Bill > S1469

This bill, "Breann's Law," requires health insurers, the State Health Benefits Plan (SHBP), and NJ FamilyCare to provide out-of-network coverage for health care services provided to children diagnosed with a catastrophic illness, as long as the services were performed based on a referral from an in-network provider. Catastrophic illness is defined in the bill as an acute or prolonged illness usually considered life-threatening or with the threat of serious residual disability. The bill specifies that these out-of-network benefits must be provided to the same extent as benefits for in-network services. The bill applies to health insurance contracts, plans, and policies delivered, issued, executed, or renewed in New Jersey on or after the effective date.

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