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NJ S3558
Bill
Status
9/12/2024
Primary Sponsor
James Beach
Click for details
AI Summary
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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
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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
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Prohibits insurers from imposing deductibles, copayments, coinsurance, annual benefit limits, or any other cost-sharing requirements for covered stuttering treatments
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Eliminates prior authorization and utilization management requirements, and requires coverage for services delivered in-person or via telemedicine/telehealth
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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