NJ For Health Care is dedicated to common sense, consumer friendly solutions to ensure every New Jerseyan can get the health care they need, when they need it at a price they can afford.
Since we've implemented the Affordable Care Act (ACA), our uninsured rate has been cut in half and more than 700,000 New Jerseyans have been able to enroll in health coverage.
Our job now is to ensure those who gained coverage will be able to keep it.
NJ For Health Care is committed to policies that build on the success of the ACA by expanding access to quality, affordable health care for all hardworking New Jersey families.
Join us! We all have a role to play in making health care more accessible and affordable.
NJ LEGISLATURE URGED TO VOTE YES TO PASS A1952/S1285 — The Consumer Protection Out-of-Network, Cost Containment, Transparency and Accountability Act
The Facts on Out-Of-Network Surprise Bills: More than 1 out of 5 patients visiting the emergency room may face a surprise out-of-network bill.
Patients are then stuck, and powerless, in a fight between healthcare providers (hospitals and doctors) and an insurance company. And more often than not, the patients are left holding the bill — an often expensive one. CLICK HERE for details.
"To put it in very, very blunt terms: This is the health equivalent of a carjacking." — Zack Cooper, Assistant Professor, Health Policy & Economics, Yale University.
Major health care consumer groups, unions and employers who provide coverage, call on leaders in the New Jersey legislature to support the Out-of-Network Consumer Protection, Cost Containment, Transparency and Accountability Act (A1952 / S1285) that has been stalled in the legislature.
The delay is denying New Jersey consumers the protections they need, and costing consumers and those that provide insurance coverage for their workers millions in unnecessary costs. CLICK HERE for details.
- LATEST Media Release: NJ Out-of-Network Bill Gaining Momentum: Ready to Move in the Assembly — October 13, 2016.
- LATEST White Paper: Support A1952/S1285, The Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act.
- Media Release: Labor, Business, and Consumer Groups Call On NJ Legislative Leaders To Pass The Out-of-Network Consumer Protection Bill — August 15, 2016.
- Coalition Sign-on Letter to Senate President Sweeney — Support S1285.
- Coalition Sign-on Letter to Assembly Speaker Vincent Prieto — Support A1952.
In the News
- "N.J. Panel Approves Fix To Protect Patients From Those Surprise Medical Bills"
- "No Remedy Yet To Cure 'Surprise' Out-of-Network Charges"
Report: Repealing the Medicaid Expansion Would Reverse Health Coverage Gains & Deepen New Jersey's Financial Crisis
President-elect Donald Trump's proposal to repeal the Medicaid expansion as part of rolling back most of the Affordable Care Act (ACA) would harm New Jersey far more than most other states, causing over a half million low-income residents to lose health coverage and costing the state about $3 billion a year in federal funds.
This would reverse the progress New Jersey has made in reducing the number of residents without insurance while deepening the state's severe financial and budget crisis. New Jerseyans across the state, as well as hospitals and other health care providers, would be harmed.... CLICK HERE to read the full report, by Raymond J Castro (November 28, 2016 — New Jersey Policy Perspective).
New Report on the Huge Cost of Surprise Out-of-Network Bills
New Jersey Policy Perspective and the NJ for Health Care Coalition, a diverse collection of organizations which represent health care consumers, have released a report, "Time for Affordability" (click here), that illustrates the huge fiscal impact that surprise out-of-network bills are having on consumers and health care costs in New Jersey.
The report estimates 168,000 New Jerseyans receive out-of-network medical bills each year, with the total owed by these consumers estimated at $420 million. That averages out to about $2,500 out-of-network bill per consumer. About 71 percent of consumers who received these surprise medical bills report being unaware the provider was out-of-network.
- Press Release: "Consumer Coalition Issues New Report on the Huge Cost of Surprise Out-of-Network Bills" (click here).
- Report: "Time for Affordability" (click here).
In the News
- "Report: Out-Of-Network Care Drives Premiums In N.J. Up By Nearly $200" (click here) .
- "Surprise Out-Of-Network Med Bills Cost NJ $1B".
TAKE ACTION! Support the "Out of Network Transparency Act"
It seems no one escapes surprise medical bills these days.
We've all been there, especially when facing a serious illness. Mystery bills.
The "Out of Network Transparency Act" will expand current protections to more consumers in more situations.
It will ban out of network surprise billing in emergency situations and when receiving care at an "in-network" facility. Where there is no "choice" for an "in-network" provider, consumers will be protected. But there's something else.
By limiting out of network charges in our health care system, everyone will benefit from lower health care costs. And that is something we can all agree is needed.
But the opposition from highly paid specialists and for-profit hospital owners is threatening to stop the bill from becoming law.
UPDATED Want to know more about the issue? Check out our Out-of-Network policy paper and principles:
- Surprise Medical Bills:
What they are and how to stop them, while ensuring access to needed services and adequate payment to providers (click here for PDF).
- NJ for Health Care Out-of-Network Principles (click here).
- Media Release: Victims of Surprise Medical Bills Join with Advocates to Issue New Report (click here for PDF).
TAKE ACTION! CLICK HERE to RSVP to join us at the Statehouse on June 16 as we lobby legislators to support passage of Out-of-Network Protection and put an end to surprise medical bills now!
TAKE ACTION! CLICK HERE to tell your state Senator and Assembly members to vote "yes" on this bill and do everything they can to ensure it becomes law.
NEED HEALTH INSURANCE?
|The Affordable Care Act Can Help Get You Covered
Do you or someone you know need health care coverage?
More than a quarter-million New Jersey residents now have health insurance policies they purchased through the federal website set up by the Affordable Care Act.
We are working with partners in communities across the state to connect more New Jerseyans to coverage.
The annual open enrollment period is from November 1 to January 31. But those who experience life changes throughout the year and those eligible for New Jersey's Medicaid program, NJ Family Care, can apply all year round. Visit our website, CoverNJ.org to find out more your coverage options and how to enroll.
Or, you can contact New Jersey Citizen Action's ACA Enrollment Office to speak directly with one of our enrollment counselors.
165 Halsey Street (between Bank Street & West Market)
Newark, NJ 07102
Map and Directions
973-273-0315 or 1-888-829-3711 — Hablamos Español
Campaign to Protect Community Hospitals
Over the past decade, New Jersey has lost far too many local community hospitals, the place of last resort health care for the poor and underserved.
Under financial stress, these community hospitals, once committed to meeting community needs, are bought up by for-profit companies and transformed into moneymaking ventures.
They make dramatic cuts to nursing and other support staff, and take the hospital out of insurance networks so they can charge anything they want — for even routine and simple services.
Companies like CarePoint in Hudson County and California-based Prime Healthcare Service have gotten rich with these practices, to the detriment of local communities, driving up the cost of health care for everyone in New Jersey.
New Jersey Citizen Action, convener of the NJ for Health Care coalition, works with our partners in the Campaign for Community Health Care to fight the sale of community hospitals to for-profit health care chains that employ these anti-consumer and anti-community practices, and bring these important issues to light.
In alliance with nurses and other hospital medical staff, local community leaders, and community residents, we have demanded that the state Department of Health and the NJ Attorney General enforce pro-community pro-consumer conditions before approving any sale of a community hospital.
These demands include pledging to keep the hospital and all its services open and available, maintaining safe staffing levels as well as keeping the hospital within insurance network.
As we see more New Jerseyans with health insurance thanks to the Affordable Care Act, it is crucial that local hospitals be in-network to ensure care remains affordable.
As more hospital sales and mergers take place, and more for-profit hospital companies such as CarePoint and Prime Healthcare Services take over hospital care in New Jersey, we and our partners will continue to fight for stronger consumer-friendly requirements in hospital operation and closer oversight to ensure that these requirements are met.
We will continue to fight for strong and adequate safe-staffing legislation as well as consumer protections against outrageous billing from out-of-network billing by these hospitals and providers.
Community health in New Jersey is too important. And the health of our communities is not for sale! For more information contact India Larrier at firstname.lastname@example.org.