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Bill > S839


NJ S839

NJ S839
Revises reimbursement payments for providers using telemedicine and telehealth.


summary

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

Introduced Session

2026-2027 Regular Session

Bill Summary

This bill revises reimbursement payments for providers using telemedicine and telehealth. Under the bill, a health insurance carrier (including carriers of managed care plans, the State Health Benefits Commission, the School Employees' Health Benefits Commission, and health benefits plans under the Medicare program and NJ FamilyCare) will be required to provide coverage and payment for healthcare services delivered through telemedicine or telehealth at a provider reimbursement rate that equals the provider reimbursement rate that is applicable when services are delivered through in-person contact and consultation. Current law only requires that a carrier provide coverage and payment for services delivered through telemedicine and telehealth at a provider reimbursement rate that does not exceed the reimbursement rate that is applicable when the services are delivered through in-person contact or consultation. The requirements of this bill will not apply to a health care service provided by a telemedicine or telehealth organization that does not provide a health care service on an in-person basis in the State.

AI Summary

This bill mandates that health insurance carriers, including managed care plans, the State Health Benefits Commission, the School Employees' Health Benefits Commission, and plans under Medicare and NJ FamilyCare, must reimburse healthcare providers for services delivered via telemedicine or telehealth at the same rate they would pay for in-person services, a change from current law which only requires that the reimbursement rate not exceed the in-person rate. Telemedicine and telehealth refer to the delivery of healthcare services remotely using technology, such as video conferencing or phone calls. This new requirement, however, will not apply to services provided by a telemedicine or telehealth organization that exclusively offers remote services and does not provide any in-person care in the state.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

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

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