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 December 31, 2027. 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 telemedicine services not offered in-person in New Jersey, and for physical health care services delivered via real-time, two-way audio without video, which will have a reimbursement rate determined by the provider's contract, with a minimum of 50% of the in-person rate for audio-only conversations. Notably, behavioral health services provided through audio-only conversations will be reimbursed at the same rate as in-person services.

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 June 30, 2026.

Statutes affected:
Introduced: 26:2S-29
Advance Law: 26:2S-29