This bill requires most health insurance plans in New Jersey to cover medically necessary hearing aids for children under 15 years old. It applies to hospital service corporations, medical service corporations, health service corporations, individual policies, and group health plans. Key provisions include coverage for hearing aids for each ear when prescribed by a doctor or audiologist, a $1,000 annual benefit limit per hearing aid per ear, and allowing patients to pay extra for more expensive devices without penalty to providers. The bill does not extend coverage to adults, despite its title suggesting "all ages."
This bill requires health insurance carriers in New Jersey to create a 60-day special enrollment period when a provider leaves their network. It directly affects insured individuals who would lose access to their current healthcare providers due to a network change. The special period begins 60 days before the carrier-provider contract expires, giving enrollees time to switch plans. The Department of Banking and Insurance will determine how carriers notify affected individuals about this window. The law takes effect immediately upon enactment.
S 722, now law as P.L.2025, c.200, requires all health insurance plans in New Jersey to cover medically necessary treatments for perimenopause and menopause. It directly affects New Jersey residents with health insurance, mandating coverage for specific services like hormone therapy (including HRT), non-hormonal medications, pelvic floor therapy, bone health screenings, and preventive care for related conditions such as osteoporosis or heart disease. Insurance plans must cover these treatments "to the same extent as for any other medical condition," with clear information provided to subscribers. The law applies to hospital, medical, health service, and individual insurance policies issued or renewed in New Jersey.
S 2257 requires all health insurance plans and Medicaid in New Jersey to cover family planning and reproductive health care services - including abortion, contraception, counseling, and related medical care - without cost-sharing. It directly affects health insurers, Medicaid, and medical providers by mandating comprehensive coverage and prohibiting medical malpractice insurance companies from penalizing providers for offering legally protected reproductive care. The bill defines covered services to include abortion procedures, emergency care, genetic testing, and well-baby care, while explicitly excluding childbirth. This policy aims to remove financial barriers, particularly for low-income individuals, people of color, and those in rural areas, ensuring access to reproductive health services without insurance restrictions.
This bill allows New Jersey residents to purchase health insurance policies sold by insurers licensed in other states (referred to as "foreign health insurers"). It directly affects residents seeking coverage options and employers who may reimburse employees for such policies. The key provision guarantees that buying insurance through this method satisfies any legal requirement for maintaining health coverage, including employer or state mandates. The bill takes effect 90 days after enactment but is currently pending in the Senate Commerce Committee.
This New Jersey bill (S 494) requires health insurance plans that cover cancer chemotherapy to also cover scalp cooling systems. These systems are devices used to prevent hair loss during chemotherapy treatment. The law applies to all major insurance types (including individual, group, employer-sponsored, and hospital service plans) that already cover chemotherapy, mandating coverage "to the same extent as for any other condition." It directly affects insurers, who must provide this coverage, and cancer patients, who gain access to a therapy that may reduce treatment-related hair loss.
This bill requires health insurance companies and other health carriers in New Jersey to reimburse healthcare providers for vaccines at a rate no lower than the Centers for Disease Control and Prevention (CDC) cost per dose rate listed on the CDC's official price list. It directly affects health insurance carriers (including companies and health plans) and healthcare providers who administer vaccines. The key provision sets a minimum reimbursement rate based on the CDC's actual per-dose cost effective on the date the vaccine was provided. This ensures providers are paid at least the CDC's contracted price, preventing underpayment for vaccine administration.
This bill requires health insurance carriers in New Jersey to automatically approve physician applications for provider networks if the physician holds a valid, unrevoked medical license from the state Board of Medical Examiners. It applies to both new applications and renewals, streamlining the process for licensed physicians seeking to join insurance networks. Carriers may request additional non-duplicative information but cannot deny applications based solely on license status. The law affects physicians seeking network participation and insurers managing provider credentialing.
