Legislation Signed into Law
|Primary Focus||Parity: General; Enforcement: Reporting requirement; Compliance: Reporting requirement; Mandated Benefit: MAT; Mandated Benefit: Providers|
|Title/Description||Expands health insurance coverage for behavioral health services and autism and enhances enforcement and oversight of mental health parity laws|
The Act amends NJRS to require plans to provide coverage for medically necessary behavioral health care services and autism services and to comply with the Federal Parity law. The Act amends NJRS C.17:48-6v, C.17:48A-7u, C.17:48E-35.20, C.17B:26-2.1s, C.17B:27-46.1v, C.17B:27A-7.5, C.17B:27A-19.7, C.26:2J-4.20, C.52:14-17.29e respectively, to require the above of individual and group hospital service corporation contracts; individual and group medical service corporation contracts; individual and group health service corporation contracts; individual health insurance policies; group health insurance policies; individual health benefit plans; small employer health benefit plans; every enrollee agreement delivered, issued, executed, or renewed in this approved for issuance or renewal by the Commissioner of Banking and Insurance; and every contract purchased by the State Health Benefits Commission.
|Effective Date||Mid-July 2019|
Enacted through A2031/S1339
|Primary Focus||Mandated Benefit: Biologically-Based Mental Illness|
|Title/Description||SHBP to provide benefits for treatment of substance use disorder.|
|Citation||N.J. Stat. § 52:14-17.29u|
The State Health Benefits Commission shall ensure that every contract purchased by the commission on or after the effective date [May 16, 2017] of this act provides unlimited benefits for inpatient and outpatient treatment of substance use disorder at in-network facilities. The services for the treatment of substance use disorder shall be prescribed by a licensed physician, licensed psychologist, or licensed psychiatrist and provided by licensed health care professionals or licensed or certified substance use disorder providers in licensed or otherwise State-approved facilities, as required by the laws of the state in which the services are rendered.
Enacted by N.J. S.B. 3.
|Sponsor||Assmbs. Roberts, Prieto, Voss, Evans and Sens. Vitale and Weinberg|
|Status||Signed into Law 8/2009|
|Summary||This bill added the sections of the state insurance law about autism coverage. These sections are summarized at the bottom of the page under “New Jersey Parity Law,” “Autism Coverage.”|