legislation, NJPCAC Member News on November 29th, 2016 No Comments

UPDATE: On Monday, December 5th, the sponsor of the bill, Senator Joe Vitale, Chair of the Senate Health Committee, delayed action on the legislation to give stakeholders more time to reach a compromise. Brand new coalitions have been created in recent weeks to both support and oppose out of network reform. Horizon Blue Cross Blue […]

Codey Act Reform

Legislation on November 29th, 2016 No Comments

UPDATE: An identical bill (A4334) introduced in the Assembly by Dr. Herb Conaway, Chairman of the Assembly Health and Senior Services Committee, was unanimously and favorably reported from that committee on December 5th. The vote was 13-0 with no abstentions and no absent members. Legislation advanced by the New Jersey Patient Care and Access Coalition […]

OMNIA Update

Legislation on November 29th, 2016 No Comments

Efforts to reform New Jersey’s network adequacy and plan disclosure laws that were introduced in the Legislature late last year in response to the roll out of Horizon’s new OMNIA tiered network product have stalled and have little hope of enactment. Court cases – one of which NJPCAC participated amicus – have also hit a […]