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NJ S959
Bill
Status
Introduced
1/13/2026
Primary Sponsor
Jon Bramnick
Click for details
AI Summary
- Reduces the deadline for insurers to respond to prior authorization requests for inpatient hospital services and outpatient care from 15 days to 48 hours following the request
- Requires insurers to make reasonable attempts to contact the hospital or physician by telephone within 4 hours of receiving an authorization request to discuss it
- Maintains the existing 24-hour response requirement for authorization requests involving patients currently receiving inpatient hospital services or emergency department care
- Automatically approves authorization requests if the insurer fails to respond within the required timeframes, making the insurer responsible for payment of covered services
- Reduces the additional time insurers have to respond after receiving requested supplemental information from 15 days to 48 hours for inpatient and outpatient services
Legislative Description
"New Jersey Respect for Physicians Act"; requires prompt response by insurers to requests for prior authorization of health care services.
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