Bill

Bill > A678


NJ A678

Requires health insurers to cover Lyme disease.


summary

Introduced
01/09/2018
In Committee
01/09/2018
Crossed Over
Passed
Dead
01/08/2020

Introduced Session

2018-2019 Regular Session

Bill Summary

This bill requires hospital service corporations, medical service corporations, health service corporations, commercial insurers and health maintenance organizations to provide benefits for the treatment of Lyme disease determined to be medically necessary by the covered person's physician after making a written evaluation of that person's symptoms, condition and response to treatment. Treatment otherwise eligible for benefits pursuant to this bill could not be denied because such treatment may be characterized as experimental or investigational in nature.

AI Summary

This bill requires hospital service corporations, medical service corporations, health service corporations, commercial insurers, health maintenance organizations, and individual and group health insurance policies to provide benefits for the treatment of Lyme disease that is determined to be medically necessary by the covered person's physician. The bill also stipulates that treatment eligible for benefits cannot be denied on the basis of it being characterized as experimental or investigational in nature. The provisions of the bill apply to all contracts where the insurer or health organization has reserved the right to change the premium.

Committee Categories

Business and Industry

Sponsors (4)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/09/2018)

bill text


bill summary

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