Loading chat...

NJ A2749

Bill

Status

Passed

1/13/2026

Primary Sponsor

Andrea Katz

Click for details

Origin

General Assembly

2026-2027 Regular Session

AI Summary

  • Mandates health insurance carriers and NJ FamilyCare (Medicaid) to cover screening, prevention, and treatment services for behavioral health issues in children aged 18 and younger.

  • Requires insurers to accept and reimburse claims using "at-risk diagnosis" codes, including Social Determinants of Health Z-codes, without requiring a formal mental health diagnosis.

  • Applies to all commercial insurers, HMOs, State Health Benefits Program, and School Employees' Health Benefits Program plans.

  • Covered services include screenings and individual, group, and family psychotherapy for children with potential mental health disorders not yet formally diagnosed.

  • Takes effect 90 days after enactment and applies to policies delivered, issued, or renewed after that date.

Legislative Description

Requires health insurance and Medicaid coverage for screening, prevention, and treatment services of behavioral health issues affecting children.

Withdrawn Because Approved

Last Action

Withdrawn Because Approved P.L.2025, c.369.

1/13/2026

Committee Referrals

Financial Institutions and Insurance1/13/2026

Full Bill Text

No bill text available