New Jersey S504 ensures fair access to health care networks by requiring insurers to include state-licensed facilities and providers.
New Jersey S504, the "Fair Access to Health Care Networks Act," mandates that health insurance carriers include state-licensed facilities and providers in their networks. This includes ambulatory surgical centers, diagnostic labs, and private practices. Insurers must accept applications from these entities within 90 days and automatically include them if they fail to respond. Patients can receive in-network benefits from any willing state-licensed provider. Insurers cannot exclude entities based on ownership or size.
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- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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