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Bill > S4056


NJ S4056

NJ S4056
Prohibits health insurance carriers from placing time limit on coverage of anesthesia services before, during, or after medical or surgical procedures.


summary

Introduced
01/30/2025
In Committee
01/30/2025
Crossed Over
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill prohibits health insurance carriers from placing a time limit on the coverage of anesthesia services before, during, or after a medical or surgical procedure. Under the bill, a carrier (including an insurance company, health service corporation, hospital service corporation, medical service corporation, or health maintenance organization authorized to issue health benefits plans in the State) will be prohibited from limiting coverage based on the amount of time in which anesthesia services are used before, during, or after a medical or surgical procedure. For the purpose of this bill, "anesthesia services" means the same as the prevailing medical coding standards found within the American Medical Association's Current Procedural Terminology code for anesthesia, including anesthesia modifier codes.

AI Summary

This bill prohibits health insurance carriers in New Jersey from imposing time limits on the coverage of anesthesia services before, during, or after medical or surgical procedures. The bill defines a "carrier" broadly to include insurance companies, health service corporations, hospital service corporations, medical service corporations, and health maintenance organizations authorized to issue health benefits plans in the state. "Anesthesia services" are specifically defined according to the American Medical Association's Current Procedural Terminology (CPT) code for anesthesia, which includes standard anesthesia codes and modifier codes. The legislation aims to ensure that patients receive comprehensive anesthesia coverage without arbitrary time restrictions, potentially protecting patients from unexpected out-of-pocket expenses related to anesthesia services. The bill will take effect 90 days after enactment and will apply to health insurance policies and contracts that are delivered, issued, executed, or renewed on or after that date, giving insurance carriers time to adjust their policies to comply with the new requirements.

Committee Categories

Business and Industry

Sponsors (4)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 01/30/2025)

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