Print Page   |   Sign In   |   Register
Search
News & Press: Legislative Updates

Pension and Health Benefits Review Commission Meeting - 07/31/15

Friday, July 31, 2015   (0 Comments)
Share |

S-20 (Vitale/Weinberg)

The “Out-of-network Consumer Protection, Transparency, Cost Containment and Accountability Act.”

Bill S-20 states: If a covered person receives medically necessary services at any health care facility on an emergency or urgent basis, the facility shall not bill the covered person in excess of any deductible, copayment, or coinsurance amount applicable to in-network services pursuant to the covered person’s health benefits plan.” The bill also creates a minimum and maximum charge that an out-of-network healthcare provider can bill the carrier with a minimum of 75% and maximum of 250%, of the median paid in-network commercial claim for a service.

The bill would also require healthcare providers to notify patients of services and costs, and create a healthcare price index that could be used to project costs 5-10 years in the future. Fiscal estimates state the bill could save the state between $22 and $98 million a year in healthcare costs. The bill received unanimous support and was motioned to be enacted by the commission.

S-2096 (Sarlo)

Limits payments under health benefits plans to in-network amounts in certain circumstances; prohibits out-of-network health providers from charging carriers more than 150 percent of Medicare rate in certain circumstances.

Bill S-2906 protects “persons covered under health benefits plans by limiting their payments to health care facilities and health care professionals to in-network amounts in certain situations. Further, the bill limits payments by carriers for out-of-network services to health care facilities and health care professionals to 150 percent of the Medicare payment rate in certain situations.” The bill received unanimous support and was motioned to be enacted by the commission.

A-4411 (Eustace)

Reduces public employer salary paid to reemployed retiree of TPAF, JRS, PERS, PFRS, or SPRS by $1 for each $2 of pension up to Social Security yearly earnings limit.

The commission stated that in bill A-4411 the savings experienced would benefit the new employer, not the state. Additionally, it was stated that the bill focuses on salary when it should focus on the pension benefit. Finally, the bill was said to be administratively untenable. The bill was unanimously denied.

A-4412 (Eustace)

Reduces pension paid to TPAF, JRS, PERS, PFRS, or SPRS retiree reemployed with public employer by $1 for each $2 earned up to Social Security yearly earnings limit.

Bill A-4412 focuses on the pension benefit, rather than the salary, an improvement over A-4411, according to the commission. However, the commission found the same administrative issues present in this bill as in A-4411 and found that the commission would have to do recalculations every year to take variable costs into account, such as cost of living. The bill was unanimously denied.


Sign In
Sign In securely
Latest News