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Committee releases bill to make auto personal-injury protection the primary payer after debate over consumer savings and medical liens
Summary
Senate Commerce released S3142 to restore PIP as the default primary payer for auto-accident medical bills; trial lawyers argued it reduces liens and coordination problems, while insurers warned 1.4 million drivers currently elect a health-primary option and would lose annual savings estimated at about $300.
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The Senate Commerce Committee voted to release S3142, a bill that would remove the option allowing drivers to designate private health insurance as the primary payer for personal-injury protection (PIP) benefits and return PIP to primary status by default.
Adam Letterman of the New Jersey Association for Justice said the change would reduce litigation and lien problems that arise when health plans act as primary payers. "Before 1991, PIP was always primary," he told the committee, arguing the current system complicates reimbursement and can leave the State Health Benefits Plan in a worst-of-all-worlds position because state plans lack ERISA reimbursement rights.
Insurance trade groups and carriers opposed the change. Gary Luspiza, senior vice president at the Insurance Council of New Jersey, said the health-primary option currently offers meaningful savings for consumers: "About 1,400,000 drivers have selected health primary in the state of New Jersey today, saving about $300 a year on the average policy." Industry witnesses cautioned that eliminating that choice would increase premiums for consumers who rely on the discount and suggested the committee work on coordination-of-benefits and disclosure reforms instead.
Committee members pressed both sides on technical issues, including whether Medicare/Medicaid and ERISA plans can be designated as primary and how notification and penalty rules operate when an insured's coverage changes. Senators suggested possible fixes such as requiring clearer notice to policyholders about the effect of selecting health-primary and exploring hybrid approaches that preserve consumer savings while preventing abuse.
After testimony and cross-examination the committee voted to release the bill as amended. Sponsors and industry representatives said they would continue negotiating details about notice requirements, penalties, and how the change would apply to state and ERISA plans.
Next steps: staff to work with sponsors and stakeholders on amendments addressing consumer disclosure, coordination of benefits and the potential financial impact on policyholders.
