Healthcare

died · New Jersey · General Assembly Jan 13, 2026

A 2749: Requires health insurance and Medicaid coverage for screening, prevention, and treatment services of behavioral health issues affecting children.

This bill (NJ A2749) requires health insurance plans and Medicaid (NJ FamilyCare) to cover preventive behavioral health services for children under 18, including screenings and early intervention without requiring a formal mental health diagnosis. It mandates insurers to accept "at-risk diagnosis" billing - using Social Determinants of Health Z-codes instead of standard mental health codes - to pay for preventive care like therapy or screenings for children showing potential behavioral health needs. The coverage must be provided at the same level as other medical services, applying to all health plans sold in New Jersey, state employee health programs, and Medicaid managed care organizations. The bill was withdrawn after being approved as P.L.2025, c.369.

Topics ✓ HealthcareSupports HealthcareMandates insurance/Medicaid coverage for children's preventive behavioral health services without diagnosis requirements, expanding access to mental health care.95% confidence

Sub-Topics Insurance Medicaid Mental Health

Track

in committee · New Jersey · General Assembly Jan 13, 2026

A 1300: Requires urgent care and retail health clinics to have defibrillator on site and employees trained to use defibrillator.

This bill requires urgent care clinics (which treat acute but non-life-threatening conditions) and retail health clinics (located in stores, pharmacies, or supermarkets offering limited walk-in care) to have an automated external defibrillator (AED) on-site and ensure staff are trained to use it. Clinics must store the AED centrally, maintain it, notify emergency services of its location, and train all employees in CPR and AED use. At least one trained employee must be present during business hours. The law takes effect immediately but allows a one-year implementation period for compliance.

Topics ✓ HealthcareSupports HealthcareMandates AEDs and staff training in clinics, enhancing emergency response capabilities for patient safety in healthcare settings.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates AEDs and employee training, enhancing workplace safety for clinic staff.95% confidence

Track

in committee · New Jersey · General Assembly Feb 19, 2026

ACR 113: Amends Constitution to prohibit denial of coverage by certain health insurers based on preexisting conditions.

ACR 113 proposes a constitutional amendment to prohibit New Jersey health insurance carriers from denying coverage or excluding benefits based on a person's preexisting health condition. This would apply to private insurers, health maintenance organizations (HMOs), health service corporations, and state-run programs like the State Health Benefits Program. The amendment explicitly excludes self-funded employer health plans, which are governed by federal law. If approved by voters, it would become part of the state constitution, requiring insurers regulated by New Jersey to cover preexisting conditions without restrictions.

Topics ✓ HealthcareSupports HealthcareProhibits insurers from denying coverage for preexisting conditions, expanding access and protecting patient rights under healthcare insurance policies.95% confidence

Sub-Topics Insurance

Track

in committee · New Jersey · General Assembly Jan 13, 2026

A 2649: Requires health insurance coverage for annual mental health screening.

This New Jersey bill (A 2649) requires all health insurance plans sold in the state to cover annual mental health screenings as part of standard coverage for mental health conditions and substance use disorders. It applies to hospital service, medical service, and health service insurance contracts, mandating that insurers provide this coverage under the same terms and conditions as physical health care - meaning no stricter copays, deductibles, or review processes for mental health than for other medical services. The law aligns with federal parity requirements and specifically adds the annual screening as a covered benefit. This directly affects all health insurance companies operating in New Jersey and their policyholders, ensuring access to preventative mental health care without additional cost barriers.

Topics ✓ HealthcareSupports HealthcareMandates equal insurance coverage for annual mental health screenings as physical health, expanding access without stricter copays/deductibles.95% confidence

Sub-Topics Hospitals Insurance Mental Health

Track

in committee · New Jersey · General Assembly Jan 13, 2026

A 908: Requires hospitals and nursing homes to provide access to certain interpreter services for deaf and hard of hearing.

This bill requires all licensed hospitals and nursing homes in New Jersey to provide 24/7 interpreter services for deaf and hard of hearing patients. It mandates that these services include electronic options like video remote interpreting and AI-assisted tools, as approved by the Health Commissioner. The policy directly affects healthcare facilities and their patients with hearing disabilities. The bill takes effect 180 days after enactment.

Topics ✓ HealthcareSupports HealthcareMandates 24/7 interpreter services for deaf/hard of hearing patients in healthcare facilities, directly improving access to care and protecting patient rights.90% confidence ✓ TechnologySupports TechnologyMandates AI-assisted tools and electronic interpreter services, directly using technology to advance accessibility and digital equity for deaf/hard of hearing patients.95% confidence

Sub-Topics Artificial Intelligence

Track

in committee · New Jersey · General Assembly Jan 13, 2026

A 537: Establishes minimum Medicaid reimbursement rate for pediatric special care nursing facilities; makes an appropriation.

This bill establishes a minimum daily Medicaid reimbursement rate of $950 for pediatric special care nursing facilities (SCNFs) participating in New Jersey's Medicaid or FamilyCare programs. It directly affects four facilities in New Jersey that provide specialized long-term care to medically fragile children and youth up to age 21. The law requires the state to appropriate funds from the General Fund to cover this rate increase, aiming to close a 63.5% gap between the highest and lowest existing reimbursement rates for these facilities. The policy change ensures these facilities receive consistent funding while maintaining compliance with state and federal licensing and quality standards.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill mandates state appropriation from General Fund to fund Medicaid reimbursement rate increase, directly increasing government spending on healthcare services.95% confidence ✓ HealthcareSupports HealthcareIncreases Medicaid reimbursement rate for pediatric care facilities, closing a 63.5% funding gap to sustain services for medically fragile children.95% confidence

Sub-Topics Appropriations State Budget Children's Health Long-Term Care Medicaid

Track

in committee · New Jersey · General Assembly Jan 13, 2026

A 3246: 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.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for PANDAS/PANS treatments including behavioral therapy and immunomodulators, expanding patient access to critical care.95% confidence

Sub-Topics Children's Health Hospitals Insurance

Track

in committee · New Jersey · General Assembly Jan 13, 2026

A 3599: Prohibits health insurance carriers from denying payment of claim while seeking coordination of benefits information.

This bill requires health insurance carriers to pay claims within 30 days for electronic submissions and 40 days for paper submissions if the claim is complete and meets coverage criteria. If a claim is incomplete (e.g., missing documentation or coding errors), carriers must notify healthcare providers within the same deadlines about what is needed. The bill also mandates standardized electronic claim forms, requires acknowledgment of electronic claim receipts within two business days, and prohibits carriers from delaying payment due to pending coordination of benefits information. These provisions directly affect insurers, healthcare providers, and patients by reducing claim processing delays.

Topics ✓ HealthcareSupports HealthcareMandates timely claim payments and prevents denial during coordination, improving provider access to funds and patient care continuity.95% confidence

Sub-Topics Insurance

Track

in committee · New Jersey · Senate Feb 5, 2026

S 3331: Requires health insurance carriers to provide coverage for persons 18 or younger with diagnosed complex medical needs.

This bill requires all health insurance carriers in New Jersey (including HMOs, health service corporations, and state program administrators) to cover medically necessary care for children and teens under 18 with "complex medical needs," as defined by the bill. Key provisions mandate that insurers must approve such coverage within three days of a doctor's written request and cannot require pre-approvals or precertification for covered services. "Complex medical needs" refers to serious conditions that are life-threatening, persistently disabling, emergent, or require specialized care to prevent serious harm. The law applies immediately to new health plans and directly affects families of young people with qualifying high-risk medical conditions.

Topics ✓ HealthcareSupports HealthcareMandates insurers to cover complex medical needs for under-18s without pre-approvals, expanding coverage and improving access per healthcare support indicators.95% confidence

Sub-Topics Insurance

Track

in committee · New Jersey · General Assembly Jan 13, 2026

AJR 62: Designates month of May of each year as "Children's Mental Health and Trauma Awareness Month."

AJR 62 designates May of each year as "Children's Mental Health and Trauma Awareness Month" in New Jersey. The resolution aims to raise public awareness about children's mental health, adverse childhood experiences (ACEs), and mental illness, encouraging the state to promote understanding through annual observance. It does not create new laws or funding but requests the Governor issue an annual proclamation to encourage community activities focused on these issues. The bill directly affects New Jersey residents by highlighting the importance of addressing childhood mental health challenges and ACEs.

Topics ✓ HealthcareSupports HealthcareBill designates May as Children's Mental Health Awareness Month to raise public awareness about mental health and trauma, directly supporting mental health services through annual observance and community engagement without new funding.95% confidence

Sub-Topics Mental Health

Track