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NJ S3558

Bill

Status

Introduced

9/12/2024

Primary Sponsor

James Beach

Click for details

Origin

Senate

2024-2025 Regular Session

AI Summary

  • Mandates all health insurers in New Jersey, including hospital service corporations, medical service corporations, HMOs, individual and group health plans, State Health Benefits Program, and School Employees' Health Benefits Program, to cover stuttering treatment

  • Requires coverage for both habilitative speech therapy (helping learn or improve daily living skills) and rehabilitative speech therapy (restoring lost or impaired skills) when deemed medically necessary by a doctor

  • Prohibits insurers from imposing deductibles, copayments, coinsurance, annual benefit limits, or any other cost-sharing requirements for covered stuttering treatments

  • Eliminates prior authorization and utilization management requirements, and requires coverage for services delivered in-person or via telemedicine/telehealth

  • Extends identical coverage requirements to the State Medicaid program and takes effect 90 days after enactment

Legislative Description

Requires health insurance and Medicaid coverage for the treatment of stuttering.

Budget and Appropriations

Last Action

Referred to Senate Budget and Appropriations Committee

2/10/2025

Committee Referrals

Budget and Appropriations2/10/2025
Commerce9/12/2024

Full Bill Text

No bill text available