This bill aims to permanently extend the provisions related to pay parity for telemedicine and telehealth services in New Jersey. It amends Section 8 of P.L.2017, c.117 to require health carriers to provide coverage and payment for telemedicine and telehealth services at reimbursement rates that are equal to those for in-person services, ensuring that these services are treated equally under health benefits plans. The bill also specifies that reimbursement can be made to either the individual practitioner or the employing agency, and it prohibits carriers from imposing higher deductibles, copayments, or coinsurance for telehealth services compared to in-person consultations.

Additionally, the bill introduces new language that clarifies the conditions under which telehealth services are covered, including stipulations regarding the use of technology and the standards of care that must be met. It allows for certain exceptions, such as services provided by telemedicine organizations that do not offer in-person care in New Jersey and specifies reimbursement rates for audio-only consultations. The bill emphasizes that behavioral health services provided through audio-only means must be reimbursed at the same rate as in-person services. Overall, this legislation seeks to enhance access to healthcare through telemedicine and telehealth while ensuring equitable reimbursement practices.

Statutes affected:
Introduced: 26:2S-29