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Bill > S1492


NJ S1492

Requires health insurance coverage and limits cost sharing for certain birth control methods.


summary

Introduced
01/09/2024
In Committee
01/09/2024
Crossed Over
Passed
Dead

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill amends P.L.2005, c.251, the statute requiring health insurance carriers and the State health benefits programs to cover prescription female contraceptives, by also requiring coverage for male sterilization procedures and by prohibiting insurers from imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement on these coverages. Currently, federal law requires coverage for female contraceptives to be provided without cost sharing in certain circumstances. This bill would expand State law to also require coverage for female contraceptives and male sterilization procedures to be provided without cost sharing. The bill also specifies that, in the case of a high deductible health plan, the limitation on cost-sharing shall not be applied until the expenditures applicable to the deductible under federal law have been met. Once the foregoing expenditure amount has been met under the plan, coverage for prescription female contraceptives and male sterilization procedures benefits is to be provided without cost-sharing.

AI Summary

This bill amends existing New Jersey law to require health insurance carriers and the State health benefits programs to cover not only prescription female contraceptives, but also male sterilization procedures, without imposing any deductibles, coinsurance, copayments, or other cost-sharing requirements. The bill provides an exception for religious employers who have bona fide religious objections to the required coverage. The bill also specifies that for high-deductible health plans, the limitation on cost-sharing shall not apply until the minimum annual deductible amounts under federal law have been met, at which point the required coverage must be provided without cost-sharing.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 01/09/2024)

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