Loading chat...

NJ S1995

Bill

Status

Introduced

1/13/2026

Primary Sponsor

Holly Schepisi

Click for details

Origin

Senate

2026-2027 Regular Session

AI Summary

  • Requires health insurance carriers and health care facilities to provide 15 business days electronic notice to each other and the Department of Banking and Insurance before removing a facility from a provider network, with continued coverage during that period.

  • Mandates good faith negotiations between carriers and facilities during the 15-day notice period, with public disclosure to affected subscribers about ongoing negotiations and potential impacts.

  • Opens a 30-day special enrollment period for individuals with small employer or individual health plans in affected counties if negotiations fail, allowing them to switch to new plans including through the State-based exchange or a spouse's employer plan.

  • Requires carriers to continue covering claims at in-network rates for affected patients until the next open enrollment period or until a new agreement is reached, even after a facility leaves the network.

  • Applies to hospitals, nursing homes, rehabilitation centers, diagnostic centers, and other health care facilities, but excludes independent physician offices and prayer-based healing institutions.

Legislative Description

Establishes procedure for removal of health care facility from provider network and certain circumstances to allow for special enrollment period.

Commerce

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee

1/13/2026

Committee Referrals

Commerce1/13/2026

Full Bill Text

No bill text available