Bill Text: NJ S472 | 2010-2011 | Regular Session | Introduced

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Bill Title: Prohibits organized delivery systems from denying participation in network to imaging centers willing to meet terms of contract.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2010-01-12 - Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee [S472 Detail]

Download: New_Jersey-2010-S472-Introduced.html

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SENATE, No. 472

STATE OF NEW JERSEY

214th LEGISLATURE

 

PRE-FILED FOR INTRODUCTION IN THE 2010 SESSION

 

 

Sponsored by:

Senator  RAYMOND J. LESNIAK

District 20 (Union)

 

 

 

 

SYNOPSIS

     Prohibits organized delivery systems from denying participation in network to imaging centers willing to meet terms of contract.

 

CURRENT VERSION OF TEXT

     Introduced Pending Technical Review by Legislative Counsel

  

An Act concerning participation by imaging centers in organized delivery system networks and supplementing P.L.1997, c.192 (C.26:2S-1 et seq.).

 

     Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

     1.    A certified organized delivery system or a licensed organized delivery system as defined in section 1 of P.L.1999, c.409 (C.17:48H-1), and any carrier that contracts with a certified organized delivery system or a licensed organized delivery system for radiology or imaging services, shall not deny an imaging center the right to enter into a contract to participate in the organized delivery system's network of health care providers if that imaging center is willing to meet the terms and conditions of the provider contract offered by the organized delivery system to its participating health care providers.

     As used in this act, "imaging center" means a health care facility licensed pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) that maintains an imaging services capability, including, but not limited to, computerized tomography scanning or magnetic resonance imaging.

 

     2.    The Commissioner of Banking and Insurance, pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), shall adopt rules and regulations necessary to effectuate the purposes of this act.

 

     3.    This act shall take effect on the 120th day after enactment, but the Commissioner of Banking and Insurance may take such anticipatory administrative action in advance thereof as shall be necessary for the implementation of the act.

 

 

STATEMENT

 

     This bill prohibits a certified organized delivery system or a licensed organized delivery system as defined in section 1 of P.L.1999, c.409 (C.17:48H-1), and any carrier that contracts with such an organized delivery system for radiology or imaging services, from denying an imaging center the right to enter into a contract to participate in the organized delivery system's network of health care providers if that imaging center is willing to meet the terms and conditions of the provider contract offered by the organized delivery system to its participating health care providers.

     The bill defines "imaging center" to mean a health care facility licensed pursuant to P.L.1971, c.136 (C.26:2H-1  et seq.) that maintains an imaging services capability, including, but not limited to, computerized tomography scanning or magnetic resonance imaging.

     The bill takes effect on the 120th day after enactment, but authorizes the Commissioner of Banking and Insurance to take anticipatory administrative action in advance as necessary for its implementation.