Requires health insurers, SHBP and SEHBP to provide coverage for diagnosis, evaluation and treatment of lymphedema.
This bill requires all health insurers, State Health Benefits Program (SHBP) plans, and School Employees' Health Benefits Program (SEHBP) contracts in New Jersey to cover the diagnosis, evaluation, and treatment of lymphedema when deemed medically necessary by a patient's physician. It applies to all major insurance types, including individual/group policies, health maintenance organizations (HMOs), and health benefits plans, mandating coverage with the same cost-sharing (deductibles, coinsurance) as comparable services. Lymphedema - a chronic condition often caused by cancer treatment (like breast cancer) or injury, involving fluid buildup and tissue swelling - requires early intervention, and this bill ensures patients have access to established treatments. The law takes effect 7 months after enactment, applying to all new or renewed contracts meeting specific statutory criteria.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024
Last action Jan 9, 2024
Floor votes
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Full legislative history
Actions timeline
Total actions
1
Key actions
0
Committee
0
Jan 9, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 1 co-sponsor
Sponsors
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