Healthcare (Insurance)

in committee · New Jersey · Senate Jan 13, 2026

S 2115: Requires health insurance coverage for certain student athlete physical examinations.

S 2115 requires health insurance plans in New Jersey to cover annual physical examinations for student athletes and camp participants as part of pre-participation clearance. This applies to all health insurance contracts (including individual, group, employer-sponsored, and state health benefit plans) issued, renewed, or approved in the state after the effective date, with coverage provided at the same level as other preventive health services. The bill directly affects health insurance providers by expanding their coverage requirements and ensures student athletes and camp participants can access these exams without additional cost barriers. The mandate takes effect 120 days after enactment for new or renewed policies.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for student athlete physicals as preventive care, expanding access to health services under NJ law.95% confidence

Sub-Topics Insurance

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in committee · New Jersey · Senate Jan 13, 2026

S 1358: Requires hospitals to provide breast cancer patients with information concerning reconstructive surgery; prohibits certain provisions in managed care plan contracts.

This New Jersey bill (S 1358) requires hospitals treating breast cancer patients to provide written notice about their right to choose any board-certified plastic surgeon for reconstructive surgery - regardless of hospital or insurance network affiliation - along with coverage details under state and federal law. The notice must be given when the diagnosis is confirmed, before surgery consent is obtained. It also prohibits health insurance contracts from blocking doctors from recommending outside surgeons and prevents insurers from denying coverage based solely on a surgeon’s network status. The bill directly affects breast cancer patients, hospitals, and health insurance carriers, focusing on expanding access to reconstructive care options.

Topics ✓ HealthcareSupports HealthcareRequires hospitals to inform breast cancer patients of reconstructive surgery options and prohibits insurance restrictions, expanding patient access and protecting rights.95% confidence

Sub-Topics Hospitals Insurance

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in committee · New Jersey · Senate Jan 13, 2026

S 2844: Requires insurance coverage of diapers when medically necessary.

This bill (S 2844) requires most health insurance plans in New Jersey to cover the cost of diapers when a pediatrician or other medical doctor determines they are medically necessary. It applies to hospital service contracts, medical service contracts, health service contracts, individual health insurance policies, group health plans, health benefits plans, and health maintenance organization contracts. The key provision mandates that insurers provide this coverage without requiring prior approval or other administrative hurdles. This policy change directly affects individuals covered by these insurance plans who need diapers for medical reasons, such as incontinence due to a health condition.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for medically necessary diapers, expanding health insurance benefits for pediatric care access.95% confidence

Sub-Topics Hospitals Insurance

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in committee · New Jersey · Senate Jan 13, 2026

S 1260: Requires health insurance coverage of postpartum pelvic floor physical therapy.

This bill requires most health insurance plans in New Jersey to cover pelvic floor physical therapy during the postpartum period (defined as one year after childbirth). It applies to hospital service contracts, medical service contracts, health service contracts, individual and group health insurance policies, health benefits plans, and state-purchased health plans. The coverage must be provided at the same level as for other medical conditions, without additional restrictions. This directly affects all health insurance providers operating in New Jersey and New Jersey residents seeking postpartum pelvic floor therapy.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for postpartum pelvic floor therapy, expanding access to healthcare services without restrictions, aligning with coverage standards for other medical conditions.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentExpands health insurance benefits for postpartum care, requiring coverage at same level as other medical conditions, supporting workers' health benefits as part of employment standards.80% confidence

Sub-Topics Hospitals Insurance

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in committee · New Jersey · Senate Mar 16, 2026

S 1796: Expands requirements for health insurance carriers concerning prostate cancer screening and requires coverage be provided without cost sharing.

S 1796 requires New Jersey health insurance plans to cover prostate cancer screening without cost-sharing (like deductibles or copays) for men aged 40-75 with specific risk factors, including family history of prostate cancer. The bill mandates that group health insurance policies (for groups over 49 people) cover annual screenings - such as digital rectal exams and PSA tests - as well as follow-up tests like imaging or lab work. This applies to all health service, hospital service, and medical service corporation contracts in New Jersey. The law affects insurance carriers by expanding existing coverage requirements and directly benefits men in the specified age group with risk factors.

Topics ✓ HealthcareSupports HealthcareMandates no-cost prostate cancer screening coverage for high-risk groups, removing financial barriers to preventive care and expanding access.95% confidence

Sub-Topics Hospitals Insurance

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in committee · New Jersey · Senate Jan 13, 2026

S 2476: Provides that routine foot care services covered under certain insurance policies include coverage of services provided by podiatric physicians.

New Jersey bill S 2476 requires certain health insurance policies - including hospital service, medical service, health service, individual, and group health plans - to cover routine foot care services provided by podiatric physicians. It defines "routine foot care" as treatment for asymptomatic corns, calluses, or toenails (excluding cases involving metabolic disease), and mandates equal reimbursement for the same procedures regardless of provider type. The bill applies to all applicable insurance contracts issued or renewed in New Jersey after its effective date, requiring insurers to provide lists of excluded foot care services upon request. This policy change directly affects insurance companies, healthcare providers, and patients seeking routine podiatric care.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for routine foot care by podiatric physicians, expanding health insurance benefits and access to specific healthcare services.95% confidence

Sub-Topics Hospitals Insurance

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in committee · New Jersey · Senate Jan 13, 2026

S 2611: Establishes program to incentivize hiring and continued employment of individuals with developmental disabilities.

This bill establishes a New Jersey tax credit program to encourage businesses to hire and retain employees with developmental disabilities. Employers qualify for a credit of $1 per hour worked (up to $2,000 per employee annually), provided the employee works at least 500 hours in the state and the employer meets eligibility requirements like offering qualifying health insurance. The program is funded with a $2 million annual cap, administered by the Division of Developmental Disabilities, and requires employers to apply yearly by January 15. It directly affects New Jersey employers and individuals with developmental disabilities meeting the defined criteria (including autism, cerebral palsy, or intellectual disabilities).

Topics ✓ Budget & TaxesSupports Budget & TaxesBill creates $1/hour tax credit for businesses hiring disabled workers, providing tax relief within $2M annual budget cap, directly advancing fiscal policy for employment incentives.90% confidence ✓ HealthcareSupports HealthcareRequires employers to offer qualifying health insurance to qualify for tax credit, directly promoting employer-sponsored health coverage as a condition for incentives.85% confidence ✓ Labor & EmploymentSupports Labor & EmploymentTax credit incentivizes hiring/retention of workers with developmental disabilities, expanding employment opportunities and supporting inclusive workplace practices.95% confidence

Sub-Topics Tax Credits Tax Incentives Insurance

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in committee · New Jersey · Senate Jan 13, 2026

S 1359: Requires health insurance companies to cover lead screenings for children 16 years of age or younger.

S 1359 requires health insurance companies in New Jersey to cover lead screenings for children 16 years of age or younger. The bill mandates that physicians, nurses, and healthcare facilities perform lead screenings for eligible children unless parents object in writing, and requires providers to notify parents of elevated lead levels in plain language. It also directs the Department of Health to establish regulations based on CDC guidelines, including screening schedules, follow-up protocols for high lead levels, and a public education campaign about lead poisoning risks. This policy directly affects health insurers, healthcare providers, and families with children under 16.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for lead screenings, expands preventive care access, and requires provider notifications per CDC guidelines, directly advancing healthcare coverage for children.95% confidence

Sub-Topics Children's Health Insurance

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in committee · New Jersey · Senate Jan 13, 2026

S 2824: Requires health insurance coverage of at-home rehabilitation services.

This bill requires all health insurance plans sold in New Jersey to cover at-home rehabilitation services on the same terms as other medical treatments. It directly affects every health insurance policy, group plan, health maintenance organization (HMO), and health benefits plan issued in the state, including those covering individual or small employer plans. The law defines "at-home rehabilitation" as treatment for physical, functional, or mental impairments (from injury or disease) using medical equipment or tools within a person's home. Insurers must provide these benefits without additional cost-sharing or restrictions compared to other covered conditions, starting from the bill's effective date.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for at-home rehab, expanding access to essential health services without restrictions or cost barriers.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates health insurance coverage for at-home rehab, expanding worker benefits and supporting recovery from injuries, aligning with labor protections.85% confidence

Sub-Topics Insurance

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in committee · New Jersey · Senate Jan 13, 2026

S 2252: Requires DOH to expand services provided under plan to improve perinatal mental health services and health insurers to cover costs of perinatal mood and anxiety disorder screening.

This bill requires New Jersey's Department of Health (DOH) to create a plan improving access to perinatal mental health services, including screening, referrals, and treatment for mood and anxiety disorders during pregnancy and the first year postpartum. It mandates that health insurers cover these screenings at the same level as other medical conditions, using specific CPT codes for counseling and office visits. The law directly affects pregnant people, new parents, and healthcare providers in New Jersey by ensuring coverage for early mental health screening and support services. Key provisions include standardized data collection, provider training requirements, and a resource guide for patients. The bill applies to all health insurance contracts issued or renewed in New Jersey after its effective date.

Topics ✓ HealthcareSupports HealthcareMandates DOH expansion of perinatal mental health services and insurer coverage for screenings, directly improving access and funding for mental health care.95% confidence

Sub-Topics Insurance Mental Health Public Health

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