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Bill > S2476
NJ S2476
NJ S2476Provides that routine foot care services covered under certain insurance policies include coverage of services provided by podiatric physicians.
summary
Introduced
01/13/2026
01/13/2026
In Committee
01/13/2026
01/13/2026
Crossed Over
Passed
Dead
Introduced Session
2026-2027 Regular Session
Bill Summary
This bill would require that a health benefits plan of a hospital, medical or health service corporation, individual, small employer or large group commercial insurer, or health maintenance organization that provides coverage for foot care services would be deemed to include foot care services provided by a podiatric physician. If the health benefits plan excludes coverage for routine foot care services, the term "routine foot care services" would mean the treatment or removal of asymptomatic corns, asymptomatic calluses, or asymptomatic toenails; except that the treatment or removal of asymptomatic corns, asymptomatic calluses, or asymptomatic toenails in the presence of metabolic disease would not be considered routine foot care services. The bill would also require the carrier to make available to a participating health care provider, upon request, a list specifying the types of foot care services, and their related diagnostic and procedure codes, that are excluded under the plan. The bill would additionally require that reimbursement for a covered service be equal for all providers performing the same service, as indicated by the procedure code assigned to the service.
AI Summary
This bill mandates that health insurance policies, including those from hospital, medical, and health service corporations, individual and group commercial insurers, and health maintenance organizations (HMOs), must cover routine foot care services provided by a podiatric physician if they already cover foot care services. A podiatric physician is a doctor specializing in the diagnosis and treatment of conditions affecting the foot, ankle, and related structures of the leg. The bill clarifies that "routine foot care services" generally refers to the treatment or removal of asymptomatic corns, calluses, or toenails, but excludes these services if a metabolic disease is present. Furthermore, insurers must provide participating healthcare providers with a list of excluded foot care services and their corresponding codes upon request, and ensure that reimbursement rates are the same for all providers performing the same service, identified by a specific procedure code. This legislation aims to expand coverage for essential foot care by ensuring it's provided by qualified podiatric physicians and to increase transparency regarding what services are covered and how providers are compensated.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 01/13/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.njleg.state.nj.us/bill-search/2026/S2476 |
| BillText | https://pub.njleg.gov/Bills/2026/S2500/2476_I1.HTM |
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