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AI Summary
NJ S1029 requires health insurers to collect data on claims and automated decisions, though specific reporting requirements and penalties are not confirmed.
Business Impact
If you use automated systems for claims, you must collect data on decisions made.
What do these statuses mean? ▼
Introduced
— Filed in the legislature; not yet heard in committee
In Committee
— Assigned to and being reviewed by a legislative committee
Passed
— Approved by one or both chambers; awaiting further action
Signed / Enacted
— Signed into law by the governor; may or may not be in effect yet
Dead / Vetoed
— Vetoed, failed to pass, or session expired without action
Unknown
— Status data not yet available or awaiting classification
Affected Industries
Topics How we classify →
What This Means
NJ S1029 mandates health insurers in New Jersey to gather data on health insurance claims and decisions made through automated utilization management systems.
Key Provisions
- Health insurers in New Jersey must collect data on claims and automated decisions.
- Specific reporting requirements and penalties are not confirmed without the full bill text.
Latest Legislative Action
Introduced in the Senate, Referred to Senate Commerce Committee
Bill Sponsors (showing 5 of 19)
| Name | Role |
|---|---|
| Atkins, Reginald W. | Primary |
| Bramnick, Jon M. | Primary |
| Bucco, Anthony M. | Primary |
| Calabrese, Clinton D | Primary |
| Greenstein, Linda R. | Primary |
Roll Call Votes
3RDG FINAL PASSAGE ·
Mar 24, 2025
39 Yea
0 Nay
1 Other
Passed ✓
Reported out of Senate committee as a substitute ·
Jan 13, 2025
4 Yea
0 Nay
1 Other
Passed ✓
Compliance Checklist
Maintain and submit data on health benefit plan claims annually.
Who: Health insurers (payers)
Deadline: Annually, as determined by the commissioner
Penalty: Potential penalties for non-compliance not specified.
Who: Health insurers (payers)
Deadline: Annually, as determined by the commissioner
Penalty: Potential penalties for non-compliance not specified.
Ensure every claim is reviewed by a medical director.
Who: Health insurers (payers)
Deadline: Ongoing
Penalty: Potential penalties for non-compliance not specified.
Who: Health insurers (payers)
Deadline: Ongoing
Penalty: Potential penalties for non-compliance not specified.
Publicly disclose claim rejection rates on the website.
Who: Health insurers (payers)
Deadline: Annually
Penalty: Potential penalties for non-compliance not specified.
Who: Health insurers (payers)
Deadline: Annually
Penalty: Potential penalties for non-compliance not specified.
Full Legal Analysis
Bill S1029, introduced in New Jersey, mandates that health insurers collect data regarding health insurance claims and decisions made using automated utilization management systems. Specific reporting requirements, criteria for automated decisions, and penalties for non-compliance are not confirmed without the full bill text.
Official Source
Official Bill Text
View S1029 on official legislature website →
Related Topics
Affected Industries
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