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Bill > S2122
NJ S2122
NJ S2122Provides that routine foot care services covered under certain insurance policies include coverage of services provided by podiatric physicians.
summary
Introduced
03/05/2018
03/05/2018
In Committee
03/05/2018
03/05/2018
Crossed Over
Passed
Dead
01/08/2020
01/08/2020
Introduced Session
2018-2019 Regular Session
Bill Summary
This bill would require that a health benefits plan of a hospital, medical or health service corporation, individual, small employer or large group commercial insurer, or health maintenance organization that provides coverage for foot care services would be deemed to include foot care services provided by a podiatric physician. If the health benefits plan excludes coverage for routine foot care services, the term "routine foot care services" would mean the treatment or removal of asymptomatic corns, asymptomatic calluses, or asymptomatic toenails; except that the treatment or removal of asymptomatic corns, asymptomatic calluses, or asymptomatic toenails in the presence of metabolic disease would not be considered routine foot care services. The bill would also require the carrier to make available to a participating health care provider, upon request, a list specifying the types of foot care services, and their related diagnostic and procedure codes, that are excluded under the plan. The bill would additionally require that reimbursement for a covered service be equal for all providers performing the same service, as indicated by the procedure code assigned to the service.
AI Summary
This bill would require that health benefits plans in New Jersey that provide coverage for foot care services must include coverage for services provided by podiatric physicians. If the plan excludes coverage for "routine foot care services," that term would be defined to mean the treatment or removal of asymptomatic corns, calluses, or toenails, except when in the presence of metabolic disease. The bill also requires insurers to provide participating providers with a list of excluded foot care services and their related codes, and that reimbursement for covered services must be equal for all providers performing the same service.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 03/05/2018)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| BillText | https://www.njleg.state.nj.us/2018/Bills/S2500/2122_I1.HTM |
| Bill | https://www.njleg.state.nj.us/2018/Bills/S2500/2122_I1.PDF |
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