Bill > S1439

This bill requires various health insurance providers, including hospital service corporations, medical service corporations, health service corporations, individual and group health insurance policies, health maintenance organizations (HMOs), and the State Health Benefits plan, to cover expenses for orthotic and prosthetic appliances, which are devices that support or replace body parts. Specifically, it mandates coverage for these appliances when deemed medically necessary by a physician and also for an *additional* appliance if a physician determines it's needed for physical and recreational activities like sports. The bill also clarifies that these appliances can be obtained from licensed orthotists, prosthetists, licensed podiatrists (doctors specializing in foot and ankle care), or certified pedorthists (specialists in footwear for foot conditions), and that reimbursement rates for these appliances should align with the federal Medicare reimbursement schedule. This legislation aims to expand access to necessary and activity-enhancing orthotic and prosthetic devices for individuals covered by these health plans.

Budget and Finance, Business and Industry

https://www.njleg.state.nj.us/bill-search/2024/S1439