This bill mandates that the State Health Benefits Program (SHBP), the School Employees Health Benefits Program (SEHBP), and the NJ FamilyCare program provide coverage for kidney disease education services for subscribers or beneficiaries diagnosed with kidney disease who require dialysis or a kidney transplant. The coverage must be provided by a healthcare professional and adhere to the policies and procedures developed by the Commissioner of Health. The bill also outlines the definition of kidney disease education services, which includes comprehensive verbal information on managing comorbidities, preventing uremic complications, and understanding options for renal replacement therapy.
Additionally, the bill requires the Commissioner of Health to consult with various stakeholders, including physicians and kidney patient organizations, to develop the necessary policies and procedures for these education services. The bill emphasizes the importance of patient participation in choosing their renal replacement therapy. The provisions of this act will take effect seven months after enactment, although anticipatory administrative actions may be taken beforehand to facilitate implementation.