Bill > A5785

This bill requires various health insurance providers in New Jersey, including hospital service corporations, medical service corporations, health service corporations, individual and group health insurers, health maintenance organizations, and state health benefit plans, to provide coverage for preventive services on a calendar year basis. Specifically, the bill mandates that these health plans must cover preventive services that are recommended on an annual basis at least once per calendar year without imposing any waiting period. The bill defines a calendar year as the 12-month period from January 1 to December 31 and explicitly states that this requirement should not be construed as limiting the frequency of preventive service coverage. The preventive services covered include evidence-based items with high ratings from the United States Preventive Services Task Force, recommended immunizations from the Centers for Disease Control and Prevention, preventive care for infants, children, and adolescents, and additional preventive care for women. The bill also maintains existing provisions about out-of-network provider coverage and allows the commissioner to remove coverage requirements if recommendations change. The legislation will take effect 90 days after enactment and will apply to policies or contracts issued or renewed after that date.

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https://www.njleg.state.nj.us/bill-search/2024/A5785