The bill amends Section 11 of P.L.2021, c.310 to extend the requirements for health benefits plans in New Jersey to provide coverage for telemedicine and telehealth services until July 1, 2026. It mandates that these services be reimbursed at the same rate as in-person consultations, provided the services are covered under the health benefits plan. However, the bill specifies exceptions for telehealth services that are not offered in-person in New Jersey, as well as for certain physical health care services delivered via audio-only communication, which will have a reimbursement rate of at least 50% of the in-person rate. Notably, behavioral health services delivered through audio-only communication will continue to be reimbursed at the full in-person rate.
Additionally, the bill clarifies definitions for terms such as "Carrier," "Covered person," and "Health benefits plan," ensuring that they align with existing laws. The act is set to take effect immediately upon approval, which occurred on December 31, 2024.