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NJ S2759
Bill
Status
2/15/2024
Primary Sponsor
Nilsa Cruz-Perez
Click for details
AI Summary
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Mandates all health insurance plans in New Jersey, including hospital, medical, and health service corporation contracts, individual and group policies, and HMOs, to cover the diagnosis, evaluation, and treatment of lymphedema when deemed medically necessary by a physician
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Applies to the State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP), requiring these public employee plans to include lymphedema coverage
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Requires coverage to be provided with the same deductibles, coinsurance, and cost-sharing as other similar services under the plan
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Takes effect on the first day of the seventh month following enactment
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Covers both primary lymphedema (congenital) and secondary lymphedema, which commonly results from cancer treatment, burns, or infections
Legislative Description
Requires health insurers, SHBP and SEHBP to provide coverage for diagnosis, evaluation and treatment of lymphedema.
Commerce
Last Action
Introduced in the Senate, Referred to Senate Commerce Committee
2/15/2024