•Ensure an adequate number of primary care physicians
are available to accept new patients to accommodate
•Ensure an adequate number of primary care providers
and specialists have admitting and practice privileges at
•Account for the frequency and type of treatment needed
to provide mental health and substance abuse care
•Adhere to and monitor new appointment wait time
•Report information about the networks and changes
to the networks to the Department of Insurance on an
•Provide accurate provider network directories to the
department and make them available both to policyholders and the public, so that individuals who
are shopping for health insurance have access to this
information as well
•Make arrangements to provide out-of-network care at
in-network prices when too few in-network care providers are available
•Inform patients that an out-of-network medical provider will participate in the non-emergency procedure
or care, before the care is provided, so that the patient
can decline the participation of the out-of-network provider if they choose
New Jersey legislators sought a compromise to
legislation (S.B. 20/A. 4444) intended to reform various aspects of the state’s health care delivery system
by increasing transparency in pricing for services by
limiting billing for out-of-network costs.
The current legislation is stalled in committee
until a version is developed that is acceptable to leg-
islative leadership, Gov. Chris Christie (R), and key
health care stakeholders. The New Jersey Chapter of
the ACS and the ACS State Affairs team are actively
monitoring this legislation and will provide updates
via action alerts if there is any movement.
An Ohio law that took effect March 23 restricts the
use of tanning beds by minors. More specifically, H.B.
131 requires parental consent for youth ages 18 and
younger to use tanning beds; for individuals younger
than 16 years old, a parent must be present.
New Hampshire Gov. Maggie Hassan (D) signed
legislation, H.B. 136, on June 2 that prohibits individuals ages 18 and younger from using tanning facilities.
However, the new law allows health care professionals
to approve their use for medical reasons. Until passage
of this law, state law banned individuals younger than
14 years old from using a tanning bed without physician approval, and parental permission was required
for teenagers younger than age 18. The law took effect
August 2. A total of 12 states and the District of Columbia now ban the use of tanning beds by individuals
younger than 18 years old.
Effective June 1, Michigan began mandating mam-mography service providers to notify patients when
their mammograms demonstrate the existence of
dense breast tissue. The law defines “dense breast
tissue” as “heterogeneously or extremely dense breast
tissue as defined in nationally recognized guidelines or
systems for breast imaging reporting of mammogra-phy screening including, but not limited to, the breast
imaging reporting and data system established by the
American College of Radiology.” The law also allows
the Department of Community Health to update the
definition, if necessary.
S.B. 93 in Texas, legislation that would have curtailed the state’s Driver Responsibility Program, stalled
during this year’s legislative session. S.B. 93 passed in
the Senate; however, the House failed to act on the bill
before the session ended. The Driver Responsibility
Program provides funding for the state trauma system
by imposing surcharges on drivers who receive traffic
Numerous states introduced legislation to repeal, change,
or institute a universal motorcycle helmet law.