Chrissy Buteas, Chief Government Affairs Officer
Bulletin No. 18-14, Implementation of P.L. 2018, c. 32 (N.J.S.A. 26:2SS-1 to -20) Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act, has been issued by the New Jersey Department of Banking and Insurance (DOBI). On June 1, 2018, the Out-Of-Network Consumer Protection, Transparency, Cost Containment, and Accountability Act, P.L. 2018, c. 32 (codified at N.J.S.A. 26:2SS-1 to -20), was enacted, and became effective on August 30, 2018.
NJBIA strongly advocated for this law because surprise out-of-network costs play an increasingly significant role in the rising cost of healthcare for both large and small employers in New Jersey, triggering both higher premiums and out-of-pocket expenses.
The links to the bulletin are posted below.
- Bulletin No. 18-14: Implementation of P.L. 2018, c. 32 (N.J.S.A. 26:2SS-1 to -20) Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act
- Attachment A: Appeal and Arbitration Processes Grid
- Attachment B: Application for Arbitration of Payment for Inadvertent, Emergency or Urgent Out-of-Network Health Care Services
- Attachment C: Disclosures to Covered Persons Regarding Out-of-Network Treatment
We anticipate the New Jersey Department of Banking and Insurance to propose formal regulations for public comment in the NJ Register in the near future.
If you have any questions or comments, please contact me at cbuteas@njbia.org.
