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S4036 • 2026

Requires Medicaid and health insurance network contracts to provide participating health care providers with certain notifications.

Requires Medicaid and health insurance network contracts to provide participating health care providers with certain notifications.

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Vitale, Joseph F.
Last action
2026-03-19
Official status
Introduced in the Senate, Referred to Senate Commerce Committee
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Requires Medicaid and health insurance network contracts to provide participating health care providers with certain notifications.

Requires Medicaid and health insurance network contracts to provide participating health care providers with certain notifications.

What This Bill Does

  • Requires Medicaid and health insurance network contracts to provide participating health care providers with certain notifications.
  • Topic: Commerce Fiscal note: This bill has not been certified by OLS for a fiscal note.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-03-19 New Jersey Legislature

    Introduced in the Senate, Referred to Senate Commerce Committee

Official Summary Text

Requires Medicaid and health insurance network contracts to provide participating health care providers with certain notifications.
Topic:
Commerce
Fiscal note:
This bill has not been certified by OLS for a fiscal note.

Current Bill Text

Read the full stored bill text 
S4036

SENATE, No. 4036

STATE OF NEW JERSEY

222nd LEGISLATURE

�

INTRODUCED MARCH 19, 2026

Sponsored by:

Senator� JOSEPH F. VITALE

District 19 (Middlesex)

SYNOPSIS

���� Requires Medicaid and health insurance network
contracts to provide participating health care providers with certain
notifications.

CURRENT VERSION OF TEXT

���� As introduced.

��

An Act
concerning managed care plan contracts 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.��� The contract between a
participating health care provider and a carrier or the State Medicaid program established
pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.) or the FamilyCare Health
Coverage Program established pursuant to P.L.2005, c.156 (C.30:4J-8 et al.)
that offers a managed care plan shall require the carrier or program to provide
a participating health care provider with notice, at least six months in
advance, of any change in the policy that could result in the denial of
coverage for services provided by the provider to a covered person.

���� As used in this section,
�carrier� means an insurance company, health service corporation, hospital
service corporation, medical service corporation, or health maintenance
organization authorized to issue health benefits plans in this State, and shall
include the State Health Benefits Program and the School Employees' Health
Benefits Program.

���� 2.��� This act shall take
effect on the 120th day next following enactment and shall apply to contracts
entered into or renewed after that date.

STATEMENT

���� This bill requires a contract
between a health care provider and a carrier that offers a managed care plan or
the State Medicaid program or FamilyCare Health Coverage Program to require the
carrier or program to provide a participating health care provider with notice
at least six months in advance of any change in the policy that could result in
the denial of coverage for services provided by the provider to a covered
person.

���� As used in the bill, �carrier�
means an insurance company, health service corporation, hospital service
corporation, medical service corporation, or health maintenance organization
authorized to issue health benefits plans in this State, and shall include the
State Health Benefits Program and the School Employees' Health Benefits
Program.