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NJ S2559

NJ S2559
Revises requirements for health insurance providers and Medicaid to cover services provided using telemedicine and telehealth; appropriates $5 million.


summary

Introduced
06/08/2020
In Committee
06/16/2021
Crossed Over
12/20/2021
Passed
12/20/2021
Dead
Vetoed
11/08/2021
Signed/Enacted/Adopted
12/21/2021

Introduced Session

2020-2021 Regular Session

Bill Summary

This bill revises the telemedicine and telehealth law, P.L.2017, c.117 (C.45:1-1 et al.), to require health benefits plans, Medicaid and NJ FamilyCare, and the State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP), to provide expanded coverage for services provided using telemedicine and telehealth. Specifically, the bill requires that reimbursement for telemedicine and telehealth services be equal to the reimbursement rate for the same services when they are provided in person. Current law provides telemedicine and telehealth services may be reimbursed up to the amount at which the service would be reimbursed if provided in person. The bill also prohibits health benefits plans, Medicaid and NJ FamilyCare, and the SHBP and SEHBP from imposing "place of service" requirements on services provided using telemedicine and telehealth, and expressly allows health care providers to provide services using telemedicine and telehealth regardless of whether the provider is located in New Jersey when providing services, provided that the provider is otherwise licensed to practice health care in New Jersey. The bill prohibits health benefits plans, Medicaid and NJ FamilyCare, and the SHBP and SEHBP from placing restrictions on the electronic or technological platform used to provide telemedicine and telehealth, if the services provided when using that platform would meet the in-person standard of care for that service, and if the platform is otherwise compliant with the requirements of the federal health privacy rule set forth at 45 CFR Parts 160 and 164.

AI Summary

This bill revises the telemedicine and telehealth law in New Jersey to require health insurance providers, Medicaid and NJ FamilyCare, and the State Health Benefits Program and School Employees' Health Benefits Program to provide expanded coverage for services provided using telemedicine and telehealth. The bill requires reimbursement rates for telemedicine and telehealth services to be equal to the in-person rate, prohibits certain restrictions on the location or technology used to provide these services, and allows providers to offer services using telemedicine and telehealth regardless of their location as long as they are licensed in New Jersey. The bill also appropriates $5 million to establish a program to reimburse Medicaid providers for the costs of making telemedicine and telehealth technologies available to their patients.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (19)

Last Action

Approved P.L.2021, c.310. (on 12/21/2021)

bill text


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