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NJ S1308
Bill
Status
1/9/2024
Primary Sponsor
Nellie Pou
Click for details
AI Summary
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Mandates the Commissioner of Banking and Insurance to develop standardized "clear cost share plans" for individual health benefits plans that establish uniform copayments, coinsurance, and deductibles for covered services
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Requires creation of at least one clear cost share plan for each metal tier (bronze, silver, gold) under the Affordable Care Act, with carriers required to offer plans from each tier to participate in the individual market
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Allows carriers to offer up to three alternative health plans per metal level that modify the standard clear cost share plan, subject to commissioner approval and actuarial certification that the changes benefit consumers without causing adverse selection
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Requires annual evaluation of clear cost share plans with a 60-day public comment period to consider revisions based on medical inflation and actuarial values
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Applies to individual health benefits plans issued on or after January 1, 2023, and requires the state health insurance exchange website to prioritize unmodified standardized plans in consumer comparisons
Legislative Description
Requires health insurance carriers to offer clear cost share plans for individual health benefits plans.
Commerce
Last Action
Introduced in the Senate, Referred to Senate Commerce Committee
1/9/2024