This bill mandates that health insurance carriers in New Jersey reimburse health care providers for vaccines at a rate that is no less than the cost per dose as determined by the Centers for Disease Control and Prevention (CDC) vaccine price list. The reimbursement rate will be based on the CDC cost per dose rate that is in effect on the date the vaccine is administered by the provider. This requirement applies to various types of health insurance carriers, including insurance companies, health service corporations, and health maintenance organizations.
The bill is set to take effect on the first day of the 13th month following its enactment and will apply to contracts that are entered into or renewed after that date. By aligning reimbursement rates with the CDC's pricing, the bill aims to ensure that health care providers are fairly compensated for administering vaccines, thereby promoting public health initiatives related to vaccination.