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Sunday, July 31, 2016

NJ Legislation Moves Forward Mandating the Quick Payment of Medical Bills

A3401 As (AS) Concerns electronic medical bills for workers' compensation claims.
Identical Bill Number: S2136

Greenwald, Louis D. as Primary Sponsor
Downey, Joann as Primary Sponsor
Diegnan, Patrick J., Jr. as Co-Sponsor

The Assembly Appropriations Committee reports favorably Assembly Bill No. 3401.

This bill concerns the electronic submission of workers’ compensation claims. Specifically, the bill requires the Commissioner of Labor and Workforce Development to adopt rules and regulations which:

(1) ensure that all health care providers submit medical bills for payment on standardized forms;

(2) require employers, workers' compensation insurance carriers of employers, and third-party administrators to accept electronic claims for the payment of medical services;

(3) ensure confidentiality of medical information submitted on electronic claims for payment of medical services pursuant to the "Workers' Compensation Medical Information Confidentiality Act," P.L.2001, c.326 (C.34:15-128.1 et seq.); and

(4) provide that payment for medical services provided or prescribed by the health care provider shall be made by the employer, workers' compensation insurance carrier, or third-party administrator to the health care provider within 15 working days after electronic receipt of an itemized electronic billing. If the billing is contested, denied, or incomplete, the bill requires that payment be made of any uncontested amounts within 15 working days after electronic receipt of the billing. The bill vests exclusive jurisdiction for any contested medical charge arising from any claim for compensation for a work-related injury or illness in the Division of Workers’ Compensation, Department of Labor and Workforce Development, pursuant to R.S.34:15-15.


This bill has not been certified as requiring a fiscal note.

3/3/2016 Introduced, Referred to Assembly Labor Committee
4/4/2016 Transferred to Assembly Appropriations Committee
4/4/2016 Reported out of Assembly Committee, 2nd Reading
6/16/2016 Assembly Substitution (Greenwald)
6/30/2016 Passed by the Assembly (63-5-7)
7/14/2016 Received in the Senate, Referred to Senate Labor Committee

Statement - AAP 4/4/16 - 1 pages PDF Format    HTML Format 
Introduced - - 3 pages PDF Format    HTML Format 
Assembly Floor Substitute - - 4 pages PDF Format    HTML Format 

Committee Voting:
AAP  4/4/2016  -  r/favorably  -  Yes {6}  No {0}  Not Voting {2}  Abstains {3}  -  Roll Call

Session Voting:
Asm.  6/30/2016  -  3RDG FINAL PASSAGE   -  Yes {63}  No {5}  Not Voting {5}  Abstains {7}  -  Roll Call