Bill > A3978

Introduced Session

This bill authorizes home care for individuals who are disabled or elderly and requires health insurance coverage therefor. Under the bill, a health care professional is to be permitted to provide care or treatment to an individual who is disabled or elderly in the home of the individual if the individual is unable to present for an in-person visit in a health care facility, as documented by a health care professional in the medical record of the individual based upon the good faith clinical judgment of the health care professional, and if the health care professional is able to provide adequate medical care or treatment in the home of the individual who is disabled or elderly in a manner that is consistent with the clinical standards for treatment in the applicable specialty. Further, the bill requires health insurance carriers, including insurance companies, health service corporations, hospital service corporations, medical service corporations, health maintenance organizations authorized to issue health benefits plans in New Jersey, and any entity contracted to administer health benefits in connection with the State Health Benefits Program or School Employees' Health Benefits Program, to cover home care. The bill defines "home care" to mean preventative, primary, specialty, or urgent care or treatment provided by a health care professional to an individual who is disabled or elderly in the home of the individual if the individual is unable to present for an in-person visit in a health care facility, as reasonably documented by a health care professional in the medical record of the individual based upon the good faith clinical judgment of the health care professional, and if the health care professional is able to provide adequate medical care or treatment in the home of the individual in a manner that is consistent with the clinical standards for treatment in the applicable specialty. "Home care" excludes custodial care.

AI Summary

Committee Categories

Herbert Conaway (D)*,  Angela Mcknight (D)*,  Shanique Speight (D)*,  Daniel Benson (D),  Shama Haider (D),  Angelica Jimenez (D), 

Reported out of Asm. Comm. with Amendments, and Referred to Assembly Human Services Committee (on 06/02/2022)

Official Document