Takeaways From NJ Bulletin On Out-Of-Network Health Care

Law360 (January 17, 2019, 3:08 PM EST) -- On June 1, 2018, Governor Phil Murphy signed the Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act[1] into law, with an effective date of Aug. 30, 2018.

The act makes two major structural reforms to the health care markets in New Jersey. First, it imposes significant new restrictions on the ability of the health care providers to charge consumers for "surprise" out-of-network services by requiring all health care providers at an in-network facility to accept in-network compensation. Second, the act creates a negotiation and "baseball style" arbitration system to limit the charges of out-of-network health care facilities and providers for...

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