Permits clinical laboratories to provide certain patients discounts without affecting NJ FamilyCare reimbursement rates or violating NJ Familycare rebate prohibitions.
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed Senate
- Passed General Assembly
- To Governor
- Became Law
Overview
This bill allows clinical laboratories in New Jersey to offer discounts to certain patients without negatively impacting NJ FamilyCare reimbursement rates or violating existing rebate prohibitions. It addresses concerns that current regulations discourage labs from providing reduced charges to uninsured, underinsured, or financially vulnerable patients. The bill clarifies that reimbursement amounts should be based on the lower of the maximum fee schedule or the lab’s usual charge, and allows labs to offer discounts based on patient financial hardship. It also amends existing criminal penalties related to healthcare fraud to ensure compliance with these new provisions.
Bill text
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Document of record
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- Introduced
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Sponsors
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2 on record
Primary sponsor
Joseph Lagana
Cosponsor
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