This bill mandates that various health insurance contracts in New Jersey, including those from hospital service corporations, medical service corporations, health service corporations, individual and group health insurance policies, health benefits plans, and health maintenance organizations, must cover the medical expenses associated with the purchase of diapers when deemed medically necessary by a pediatrician or other medical doctor. The coverage must be provided without any prior authorization or other utilization management requirements, ensuring that individuals who require diapers for medical reasons can access them without additional barriers.
The bill applies to contracts and policies delivered, issued, executed, or renewed on or after its effective date, which is set for 90 days following enactment. It specifically addresses the needs of individuals who may require diapers beyond early childhood due to genetic or other medical conditions, thereby expanding access to necessary medical supplies for those affected.