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Bill > A1844


NJ A1844

NJ A1844
Requires insurance coverage of epinephrine for persons aged 18 or younger when medically necessary.


summary

Introduced
01/11/2022
In Committee
01/11/2022
Crossed Over
Passed
Dead
01/08/2024

Introduced Session

2022-2023 Regular Session

Bill Summary

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 coverage to any covered person 18 years of age or younger, for expenses incurred in the purchase of epinephrine auto-injector devices, when medically necessary and as prescribed by the treating health care provider. Under the bill, "epinephrine auto-injector device" means a single-use device used for the automatic injection of a pre-measured dose of epinephrine into the human body.

AI Summary

This bill requires health insurers in New Jersey to provide coverage for the purchase of epinephrine auto-injector devices for any covered person 18 years of age or younger when medically necessary and as prescribed by a healthcare provider. The bill applies to various types of health 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 also requires the State Health Benefits Commission and the School Employees' Health Benefits Commission to ensure that their contracted health plans provide this coverage. The key provision is the requirement for insurers to cover the costs of epinephrine auto-injectors for minors when medically necessary, without imposing prior authorization or other utilization management requirements.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/11/2022)

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