The Out-Of-Network Consumer Protection, Transparency, Cost Containment, and Accountability Act, P.L. 2018, c. 32 (codified at N.J.S.A. 26:2SS-1 to -20), (“NJ Act”), was enacted on June 1, 2018, and became effective on August 30, 2018. In part, the NJ Act prohibits the practice of balance billing patients and increases transparency in medical billing. The purpose of the law is to protect patients from unexpected or “surprise” medical bills that sometimes arise when a patient unknowingly receives treatment from an out-of-network provider and is then billed for the difference between the provider’s billed charges and reimbursement received from payers for services performed in emergency room/urgent and/or inadvertent care settings.
Federation of Regulatory Counsel Journal
FORC Journal - Vol. 33 Edition 2 - Summer 2022