S 930 repeals New Jersey's requirement that individuals maintain minimum essential health insurance coverage, which previously imposed penalties for lack of coverage. The bill removes a provision from P.L.2018, c.31 that mandated state tax returns identify individuals without coverage and report this to the state. This directly affects New Jersey residents who would have faced penalties under the prior law for not having health insurance. The repeal eliminates the administrative requirement for tax returns to flag uncovered individuals and ends the state's enforcement of this mandate. The bill focuses solely on repealing this specific coverage requirement, not on creating new health programs.
This bill allows small New Jersey businesses with fewer than 20 employees to claim tax credits when they pay for their workers' health insurance premiums. Employers get up to $250 per employee for single coverage or $500 for family coverage if they pay 100% of the premium, with proportional credits for partial payments (50-99%). The health plan must meet federal Affordable Care Act standards for essential benefits. Credits cannot exceed the actual premiums paid and expire after the tax year - no carryover to future years. It applies to both corporate business tax and gross income tax credits.
This bill requires New Jersey health insurance carriers offering managed care plans to adopt new regulations ensuring policyholders have reasonable and timely access to specific physician specialists at in-network hospitals. It directly affects insurance companies and their members seeking care from anesthesiologists, radiologists, pathologists, emergency medicine physicians, and related services. The key provision mandates the Commissioner of Banking and Insurance to establish rules requiring networks to maintain adequate specialist access based on geographic service areas and specialty needs. These rules build on existing network adequacy standards but add explicit requirements for specialist availability. The bill aims to prevent gaps in access to critical specialty care within insurance networks.
This bill establishes new rules for when an insurance company removes a hospital or clinic (health care facility network) from its provider network. It requires 15 business days of continued coverage for patients, mandatory negotiation between the insurer and facility during that period, and public notice to affected patients about potential disruptions. If negotiations fail, it creates a 30-day special enrollment period allowing patients in small employer or individual health plans (in the affected county) to switch plans without penalty. The policy directly affects patients enrolled in these specific plans who would otherwise lose access to their current facility network.
S 2115 requires health insurance plans in New Jersey to cover annual physical examinations for student athletes and camp participants as part of pre-participation clearance. This applies to all health insurance contracts (including individual, group, employer-sponsored, and state health benefit plans) issued, renewed, or approved in the state after the effective date, with coverage provided at the same level as other preventive health services. The bill directly affects health insurance providers by expanding their coverage requirements and ensures student athletes and camp participants can access these exams without additional cost barriers. The mandate takes effect 120 days after enactment for new or renewed policies.
This New Jersey bill (S 1358) requires hospitals treating breast cancer patients to provide written notice about their right to choose any board-certified plastic surgeon for reconstructive surgery - regardless of hospital or insurance network affiliation - along with coverage details under state and federal law. The notice must be given when the diagnosis is confirmed, before surgery consent is obtained. It also prohibits health insurance contracts from blocking doctors from recommending outside surgeons and prevents insurers from denying coverage based solely on a surgeon’s network status. The bill directly affects breast cancer patients, hospitals, and health insurance carriers, focusing on expanding access to reconstructive care options.
This bill (S 2844) requires most health insurance plans in New Jersey to cover the cost of diapers when a pediatrician or other medical doctor determines they are medically necessary. It applies to hospital service contracts, medical service contracts, health service contracts, individual health insurance policies, group health plans, health benefits plans, and health maintenance organization contracts. The key provision mandates that insurers provide this coverage without requiring prior approval or other administrative hurdles. This policy change directly affects individuals covered by these insurance plans who need diapers for medical reasons, such as incontinence due to a health condition.
This bill requires most health insurance plans in New Jersey to cover pelvic floor physical therapy during the postpartum period (defined as one year after childbirth). It applies to hospital service contracts, medical service contracts, health service contracts, individual and group health insurance policies, health benefits plans, and state-purchased health plans. The coverage must be provided at the same level as for other medical conditions, without additional restrictions. This directly affects all health insurance providers operating in New Jersey and New Jersey residents seeking postpartum pelvic floor therapy.
S 1796 requires New Jersey health insurance plans to cover prostate cancer screening without cost-sharing (like deductibles or copays) for men aged 40-75 with specific risk factors, including family history of prostate cancer. The bill mandates that group health insurance policies (for groups over 49 people) cover annual screenings - such as digital rectal exams and PSA tests - as well as follow-up tests like imaging or lab work. This applies to all health service, hospital service, and medical service corporation contracts in New Jersey. The law affects insurance carriers by expanding existing coverage requirements and directly benefits men in the specified age group with risk factors.
New Jersey bill S 2476 requires certain health insurance policies - including hospital service, medical service, health service, individual, and group health plans - to cover routine foot care services provided by podiatric physicians. It defines "routine foot care" as treatment for asymptomatic corns, calluses, or toenails (excluding cases involving metabolic disease), and mandates equal reimbursement for the same procedures regardless of provider type. The bill applies to all applicable insurance contracts issued or renewed in New Jersey after its effective date, requiring insurers to provide lists of excluded foot care services upon request. This policy change directly affects insurance companies, healthcare providers, and patients seeking routine podiatric care.
