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Bill > S2844


NJ S2844

NJ S2844
Requires insurance coverage of diapers when medically necessary.


summary

Introduced
01/13/2026
In Committee
01/13/2026
Crossed Over
Passed
Dead

Introduced Session

2026-2027 Regular Session

Bill Summary

This bill requires health benefits coverage for medical expenses incurred in the purchase of diapers that are deemed medically necessary. Whether diapers are a medical necessity shall be determined by the covered person's pediatrician or other medical doctor. Some persons suffer from genetic or other conditions that require the use of diapers beyond early childhood. Under this bill, insurers will be required to provide coverage for diapers for persons for whom the use of diapers is a medical necessity.

AI Summary

This bill mandates that various health insurance plans and contracts in New Jersey, including those from hospital service corporations, medical service corporations, health service corporations, individual and group health insurance policies, health benefits plans for individuals and small employers, and health maintenance organizations, must provide coverage for the cost of diapers when they are deemed medically necessary. This medical necessity determination must be made by the covered person's pediatrician or another medical doctor, and importantly, this coverage must be provided without requiring prior authorization or other utilization management requirements, meaning insurers cannot add extra steps or hurdles to accessing this benefit. The bill applies to contracts and policies that are issued, renewed, or approved in New Jersey on or after its effective date, which is 90 days after enactment, and it also extends to contracts purchased by the State Health Benefits Commission and the School Employees' Health Benefits Commission.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 01/13/2026)

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