Bill

Bill > A5057


NJ A5057

NJ A5057
Requires insurance coverage of diapers when medically necessary.


summary

Introduced
02/14/2019
In Committee
02/14/2019
Crossed Over
Passed
Dead
01/08/2020

Introduced Session

2018-2019 Regular Session

Bill Summary

This bill requires health benefits coverage for medical expenses incurred in the purchase of diapers that are deemed medically necessary. Whether diapers are a medical necessity shall be determined by the covered person's pediatrician or other medical doctor. Some persons suffer from genetic or other conditions that require the use of diapers beyond early childhood. Under this bill, insurers will be required to provide coverage for diapers for persons for whom the use of diapers is a medical necessity.

AI Summary

This bill requires health insurance providers in New Jersey to cover the medical expenses incurred in purchasing diapers that are deemed medically necessary by the covered person's pediatrician or other medical doctor. The bill applies to various types of insurance plans, including hospital service corporation contracts, medical service corporation contracts, health service corporation contracts, individual and group health insurance policies, individual and small employer health benefits plans, and health maintenance organization contracts. The bill prohibits insurers from imposing any prior authorization or other utilization management requirements on this coverage. The bill also requires the State Health Benefits Commission and the School Employees' Health Benefits Commission to ensure that the insurance contracts they purchase provide this coverage.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 02/14/2019)

bill text


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