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NJ A1763

NJ A1763
"Breann's Law" requires health insurers, the State Health Benefits Program and NJ FamilyCare to provide "out of network" coverage for children with catastrophic illnesses.


summary

Introduced
01/09/2024
In Committee
01/09/2024
Crossed Over
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill, "Breann's Law," is named for Breann LaManna, a young New Jersey girl who was denied "out-of-network" coverage for a life threatening illness. The bill requires health insurers, as well as the State Health Benefits Plan and NJ Family Care, to provide benefits for services provided by an "out-of-network" provider to the same extent as they would be provided if performed in-network, when the services are for a covered child who is suffering from a catastrophic illness, after a referral from an in-network provider. Catastrophic illness, is defined in the bill as an acute or prolonged illness usually considered to be life-threatening or with the threat of serious residual disability.

AI Summary

This bill, "Breann's Law," is named for Breann LaManna, a young New Jersey girl who was denied "out-of-network" coverage for a life-threatening illness. The bill requires health insurers, the State Health Benefits Plan, and NJ FamilyCare to provide benefits for services provided by an "out-of-network" provider to the same extent as they would be provided if performed in-network, when the services are for a covered child who is suffering from a catastrophic illness (defined as an acute or prolonged illness usually considered to be life-threatening or with the threat of serious residual disability), after a referral from an in-network provider.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/09/2024)

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