New Jersey S 3264: Allows domestic violence victims to cancel television and telephone service contracts without paying early termination fee.

Bill Text

S3264 

SENATE, No. 3264 

STATE OF NEW JERSEY

222nd LEGISLATURE

� 

INTRODUCED FEBRUARY 2, 2026

Sponsored by:

Senator� KRISTIN M. CORRADO

District 40 (Bergen, Essex and Passaic)

Co-Sponsored by:

Senator Lagana

SYNOPSIS

���� Requires health insurance carriers to use federal 
resource-based relative value scale when determining reimbursement values for 
evaluation and management billing codes appended by modifier 25. 

CURRENT VERSION OF TEXT 

���� As introduced.

�� 

An Act concerning evaluation and management billing 
codes, and supplementing P.L.1999, c.155 (C.17B:30-26 et seq.).

���� Be It 
Enacted by the Senate and General Assembly of 
the State of New Jersey:

���� 1.��� a.� A health insurance carrier 
shall utilize the resource-based relative value scale used by the federal 
Centers for Medicare and Medicaid Services, pursuant to 42 U.S.C. s.1395w-4, 
when determining the reimbursement value for evaluation and management billing 
codes appended by modifier 25.

���� b.��� As used in this section:

���� �Carrier� means an insurance 
company, health service corporation, hospital service corporation, medical 
service corporation, or health maintenance organization authorized to issue 
health benefits plans in this State, and shall include the State Health Benefits 
Program and the School Employees� Health Benefits Program.

���� �Evaluation and management 
billing codes� means current procedural terminology codes 99202 through 99499 
that represent services by a healthcare provider in which the provider is 
either evaluating or managing a patient�s health. 

���� �Modifier 25� means a code to 
delineate when� a patient�s condition requires a significant, separately 
identifiable evaluation and management service above and beyond that associated 
with another procedure or service being reported by the same healthcare 
provider on the same date as the evaluation and management service.

���� �Reimbursement value� means 
the monetary amount a healthcare provider receives for providing a medical 
service or performing a medical procedure. 

���� �Resource-based relative value 
scale� means a payment system used by the federal Centers for Medicare and 
Medicaid Services that assigns monetary value to medical services and 
procedures based upon the resources needed by a healthcare provider to effectively 
deliver or perform the service or procedure.

���� 2.��� This act shall take 
effect on the 90th day next following the date of enactment and shall apply to 
policies or contracts that are delivered, issued, executed, or renewed on or 
after the effective date.

STATEMENT

���� This bill requires health 
insurance carriers to use a federal resource-based relative value scale when 
determining reimbursement values for certain evaluation and management billing 
codes.

���� Under the bill, a carrier will 
be required to utilize the resource-based relative value scale used by the 
federal Centers for Medicare and Medicaid Services when determining the 
reimbursement value for evaluation and management billing codes appended by modifier 
25.� As defined under the bill, �resource-based relative value scale� means a 
payment system used by the federal Centers for Medicare and Medicaid Services 
that assigns monetary value to medical services and procedures based upon the 
resources needed by a healthcare provider to effectively deliver or perform the 
service or procedure.� This bill is intended to set a standard for 
reimbursement values of evaluation and management services performed by 
healthcare providers.