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Bill > A999


NJ A999

"Breann's Law" requires health insurers, the State Health Benefits Program and NJ FamilyCare to provide "out of network" coverage for children with catastrophic illnesses.


summary

Introduced
01/27/2016
In Committee
01/27/2016
Crossed Over
Passed
Dead
01/08/2018

Introduced Session

2016-2017 Regular Session

Bill Summary

This bill, "Breann's Law," is named for Breann LaManna, a young New Jersey girl who was denied "out-of-network" coverage for a life threatening illness. The bill requires health insurers, as well as the State Health Benefits Plan and NJ Family Care, to provide benefits for services provided by an "out-of-network" provider to the same extent as they would be provided if performed in-network, when the services are for a covered child who is suffering from a catastrophic illness, after a referral from an in-network provider. Catastrophic illness, is defined in the bill as an acute or prolonged illness usually considered to be life-threatening or with the threat of serious residual disability.

AI Summary

This bill, "Breann's Law," is named for Breann LaManna, a young New Jersey girl who was denied "out-of-network" coverage for a life-threatening illness. The bill requires health insurers, the State Health Benefits Plan, and NJ Family Care to provide benefits for services provided by an "out-of-network" provider to the same extent as they would be provided if performed in-network, when the services are for a covered child who is suffering from a catastrophic illness, after a referral from an in-network provider. Catastrophic illness is defined in the bill as an acute or prolonged illness usually considered to be life-threatening or with the threat of serious residual disability.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/27/2016)

bill text


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