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Bill > A3432


NJ A3432

NJ A3432
Requires certain preventive services to be provided on calendar year basis.


summary

Introduced
01/13/2026
In Committee
01/13/2026
Crossed Over
Passed
01/13/2026
Dead
Signed/Enacted/Adopted
01/13/2026

Introduced Session

2026-2027 Regular Session

Bill Summary

This bill requires health insurers (health, hospital and medical service corporations, commercial individual and group health insurers; health maintenance organizations, health benefits plans issued pursuant to the New Jersey Individual Health Coverage and Small Employer Health Benefits Programs, the State Health Benefits Program, and the School Employees' Health Benefits Program) to provide coverage for preventive services that are recommended on an annual basis at least once per calendar year, without requiring any waiting period. Nothing within the bill requires coverage of duplicative services unless a provider determines those services are clinically indicated. An insurer under the bill may also require a waiting period if it is medically necessary to ensure the safety of the services. This bill is intended to prevent insurers from requiring covered persons to wait a full 12 months between visits to health care providers, which can result in persons not being able to properly schedule visits to receive preventive services.

AI Summary

This bill requires health insurers, including hospital and medical service corporations, commercial individual and group health insurers, health maintenance organizations (HMOs), and public employee health plans like the State Health Benefits Program and the School Employees' Health Benefits Program, to cover preventive services that are recommended annually at least once per calendar year without a waiting period. A "calendar year" is defined as the period from January 1 to December 31. Insurers can only impose a waiting period if it's medically necessary for safety, and they are not required to cover duplicate services unless a healthcare provider deems them clinically necessary. This legislation aims to prevent insurers from imposing a full 12-month waiting period between preventive service visits, ensuring individuals can receive timely care.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Withdrawn Because Approved P.L.2025, c.386. (on 01/13/2026)

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