Key Votes
S 2241 - Prohibits Unauthorized Medical Provider Reimbursement Reductions - Key Vote
New Jersey Key Votes
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Family
Issues
Stage Details
Legislation - Bill Passed (Senate) (32-5) - Nov. 29, 2012 (Key vote)
Title: Prohibits Unauthorized Medical Provider Reimbursement Reductions
Vote Smart's Synopsis:
Vote to pass a bill that prohibits Medicaid managed organizations from reducing certain provider reimbursement rates without approval from the Department of Human Services.
Highlights:
- Requires a health care maintenance organization to obtain approval from the Commissioner of Human Services before reducing reimbursement rates of individuals who are eligible for medical assistance (Sec. 1).
- Specifies that the approval of the Commissioner is subject to the following (Sec. 1):
- The organization demonstrates that all action has been taken to reduce the cost of providing benefits;
- The organization demonstrates that the reduction will not adversely impact the quality of and accessibility to health services; and
- Comply with any requirements set forth by the Commissioner at the time of approval being granted.
- Requires the Division of Medical Assistance and Health Services to conduct a public hearing on the the proposed reduction within 30 days of the receipt of an application before making a decision (Sec. 1).
Legislation - Introduced (Senate) - Oct. 4, 2012
Title: Prohibits Unauthorized Medical Provider Reimbursement Reductions
