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Bill > A5749


NJ A5749

NJ A5749
Requires health insurers to provide coverage for testing for suspected dyslexia.


summary

Introduced
06/12/2025
In Committee
06/12/2025
Crossed Over
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill requires health insurers (including insurance companies, hospital service corporations, medical service corporations, health service corporations, health maintenance organizations authorized to issue health benefits plans in New Jersey, and entities contracted to administer health benefits in connection with the State Health Benefits Program and School Employees' Health Benefits Program) to provide coverage for testing for suspected dyslexia. Specifically, the bill requires coverage for suspected dyslexia that may not exclude coverage for the screening, diagnosis, or treatment of medical conditions otherwise covered by the policy. Coverage is to include comprehensive neuropsychological examinations for the purposes of diagnosing dyslexia and determining the psychological, emotional, and educational wellness needs of the individual tested.

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, small employer health benefits plans, health maintenance organizations, and state employee health plans, to provide coverage for testing for suspected dyslexia. The bill mandates that these insurance providers cannot exclude coverage for screening, diagnosis, or treatment of dyslexia when such services would normally be covered under their existing policies. Specifically, the coverage must include comprehensive neuropsychological examinations designed to diagnose dyslexia and assess the psychological, emotional, and educational wellness needs of the individual being tested. The benefits must be provided to the same extent as any other medical condition covered by the insurance contract, and the provisions will apply to new and renewed policies starting six months after the bill's enactment. This legislation aims to ensure that individuals who may have dyslexia can access necessary diagnostic and support services without facing additional financial barriers from their health insurance providers.

Committee Categories

Business and Industry

Sponsors (3)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 06/12/2025)

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