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  • NJ A389
  • Requires health insurance coverage for certain amino acid-based elemental formulas.
Introduced
(1/27/2016)
In Committee
(12/5/2016)
Crossed Over
(11/21/2016)
PassedSignedDead/Failed/Vetoed
2016-2017 Regular Session
This bill requires certain health insurers (health, hospital, and medical service corporations, commercial individual and group health insurers, health maintenance organizations, the State Health Benefits Program, and the School Employees' Health Benefits Program) to provide health benefits coverage for expenses incurred for the purchase and administration of amino acid-based elemental formulas, regardless of delivery method, for treating eosinophilic disorders that have been determined by a covered patient's physician to be medically necessary. Amino acid-based formulas are complete nutritional formulas used to treat individuals with eosinophilic disorders. Eosinophilic disorders affect children and adults, and are characterized by above-normal amounts of eosinophils, a type of white blood cell that is commonly associated with allergic diseases. Above-normal presence of eosinophils causes inflammation in one or more areas of the digestive system. There is no cure for eosinophilic disorders, but dietary therapy involving strict avoidance of all foods to which a patient is allergic, may alleviate symptoms and prevent further damage to the gastrointestinal tract. For patients who cannot eat any proteins, an elemental amino-acid based formula diet provides the building blocks of protein, which enables them to maintain proper nutrition. Some patients require tube feedings directly into the stomach, while the most severe patients must be fed directly into the blood stream. The bill takes effect on the 120th day following enactment and applies to policies or contracts issued or renewed on or after that date.
Commerce, 2nd Reading in the Assembly, Financial Institutions and Insurance, Passed Assembly
Received in the Senate, Referred to Senate Commerce Committee  (on 12/5/2016)
 
 

Date Chamber Action Description
12/5/2016 S Received in the Senate, Referred to Senate Commerce Committee
11/21/2016 A Passed by the Assembly (70-0-0)
10/27/2016 A Reported out of Assembly Committee, 2nd Reading
10/27/2016 Assembly Financial Institutions and Insurance Hearing (10:00 10/27/2016 Committee Room 16, Fourth Floor)
1/27/2016 A Introduced, Referred to Assembly Financial Institutions and Insurance Committee
Date Motion Yea Nay Other
Detail 11/21/2016 Assembly Floor: Third Reading - Final Passage 70 0 9
Detail 10/27/2016 Assembly Financial Institutions and Insurance Committee: Reported Favorably 13 0 0