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Bill > A3548


NJ A3548

NJ A3548
Requires health benefits coverage for adolescent depression screenings.


summary

Introduced
02/25/2020
In Committee
02/11/2021
Crossed Over
09/24/2020
Passed
03/25/2021
Dead
Signed/Enacted/Adopted
04/30/2021

Introduced Session

2020-2021 Regular Session

Bill Summary

The bill requires insurance coverage for expenses incurred in screening adolescents between the ages of 12 and 18 for major depressive disorder, so long as screening for major depressive disorder in adolescents continues to receive a rating of "A" or "B" from the United States Preventative Services Task Force. The bill would apply to hospital, medical, and health service corporations; commercial individual, small employer, and larger group insurers; health maintenance organizations; and the State Health Benefits Program and the School Employees' Health Benefits Program. Coverage may not be denied solely on the basis that the screening is provided in conjunction with any other health care evaluation, treatment, or service. The bill provides that the benefits are to be provided to the same extent as for any other condition under the contract or policy, except that the insurer may not impose on covered persons receiving these services any form of cost sharing, including, but not limited to, copayments, deductibles, or coinsurance. Depression is associated with higher levels of stress and anxiety and can affect an adolescent's personal, school, work, social, and family life, leading to social isolation and other problems. Early diagnosis is essential to the effective treatment of depression in young people.

AI Summary

This bill requires insurance coverage for expenses incurred in screening adolescents between the ages of 12 and 18 for major depressive disorder, as long as such screening continues to receive a rating of "A" or "B" from the United States Preventative Services Task Force. The bill applies to various types of health insurance plans and programs, including hospital, medical, and health service corporations; commercial individual, small employer, and larger group insurers; health maintenance organizations; and the State Health Benefits Program and the School Employees' Health Benefits Program. The bill prohibits insurers from denying coverage solely on the basis that the screening is provided with other health care services and requires that the benefits be provided to the same extent as for any other condition, without any cost-sharing for the covered person. Early diagnosis of depression in adolescents is essential for effective treatment, as depression can significantly impact an adolescent's personal, academic, social, and family life.

Committee Categories

Business and Industry

Sponsors (14)

Last Action

Approved P.L.2021, c.73. (on 04/30/2021)

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