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Bill > S1607


NJ S1607

NJ S1607
Requires insurance coverage of diapers when medically necessary.


summary

Introduced
02/14/2022
In Committee
02/14/2022
Crossed Over
Passed
Dead
01/08/2024

Introduced Session

2022-2023 Regular Session

Bill Summary

This bill requires health benefits coverage for medical expenses incurred in the purchase of diapers that are deemed medically necessary. Whether diapers are a medical necessity shall be determined by the covered person's pediatrician or other medical doctor. Some persons suffer from genetic or other conditions that require the use of diapers beyond early childhood. Under this bill, insurers will be required to provide coverage for diapers for persons for whom the use of diapers is a medical necessity.

AI Summary

This bill requires health insurance providers in New Jersey to cover the cost of diapers that are deemed medically necessary by the covered person's pediatrician or other medical doctor. This coverage must be provided without any prior authorization or other utilization management requirements. The bill applies to various types of health insurance policies, including hospital service corporation contracts, medical service corporation contracts, health service corporation contracts, individual health insurance policies, group health insurance policies, individual and small employer health benefits plans, and health maintenance organization contracts. The bill ensures that the State Health Benefits Commission and the School Employees' Health Benefits Commission include this coverage in their contracts as well.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 02/14/2022)

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