Bill > A4179

Introduced Session

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

Committee Categories

Daniel Benson (D)*,  Herbert Conaway (D)*,  JoAnn Downey (D)*,  Eric Houghtaling (D)*,  Robert Karabinchak (D)*,  John DiMaio (R),  Aura Dunn (R),  Roy Freiman (D),  Thomas Giblin (D),  Gordon Johnson (D),  Carol Murphy (D),  Verlina Reynolds-Jackson (D),  Bill Spearman (D),  Shanique Speight (D),  Jean Stanfield (R),  Britnee Timberlake (D),  Valerie Vainieri Huttle (D),  Anthony Verrelli (D),  Andrew Zwicker (D), 

Substituted by S2559 (4R) (on 06/24/2021)

Official Document