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NJ A3856

Bill

Status

Introduced

2/22/2024

Primary Sponsor

William Sampson

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Origin

General Assembly

2024-2025 Regular Session

AI Summary

  • Mandates health insurance coverage for additional orthotic and prosthetic appliances when a physician determines they are necessary for physical and recreational activities, including running, bicycling, swimming, climbing, skiing, snowboarding, and team/individual sports

  • Expands the list of providers from whom covered persons can obtain orthotic and prosthetic appliances to include licensed podiatrists, in addition to licensed orthotists, prosthetists, and certified pedorthists

  • Applies to all major types of health insurance in New Jersey, including hospital service corporations, medical service corporations, health service corporations, individual and group policies, HMOs, and State Health Benefits Commission contracts

  • Requires reimbursement for orthotic and prosthetic appliances at the federal Medicare reimbursement rate

  • Takes effect 90 days after enactment and applies to policies issued or renewed after the effective date

Legislative Description

Requires health benefits coverage for additional orthotic and prosthetic appliances under certain circumstances; requires coverage for orthotic and prosthetic appliances obtained through podiatrists.

Substituted by another Bill

Last Action

Substituted by S1439 (1R)

5/22/2025

Committee Referrals

Appropriations12/9/2024
Financial Institutions and Insurance2/22/2024

Full Bill Text

No bill text available