Requires certain wellness visits to be covered once per year without waiting periods.*

This New Jersey bill (A5785) requires all health insurance plans to cover specific preventive services without cost sharing or waiting periods, with coverage required at least once per calendar year (January 1 to December 31). It affects all health insurance plans in New Jersey, including hospital service corporations, medical service corporations, health maintenance organizations, and individual and group health insurance plans. The bill covers evidence-based services rated "A" or "B" by the U.S. Preventive Services Task Force, CDC-recommended immunizations, and preventive care for children and women as outlined in federal guidelines. Insurers must cover these services through out-of-network providers if they don't have in-network providers available for the service. This ensures people with health insurance in New Jersey can access recommended preventive care annually without financial barriers.