LEGISLATIVE FISCAL ESTIMATE
SENATE, No. 3969
STATE OF NEW JERSEY
220th LEGISLATURE
DATED: JUNE 23, 2023
SUMMARY
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Synopsis: |
Allows for credit against contract cost for primary care services managed by health care provider for public employees and their dependents; allows referrals to other providers that have contractual relationship with such health care provider. |
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Type of Impact: |
Annual revenue increase for local governments. |
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Agencies Affected: |
Local governments. |
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Office of Legislative Services Estimate |
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Annual Fiscal Impact |
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Local Government Revenue Increase |
Indeterminate |
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· The Office of Legislative Services (OLS) estimates that the bill will result in an indeterminate annual revenue increase for local governments in the State that operate medical homes and are part of the State Health Benefits Program or the School Employees’ Health Benefits Program.
BILL DESCRIPTION
The bill allows a health benefits company that is managing a medical home under contract with a public employer to provide a credit to that public employer toward the cost of the contract for health care services provided by its providers to its public employees and their dependents. The credits would be derived from medical reimbursements to the providers with whom a health insurance carrier also has a contractual relationship.
If provided, the amount of the credit permitted toward the cost of the contract shall not exceed the amount of the payments received by the health benefits company from payments from insurance carriers for claims submitted for provider services rendered to public employees and their dependents.
FISCAL ANALYSIS
EXECUTIVE BRANCH
None received.
OFFICE OF LEGISLATIVE SERVICES
The OLS estimates that the bill will result in an indeterminate annual revenue increase for local governments in the State that operate medical homes and are part of the State Health Benefits Program or the School Employees’ Health Benefits Program. The number of local governments affected by the bill is not available.
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Section: |
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Analyst: |
Assistant Fiscal Analyst |
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Approved: |
Thomas Koenig Legislative Budget and Finance Officer |
This legislative fiscal estimate has been produced by the Office of Legislative Services due to the failure of the Executive Branch to respond to our request for a fiscal note.
This fiscal estimate has been prepared pursuant to P.L.1980, c.67 (C.52:13B-6 et seq.).