Bill > A1397

Introduced Session

This bill requires health insurers (health, hospital and medical service corporations, commercial individual and group health insurers, health maintenance organizations, health benefits plans issued pursuant to the New Jersey Individual Health Coverage and Small Employer Health Benefits Programs, the State Health Benefits Program, and the School Employees' Health Benefits Program) to provide health benefits coverage for any expenses incurred in the provision of private duty nursing services. Under the bill, private duty nursing services are subject to the same deductibles, coinsurance, and other cost sharing as apply to similar services under the contract, policy, or plan. Nothing in the bill is intended to prevent a contract, policy, or plan from requiring prior authorization for services. As used in the bill, "private duty nursing services" means nursing services for recipients who require more individual and continuous care than is available from a visiting nurse or routinely provided by the nursing staff of the hospital or skilled nursing facility. These services are provided: (1) by a registered nurse or a licensed practical nurse; (2) under the direction of the recipient's physician; and (3) to a recipient in that person's own home, a hospital, or a skilled nursing facility.

AI Summary

Committee Categories

Daniel Benson (D)*,  Yvonne Lopez (D)*,  Carol Murphy (D)*,  Benjie Wimberly (D), 

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/14/2020)

Official Document