S.530

New Jersey S530 mandates prompt responses by insurers to prior authorization requests for health care services.

New Jersey S530, known as the "New Jersey Respect for Physicians Act," requires health insurance carriers to respond to requests for prior authorization of health care services within specific timeframes. For inpatient hospital services or emergency department care, insurers must communicate a denial or limitation within 24 hours. For outpatient or other settings, the response must occur within 48 hours. The bill also mandates that insurers contact hospitals and physicians within four hours to discuss authorization requests.