# N.J. Stat. § 26:2SS-7: Billing for emergency, urgent care

> New Jersey · Statutes · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-7

## Section

- **Citation:** N.J. Stat. § 26:2SS-7
- **Heading:** Billing for emergency, urgent care
- **Jurisdiction:** New Jersey
- **Kind:** Statutes
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** NJ Code / Title 26 / Chapter 2SS / Section 2SS-7

## Text

7. a. If a covered person receives medically necessary services at any health care facility on an emergency or urgent basis as defined by the Emergency Medical Treatment and Active Labor Act, 42 U.S.C. s.1395dd et seq. and section 14 of P.L.1992, c.160 (C.26:2H-18.64), the facility shall not bill the covered person in excess of any deductible, copayment, or coinsurance amount applicable to in-network services pursuant to the covered person's health benefits plan. b. If a covered person receives medically necessary services at an out-of-network health care facility on an emergency or urgent basis as defined by the Emergency Medical Treatment and Active Labor Act, 42 U.S.C. s.1395dd et seq. and section 14 of P.L.1992, c.160 (C.26:2H-18.64), and the carrier and facility cannot agree on the final offer as a reimbursement rate for these services pursuant to section 9 of this act, the carrier, health care facility, or covered person, as applicable, may initiate binding arbitration pursuant to section 10 or 11 of this act. c. If a health care facility is in-network with respect to any health benefits plan, the facility shall ensure that all providers providing services in the facility on an emergency or inadvertent basis are provided notification of the provisions of this act and information as to each health benefits plan with which the facility has a contract to be in-network. d. A health care facility that contracts with a carrier to be in-network with respect to any health benefits plan shall annually report to the Department of Health the health benefits plans with which the facility has an agreement to be in-network. e. Subsections a. and b. of this section shall only apply to providers providing services to members of entities providing or administering a self-funded health benefits plan and its plan members if the entity elects to be subject to section 9 of this act pursuant to subsection d. of that section. f. The Department of Health shall make the information collected pursuant to subsection d. of this section available to the Department of Banking and Insurance. L.2018, c.32, s.7.

## Nearby sections

- [N.J. Stat. § 26:2SS-1 Short title.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-1.md)
- [N.J. Stat. § 26:2SS-2 Findings, declarations relative to out-of-network health care charges.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-2.md)
- [N.J. Stat. § 26:2SS-3 Definitions relative to out-of-network health care charges.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-3.md)
- [N.J. Stat. § 26:2SS-4 Disclosures by health care facility.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-4.md)
- [N.J. Stat. § 26:2SS-5 Disclosures by health care professional relative to participation in health benefits plans.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-5.md)
- [N.J. Stat. § 26:2SS-6 Website updates of addition, deletion of provider from carrier's network.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-6.md)
- [N.J. Stat. § 26:2SS-7 Billing for emergency, urgent care.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-7.md)
- [N.J. Stat. § 26:2SS-8 Coverage for inadvertent out-of-network emergency services.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-8.md)
- [N.J. Stat. § 26:2SS-9 Responsibilities of carrier relative to inadvertent out-of-network services.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-9.md)
- [N.J. Stat. § 26:2SS-10 Payment disputes, binding arbitration.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-10.md)
- [N.J. Stat. § 26:2SS-11 Payment disputes for member of self-funded plan, binding arbitration.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-11.md)
- [N.J. Stat. § 26:2SS-12 Listing of arbitrations on website.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-12.md)
- [N.J. Stat. § 26:2SS-13 Notice of protections provided.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-13.md)
- [N.J. Stat. § 26:2SS-14 Calculation of savings; reports.](https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-14.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_NJ_T26_C2SS_S2SS-7. Check the current official text before relying on it. Not legal advice.