A 5325 New Jersey General Assembly · 2024-2025 Regular Session

Requires health insurance coverage for certain neurological diseases.

This bill requires all health insurance plans in New Jersey - covering hospital services, medical care, health maintenance organizations, and state/school employee health programs - to cover diagnosis and treatment for PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections) and PANS (Pediatric Acute-onset Neuropsychiatric Syndrome). It mandates coverage for specific treatments including antibiotics, behavioral therapies, immunomodulating medicines, plasma exchange, and intravenous immunoglobulin therapy, as prescribed by a physician. The coverage must be provided at the same level as for other medical conditions, without additional cost barriers. This directly affects children diagnosed with PANDAS or PANS and their insurance providers across all covered plans.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 20, 2025 Last action Feb 20, 2025
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Feb 20, 2025
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 5 co-sponsors

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