Requires health insurance and Medicaid coverage for screening, prevention, and treatment services of behavioral health issues affecting children.

This bill (A5052) requires New Jersey health insurers, Medicaid (NJ FamilyCare), and state health benefit programs to cover screening, prevention, and treatment services for children's behavioral health issues without requiring a formal mental health diagnosis. It establishes "at-risk diagnosis" as a billing mechanism, allowing providers to use Social Determinants of Health Z-codes (instead of standard mental health codes) for preventive care based on factors like family circumstances. Coverage must be provided at the same level as other medical services for children under 18. The law applies to all health plans, Medicaid contracts, and state employee health programs effective 90 days after enactment.