This bill requires health insurers, including the State Health Benefits Program (SHBP), School Employees' Health Benefits Program (SEHBP), and NJ FamilyCare, to provide coverage for sign language interpreter services for individuals who are deaf or hard of hearing during healthcare encounters. The coverage must include both in-person and video remote interpreting services when in-person interpreters are unavailable. The bill specifies that coverage will not extend to family members or friends serving as interpreters unless they are qualified and have received consent from the individual needing interpretation, with additional restrictions in cases of suspected domestic violence or child abuse. The legislation also establishes definitions for key terms such as "deaf," "hard of hearing," and "qualified sign language interpreter," ensuring clarity in the terms used.

Additionally, the bill sets a minimum reimbursement rate for interpreter services at $42.53 per hour for SHBP and SEHBP enrollees, and $42.40 per hour for NJ FamilyCare participants. It emphasizes that the benefits provided under this act must be equivalent to those for any other medical condition under the respective insurance contracts. The implementation of these provisions is contingent upon federal approval of necessary waivers or amendments related to Medicaid or the Children's Health Insurance Program (CHIP). Overall, the intent of the bill is to enhance accessibility and communication for individuals with hearing impairments in healthcare settings, ensuring equal access to necessary medical services.