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Bill > A4645


NJ A4645

NJ A4645
Requires health insurance carriers to categorize mental health treatment and therapy received by victim of domestic violence as medically necessary treatment and provide full benefits coverage therefor.


summary

Introduced
09/14/2020
In Committee
09/14/2020
Crossed Over
Passed
Dead
01/11/2022

Introduced Session

2020-2021 Regular Session

Bill Summary

This bill would require all health insurance carriers in the State, including hospital service corporations, group or individual medical service corporations, group or individual health service corporations, group or individual health insurance policies, health maintenance organizations, individual health benefits plans, small employer health benefits plans, the State Health Benefits Commission, and the School Employees' Health Benefits Commission, to categorize mental health treatment and therapy received by an insured victim of domestic violence as medically necessary treatment and to provide full benefits coverage therefor. Although current law requires several types of health insurance carriers to provide coverage for medically necessary health care services that are provided in association with the treatment of a physical injury resulting from domestic violence, no insurance carrier is similarly required to provide coverage for mental health care that is received by victims of domestic violence. This bill would fill this gap in the law by recognizing the medical necessity of all mental health treatment and therapy received by a victim of domestic violence and requiring all carriers to provide full benefits coverage therefor.

AI Summary

This bill requires all health insurance carriers in the State, including hospital service corporations, group or individual medical service corporations, health maintenance organizations, and others, to categorize mental health treatment and therapy received by an insured victim of domestic violence as medically necessary treatment and to provide full benefits coverage for such treatment. Although current law requires coverage for physical injuries resulting from domestic violence, this bill fills a gap in the law by recognizing the medical necessity of mental health care for victims of domestic violence and mandating that all carriers provide the same level of coverage for this care as they do for other medically necessary treatment.

Committee Categories

Business and Industry

Sponsors (6)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 09/14/2020)

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