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Bill > A5341


NJ A5341

Requires health insurance coverage of screening for Alzheimer's disease and related disorders for certain covered persons.


summary

Introduced
02/20/2025
In Committee
02/20/2025
Crossed Over
Passed
Dead

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill requires health insurance carriers (insurance companies, health, hospital, and medical service corporations, health maintenance organizations, and State and School Employees' Health Benefits Program contracts) to provide coverage for screening for Alzheimer's disease and related disorders for a covered person who is 65 years of age or older. As used in the bill, "Alzheimer's disease and related disorders" means forms of dementia characterized by a general loss of intellectual abilities of sufficient severity to interfere with social or occupational functioning.

AI Summary

This bill requires various types of health insurance providers in New Jersey, including hospital service corporations, medical service corporations, health service corporations, individual and group health insurance policies, health benefits plans, health maintenance organizations, and state employee health plans, to provide coverage for Alzheimer's disease and related disorders screening for individuals who are 65 years of age or older. The bill defines "Alzheimer's disease and related disorders" as forms of dementia characterized by a significant loss of intellectual abilities that substantially interferes with a person's social or occupational functioning. These insurance providers must offer the screening benefits with the same level of coverage as they would for any other medical condition. The bill applies to insurance contracts where the provider has reserved the right to adjust premiums, and it will take effect 180 days after enactment, applying to all contracts delivered, issued, executed, or renewed on or after that date. By mandating this coverage, the bill aims to improve early detection and support for older adults who may be experiencing cognitive decline.

Committee Categories

Business and Industry

Sponsors (4)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 02/20/2025)

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