This bill amends New Jersey law to require health insurance contracts to provide coverage for certain preventive services on a calendar year basis, ensuring these services are available without any cost-sharing. It mandates that various health insurers, including hospital service corporations and individual health benefits plans, cover preventive services recommended at least once per calendar year. These services include those 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 specified by the Health Resources and Services Administration.
The bill also introduces a definition for "calendar year" as the period from January 1 to December 31 and stipulates that coverage for preventive services must be provided without any waiting period. It clarifies that this requirement does not limit the frequency of coverage for these services, aiming to enhance access to preventive healthcare and eliminate barriers that may prevent individuals from receiving necessary care. 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