S 559 New Jersey Senate · 2024-2025 Regular Session

Prohibits pre-approval or precertification of prenatal ultrasound screenings covered under health benefits plans.

This bill prohibits health insurers, third-party administrators, and state health benefit programs (like the State Health Benefits Program and School Employees' Health Benefits Program) from requiring prior approval or precertification for covered prenatal ultrasounds. It directly affects patients seeking these screenings and the health plans that cover them. The key provision states that if a prenatal ultrasound is prescribed by a licensed healthcare provider and covered under a health benefits plan, the insurer cannot delay or deny payment based on pre-approval requirements. The law takes effect immediately for all health plans issued or purchased on or after that date.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024 Last action Jan 9, 2024
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Jan 9, 2024
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
2 primary · 0 co-sponsors

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