What applies to a hospital in New Jersey

Applies to your hospital

12 entries

• FederalFinalIn force since March 18, 2024
  HHS Office for Civil Rights, Use of Online Tracking Technologies by HIPAA Covered Entities and Business Associates (bulletin issued December 2022, revised March 18, 2024)

  Applies to: HIPAA covered entities and business associates that use tracking technologies on websites or mobile apps

  HHS guidance for HIPAA covered entities: tracking technologies on patient portals and apps may not send PHI to vendors without a business associate agreement or patient authorization.

• New JerseyIn forceIn force since Jan. 9, 2025
  Division on Civil Rights, Guidance on Algorithmic Discrimination and the New Jersey Law Against Discrimination

  Applies to: Employers, housing providers, places of public accommodation including health care providers, and others covered by the Law Against Discrimination

  Guidance applying the Law Against Discrimination to places of public accommodation, including practices, clinics and hospitals, that use AI tools; duties run to the covered entity.

• FederalFinalIn force since Jan. 10, 2025
  HHS Office for Civil Rights, Dear Colleague letter: Ensuring Nondiscrimination Through the Use of Artificial Intelligence and Other Emerging Technologies (Jan. 10, 2025)

  Applies to: Covered entities under Section 1557 that use patient care decision support tools

  OCR guidance on 45 CFR 92.210 for Section 1557 covered entities, such as practices and hospitals; it changes no coverage, payment or licensure decision reaching physicians.

• New JerseyIn forceIn force since Jan. 15, 2025
  S332 (P.L.2023, c.266), An Act concerning online services, consumers, and personal data (New Jersey Data Privacy Act)

  Applies to: Controllers that do business in New Jersey or target its residents and control or process the personal data of at least 100,000 New Jersey consumers, or of at least 25,000 while earning revenue from selling personal data; protected health information collected by a HIPAA covered entity or business associate is exempt

  Binds controllers over 100,000 New Jersey consumers; PHI-only exemption, so practices and hospitals over the thresholds are covered for other personal data, though most practices fall below them.

• FederalIn forceIn force since May 1, 2025
  Nondiscrimination in Health Programs and Activities, final rule, 89 FR 37522 (May 6, 2024); 45 CFR 92.210, Nondiscrimination in the use of patient care decision support tools

  Applies to: Covered entities under Section 1557 of the Affordable Care Act: health programs and activities receiving HHS federal financial assistance, HHS-administered programs and ACA Exchanges

  Binds Section 1557 covered entities, such as practices and hospitals receiving HHS funds, on decision support tools; it changes no coverage, payment or licensure decision reaching physicians.

• FederalIn effectIn force since Jan. 1, 2026
  Medicare Program; Implementation of Prior Authorization for Select Services for the Wasteful and Inappropriate Services Reduction (WISeR) Model, notice (CMS-5056-N), 90 FR 28749 (July 1, 2025)

  Applies to: Providers and suppliers furnishing selected items and services to Original Medicare patients in New Jersey, Ohio, Oklahoma, Texas, Arizona and Washington; the companies selected as model participants

  Only in: Arizona, New Jersey, Ohio, Oklahoma, Texas, Washington

  Binds providers and suppliers furnishing selected services to Original Medicare patients in six states: they may request AI-assisted prior authorization or face prepayment review.

• New JerseyIn forceIn force since June 30, 2026
  A5328 (P.L.2026, c.25), An Act concerning personal data, data brokers, data collectors, and amending P.L.2023, c.266

  Applies to: Any individual or legal entity, regardless of size, for the ban on selling sensitive data; data brokers and data collectors, for annual registration and the ban on selling or licensing sensitive data

  Bars any individual or entity, whatever its size, from selling sensitive data; PHI-only exemption, so practices and hospitals may not sell sensitive data they hold outside PHI.

• FederalFinal
  HHS Office for Civil Rights, Business Associates guidance (web page, content last reviewed July 30, 2026): AI chatbot example

  Applies to: HIPAA covered entities and the vendors that handle PHI for them

  HHS guidance for HIPAA covered entities: a vendor's AI chatbot handling PHI on a patient portal is a business associate, so the practice or hospital needs a business associate agreement first.

• FederalProposedSigned Jan. 6, 2025
  HIPAA Security Rule To Strengthen the Cybersecurity of Electronic Protected Health Information, proposed rule, 90 FR 898 (Jan. 6, 2025), RIN 0945-AA22

  Applies to: HIPAA covered entities and business associates

  Proposed rule binding HIPAA covered entities and business associates: asset inventory, network map, ePHI encryption and multifactor authentication, with ePHI in AI training data protected.

• New JerseyIntroduced
  A4733/S4088, Prohibits advertising generative artificial intelligence as able to practice regulated profession or occupation

  Applies to: Developers and deployers of generative AI in New Jersey

  Would bar any developer or deployer of generative AI from representing that it can practice a licensed profession, which reaches practices and hospitals that deploy patient-facing AI.

• FederalIntroduced
  S. 3062, Guidelines for User Age-verification and Responsible Dialogue Act of 2026 (GUARD Act), 119th Congress, reported by the Senate Judiciary Committee with an amendment (Calendar No. 406)

  Applies to: Anyone who makes an AI chatbot publicly available to consumers

  Would bind anyone who makes an AI chatbot publicly available to consumers, which reaches a practice's or hospital's patient-facing chatbot.

• New JerseyIntroduced
  S735/A799, Prohibits advertising artificial intelligence system as licensed mental health professional

  Applies to: Persons who develop or deploy artificial intelligence systems in New Jersey

  Would bar any person who develops or deploys an AI system from presenting it as a licensed mental health professional, which reaches deploying practices and hospitals; physician is left off as the narrower reading.

Applies to your physicians

0 entries

None on the map.

Also affects your hospital

10 entries

• FederalIn forceIn force since Jan. 1, 2024
  Medicare Program; Contract Year 2024 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly, final rule (CMS-4201-F), 88 FR 22120 (April 12, 2023), RIN 0938-AU96; 42 CFR 422.101(b)(6) and (c)(1) and 422.566(d)

  Applies to: Medicare Advantage organizations

  Binds Medicare Advantage plans only: medical necessity decisions rest on the enrollee's own circumstances, and a qualified professional reviews adverse decisions before issue.

• FederalFinalIn force since Feb. 6, 2024
  CMS, Frequently Asked Questions related to Coverage Criteria and Utilization Management Requirements in CMS Final Rule (CMS-4201-F), HPMS memo, Feb. 6, 2024

  Applies to: Medicare Advantage organizations and Medicare-Medicaid Plans

  Applies to Medicare Advantage organizations and Medicare-Medicaid Plans only: AI alone may not deny an admission, downgrade to observation or end post-acute care, and decisions rest on the patient's own circumstances.

• New JerseyIn forceIn force since Jan. 1, 2025
  A1255 (P.L.2023, c.296), Ensuring Transparency in Prior Authorization Act

  Applies to: Carriers and other payers issuing health benefits plans in New Jersey, and their utilization management agents

  Binds carriers and UM agents only: prior authorization denials under a licensed medical director, same-specialty appeal review and peer-to-peer on request; no AI rule.

• FederalIn forceIn force since Jan. 1, 2025
  Medicare physician fee schedule payment for digital mental health treatment devices, HCPCS G0552, G0553 and G0554: CY 2025 final rule (CMS-1807-F), 89 FR 97710 (Dec. 9, 2024), expanded in the CY 2026 final rule (CMS-1832-F), 90 FR 49266 (Nov. 5, 2025)

  Applies to: Physicians and other practitioners billing the Medicare physician fee schedule

  Fee schedule codes G0552 to G0554 let clinicians bill for FDA-cleared digital mental health treatment devices; a payment option, not a duty.

• FederalIn forceIn force since Jan. 1, 2026
  Medicare and Medicaid Programs; Patient Protection and Affordable Care Act; Advancing Interoperability and Improving Prior Authorization Processes, final rule (CMS-0057-F), 89 FR 8758 (Feb. 8, 2024), RIN 0938-AU87

  Applies to: Medicare Advantage organizations, state Medicaid and CHIP fee-for-service programs, Medicaid managed care plans, CHIP managed care entities and qualified health plan issuers on the federally facilitated Exchanges

  Binds MA, Medicaid, CHIP and Exchange payers only: prior authorization deadlines, specific denial reasons and a prior authorization API; no AI rule, listed for prior authorization.

• FederalIn forceIn force since Oct. 1, 2026
  Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals (IPPS) and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year (FY) 2027 Rates, final rule (CMS-1849-F), 91 FR 49570 (Aug. 4, 2026), RIN 0938-AV79; new technology add-on payments under 42 CFR 412.87 and 412.88

  Applies to: Hospitals paid under the Medicare inpatient prospective payment system

  Inpatient new technology add-on payments for approved AI tools; a payment change for hospitals, not a duty.

• FederalProposedSigned July 7, 2026
  Medicare Program: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; and Quality Reporting Programs, CY 2027 proposed rule (CMS-1850-P), 91 FR 41734 (July 7, 2026), RIN 0938-AV83

  Applies to: Hospital outpatient departments paid under the Medicare outpatient prospective payment system

  Proposed outpatient payment for 36 designated software analysis services in hospital outpatient departments; a payment change, not a duty.

• FederalProposedSigned July 16, 2026
  Medicare and Medicaid Programs; CY 2027 Payment Policies Under the Physician Fee Schedule and Other Changes to Part B Payment and Coverage Policies, proposed rule (CMS-1848-P), 91 FR 43842 (July 16, 2026), RIN 0938-AV82

  Applies to: Physicians and other practitioners paid under the Medicare physician fee schedule

  Proposed fee schedule pricing for 10 software analysis codes, paid to whoever bills the fee schedule; a payment change, not a duty.

• FederalIntroduced
  H.R. 3514, Improving Seniors' Timely Access to Care Act of 2025, 119th Congress, ordered reported by the House Ways and Means Committee

  Applies to: Medicare Advantage organizations; CMS and ONC for a report to Congress

  Would bind Medicare Advantage plans only: electronic prior authorization and annual reports on requests approved or denied with AI or other decision technology.

• FederalIntroduced
  S. 3097, Health Information Privacy Reform Act, 119th Congress, reported by the Senate Health, Education, Labor, and Pensions Committee with an amendment (Calendar No. 538)

  Applies to: HHS (rulemaking); entities that process identifiable health information outside HIPAA's protections for protected health information, including data brokers; HIPAA covered entities for the AI-related minimum necessary rules

  Would direct HHS to write rules on how the minimum necessary standard applies to PHI used for AI; covered entities would be bound only through those future rules, so it affects them.