This bill establishes a new calculation method for retirement costs at New Jersey's public colleges and universities (like Rutgers and NJIT), requiring the state to set a separate "fringe benefit rate" reflecting actual retirement expenses. It also requires public institutions to pay for health insurance coverage for part-time faculty (including adjuncts and lecturers) who taught at least 24 credits in the prior fiscal year and 12 credits in the current year, making them eligible for benefits as if they were full-time. Employers must cover the full cost of health plans, shifting this responsibility from part-time faculty who meet the teaching credit thresholds. The bill aims to standardize retirement cost accounting and expand health coverage access for qualifying part-time educators.
This bill prohibits New Jersey's State Health Benefits Program (SHBP), School Employees' Health Benefits Program (SEHBP), and Medicaid from denying coverage for maintenance medications treating chronic conditions when a person's health plan or pharmacy benefits manager changes. It specifically prevents coverage loss if the person was already taking the medication before the change and the new plan covers that medication class. The law applies to all covered individuals under these programs who experience such plan transitions. It ensures continuity of essential medications without requiring new prior authorizations due to administrative changes.
This New Jersey bill (A 2432) requires the Commissioner of Human Services to ensure Medicaid beneficiaries receive respite care coverage when their primary health insurer (public or private) denies it, provided the beneficiary is otherwise Medicaid-eligible for such services. It mandates the Commissioner to create procedures guaranteeing this coverage without changing existing Medicaid eligibility rules for respite care. The law applies directly to Medicaid recipients who face coverage denials for respite care from their primary payer. It takes effect immediately upon enactment, with the Commissioner required to adopt implementing rules under the Administrative Procedure Act.
Michelle's Law requires all health insurance plans in New Jersey to cover mammograms when a healthcare provider recommends them. It mandates baseline mammograms for women at age 40, annual mammograms for women 40 and older, and coverage for women under 40 with breast cancer risk factors (like family history) based on provider recommendation. The law also requires coverage for additional tests like ultrasounds or MRIs if needed due to dense breast tissue, abnormal results, or other risk factors. This applies to all health insurance contracts, including those allowing premium changes, without limiting coverage for other medical conditions.
This bill requires New Jersey health insurers to cover specific breast cancer detection services for all women with health insurance in the state. It mandates coverage for a baseline mammogram starting at age 18 (previously 40), annual mammograms for women 18 and older, and additional imaging like ultrasounds or MRIs when medically necessary due to dense breast tissue, abnormal results, family history, genetic factors, or other risk indicators. The coverage applies to all group and individual health insurance contracts and must be provided at the same level as other medical benefits. The bill updates existing law to expand access to early detection screenings based on current medical guidelines.
This bill requires New Jersey health insurance companies (and their vendors) to offer electronic fund transfers (EFT) as a standard option for reimbursing policyholders for covered medical costs. It mandates that insurers notify policyholders about any fees for EFT and provide clear website instructions to select this payment method. Insurers violating these rules face enforcement by the Department of Banking and Insurance, including fines and orders to reimburse policyholders for any fees they incurred. The law applies to all health benefits plans (excluding Medicare Supplement, workers' comp, and similar coverage) for claims submitted after its effective date.
This Senate Resolution (SR 60) urges health insurance and prescription drug providers to include a simple "press zero" option on their automated phone systems, allowing callers to directly reach a human operator or leave a message during business hours. It specifically targets the frustration many experience - especially seniors and people with hearing impairments - when automated systems make it difficult to speak with a person. The resolution does not create new law but recommends this uniform method for contacting a human, and it directs copies to state agencies like the Banking Commissioner and Pharmacy Board. It directly affects consumers calling these providers and the providers themselves, who would need to adjust their phone systems.
This Assembly Resolution (AR 50) urges Congress to renew enhanced premium tax credits set to expire at the end of 2025. It does not create new law but asks federal lawmakers to extend financial assistance that helps over 19 million Americans afford health insurance, including more than 500,000 New Jersey residents using Get Covered NJ. The resolution notes that without renewal, average annual insurance costs for affected individuals would rise by $1,260, with seniors facing increases up to $1,860 yearly. It emphasizes the credits' role in keeping premiums low (nearly half of New Jersey enrollees pay $10 or less monthly) and preventing a surge in uninsured residents.
This New Jersey bill allows eligible residents to deduct 50% of out-of-pocket expenses for in vitro fertilization (IVF) treatment from their gross income when filing state taxes. It directly affects individuals or couples paying for IVF who are not covered by specific health insurance plans (including state programs like the State Health Benefits Program) and whose expenses aren't already deductible as medical costs. The deduction applies to costs for the taxpayer, spouse, or domestic partner, but excludes amounts reimbursed by insurance or already claimed under existing medical expense deductions. The law takes effect immediately for tax years beginning after its enactment.
This bill establishes a nine-member task force within New Jersey's Department of Health to study health care access barriers faced by LGBTQI residents (lesbian, gay, bisexual, transgender, queer/questioning, and intersex individuals). The task force will examine current policies, health care resources, medical training, and barriers like discrimination or lack of insurance coverage. It must make recommendations to improve health care quality and accessibility for this community within one year. The bill directly affects LGBTQI New Jersey residents by addressing documented health disparities they experience.
