S 4444 New Jersey Senate · 2024-2025 Regular Session

Requires health insurance coverage for certain neurological diseases.

This bill requires all health insurance plans in New Jersey - including hospital service corporations, medical service corporations, individual policies, group plans, 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 like antibiotics, behavioral therapy, immunomodulating medicines, plasma exchange, and IV immunoglobulin therapy when prescribed by a physician. Coverage must be provided at the same level as for other medical conditions under the plan. The requirement applies to all relevant insurance contracts delivered, issued, or renewed on or after the effective date.
Bill status in committee 1 of 4 stages cleared
Introduction
May 2025
Committee Review
Floor Vote
Governor
Introduced May 19, 2025 Last action May 19, 2025
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May 19, 2025
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
1 primary · 5 co-sponsors

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