A 3246 New Jersey General Assembly · 2026-2027 Regular Session

Requires health insurance coverage for certain neurological diseases.

This bill requires all health insurance policies in New Jersey - covering hospital, medical, and individual/group plans - to cover diagnosis and treatment for Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) and Pediatric Acute-onset Neuropsychiatric Syndrome (PANS). It mandates coverage for specific treatments including antibiotics, behavioral therapies, immunomodulating medicines, plasma exchange, and intravenous immunoglobulin therapy, as prescribed by a physician. Insurance plans must provide this coverage "to the same extent as for any other condition," meaning no additional cost-sharing or limitations beyond standard coverage. The requirement applies to all relevant policies renewed or issued in New Jersey after the bill's effective date.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 13, 2026 Last action Jan 13, 2026
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Jan 13, 2026
Introduced
Introduced, Referred to Assembly Financial Institutions and Insurance Committee
lower
2 primary · 3 co-sponsors

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