This bill amends existing laws to enhance coverage for preventive health services by mandating that various health insurers, including hospital service corporations and individual health insurers, provide these services without cost sharing on a calendar year basis. Specifically, it requires coverage for preventive services rated "A" or "B" by the United States Preventive Services Task Force, CDC-recommended immunizations, and preventive care for infants, children, adolescents, and women as outlined by the Health Resources and Services Administration. The bill introduces a new definition of "calendar year" as the 12-month period from January 1 to December 31, ensuring clarity in the timing of coverage.
Furthermore, the legislation stipulates that preventive services must be covered at least once per calendar year without any waiting period, thereby eliminating barriers to access and ensuring individuals can receive necessary preventive care without financial constraints. It clarifies that this requirement does not limit the frequency of coverage for preventive services. The act will take effect 90 days after enactment and will apply to policies or contracts issued or renewed thereafter.
Statutes affected: Introduced: 17:48-6, 17:48A-7, 17:48E-35.44, 17B:26-2.1, 17B:27-46.1, 17B:27A-7.27, 17B:27A-19.31, 26:2J-4.45, 52:14-17.29, 52:14-17.46.6