Healthcare (Insurance)

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

A 3120: Requires Medicaid provide health benefits coverage, and places certain requirements on insurers and State Health Benefits Program regarding existing mandate on health benefits coverage, for certain over-the-counter contraceptives.

This bill requires New Jersey Medicaid to cover over-the-counter contraceptives and imposes certain requirements on insurers and the State Health Benefits Program regarding existing mandates on health benefits coverage for these products. The legislation directly affects Medicaid recipients, private health insurance plans, and state health programs by ensuring access to contraception without additional cost-sharing. Key provisions include expanding the list of authorized medical services under the Medicaid program and clarifying how contraceptive coverage must be provided within the state's health benefits framework. The bill amends existing statutory law to incorporate these coverage requirements while maintaining compliance with federal Social Security Act regulations.

Topics ✓ HealthcareSupports HealthcareBill expands Medicaid coverage for contraceptives, improving patient access to healthcare services without additional cost-sharing.95% confidence

Sub-Topics Insurance Medicaid Women's Health

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in committee · New Jersey · Senate Mar 16, 2026

S 3949: Requires proportional distribution of payment between employers for health benefit payment obligations for certain retirees.

This bill requires public employers in New Jersey to share the cost of health benefits for retirees who worked for multiple government entities by splitting payments proportionally based on how long each employer employed the retiree. It directly affects state and local government agencies, including law enforcement departments, that currently pay health insurance premiums for retired employees. The key provision mandates that if a retiree qualified for employer-paid health benefits while working for more than one government entity, each former employer must contribute to the premium cost commensurate with their period of employment. The bill also clarifies that this requirement does not apply to employers who have not opted to provide employer-paid health benefits in retirement and does not alter existing collective bargaining agreements.

Topics ✓ HealthcareSupports HealthcareBill ensures continued health benefit coverage for retirees by mandating proportional cost sharing among employers, preventing loss of benefits and maintaining access to healthcare services.85% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill ensures fair distribution of health benefits for retirees working across multiple employers, protecting worker benefits and preventing financial burden on single employers.85% confidence

Sub-Topics Insurance Collective Bargaining

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in committee · New Jersey · Senate Mar 23, 2026

S 4054: Clarifies that testosterone therapy is covered treatment under the "New Jersey Menopause Coverage Act."

This bill clarifies that testosterone therapy is covered under New Jersey's existing Menopause Coverage Act, which requires health insurance plans to cover medically necessary treatments for perimenopause and menopause. The legislation specifically ensures that insurance providers cannot deny coverage for testosterone therapy if it is prescribed by a medical provider, even if the federal Food and Drug Administration has not approved it for menopause treatment. It applies to hospital and medical service corporation contracts issued or renewed in New Jersey after the act's effective date. The bill also mandates that insurers provide clear information to subscribers about covered menopause treatments.

Topics ✓ HealthcareSupports HealthcareBill expands health coverage by clarifying testosterone therapy is covered under menopause insurance, improving patient access to medically necessary treatments.95% confidence

Sub-Topics Hospitals Insurance

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in committee · New Jersey · Senate Mar 19, 2026

S 4036: Requires Medicaid and health insurance network contracts to provide participating health care providers with certain notifications.

This bill requires insurance companies and Medicaid programs in New Jersey to give health care providers at least six months' notice before making policy changes that could lead to coverage denials. It directly affects doctors, hospitals, and other providers who have contracts with managed care plans, ensuring they have advance warning of potential restrictions on the services they can offer. The law applies to all insurance carriers and state health programs authorized to issue health benefits in the state, including the State Health Benefits Program and School Employees' Health Benefits Program. This change takes effect 120 days after enactment and applies to any new or renewed contracts signed after that date.

Topics ✓ HealthcareSupports HealthcareBill protects healthcare providers by requiring advance notice of coverage changes, preventing sudden restrictions on services and maintaining provider-patient access.85% confidence

Sub-Topics Insurance Medicaid

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in committee · New Jersey · Senate Mar 19, 2026

S 4003: Requires Medicaid coverage for continuous glucose monitors and related supplies for individuals diagnosed with diabetes who meet certain coverage eligibility criteria.

This bill requires New Jersey Medicaid to cover continuous glucose monitors and related supplies for individuals diagnosed with diabetes who meet specific eligibility criteria. The legislation amends existing Medicaid statutes to include these medical devices and necessary supplies as authorized services under the program. Directly affected individuals are Medicaid recipients with diabetes who would gain access to these monitoring tools through their state health insurance coverage. The bill operates within federal Medicaid guidelines and does not alter eligibility requirements for the program itself.

Topics ✓ HealthcareSupports HealthcareBill expands Medicaid coverage for diabetes monitoring devices, improving patient access to essential healthcare supplies and strengthening health services.95% confidence

Sub-Topics Insurance Medicaid

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signed · New Jersey · Senate Jun 30, 2026

S 3947: Extends certain pay parity regarding telemedicine and telehealth.*

This bill permanently extends pay parity for telemedicine and telehealth services in New Jersey, requiring health insurance carriers to reimburse providers at the same rates as in-person care. It directly affects insurance companies, healthcare providers, and patients by mandating that out-of-pocket costs like deductibles and copayments for virtual visits cannot exceed those for in-person appointments. The legislation also prohibits insurers from restricting telehealth platforms, limiting service locations, or denying coverage for routine remote monitoring if the same care would be covered in person. Additionally, carriers must continue to allow patients to choose between in-person and virtual care rather than forcing telehealth as a substitute.

Topics ✓ HealthcareSupports HealthcareBill mandates equal reimbursement rates for telehealth and in-person care, improving patient access and protecting healthcare provider compensation.95% confidence ✓ TechnologySupports TechnologyBill promotes digital equity by ensuring telehealth services receive equal reimbursement, expanding access to virtual healthcare and supporting technology adoption in medical services.85% confidence

Sub-Topics Insurance Telehealth

in committee · New Jersey · Senate Mar 10, 2026

S 3866: Mandates access to periodic cancer screening examinations for volunteer firefighters; increases tax on fire insurance premiums.

This bill requires volunteer firefighters in New Jersey to receive state-funded cancer screenings at least once every three years, covering specific types of cancer including colon, lung, and prostate. The program reimburses up to $1,250 per three-year period for exams not covered by personal health insurance, with no co-pays or deductibles required. Funding comes from a dedicated state revolving fund that also receives additional revenue from a 0.1% tax on fire insurance premiums paid by out-of-state insurers. The tax revenue is split between the New Jersey Firemen's Home and the new firefighter screening fund, with the remainder returned to the State Firemen's Association.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill increases state funding for volunteer firefighter health services through a dedicated revolving fund, advancing public health program funding.85% confidence ✓ HealthcareSupports HealthcareBill mandates cancer screenings for volunteer firefighters, funds them via state revolving fund, and protects access to healthcare services.95% confidence

Sub-Topics Revenue Insurance

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

A 3122: Requires health benefits coverage for family planning and reproductive health care services, including early infancy care, without cost sharing.

This New Jersey bill requires health insurance plans sold in the state and the Medicaid program to cover specific family planning and reproductive health services without any out-of-pocket costs for enrollees. It mandates no deductibles, copayments, or coinsurance for services including abortion (both aspiration and medication types), emergency care for mothers/newborns, contraception counseling, genetic testing, inpatient care for mothers and infants, well-baby visits, and ultrasounds. The coverage applies to all in-network providers under insurance contracts and Medicaid, but excludes childbirth services. Religious employers may still qualify for exemptions under existing law.

Topics ✓ HealthcareSupports HealthcareMandates no-cost coverage for reproductive health services including abortion, contraception, and newborn care, expanding access and removing financial barriers per bill's explicit requirements.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentMandates no cost-sharing for reproductive health services, expanding employee health benefits under employment standards.85% confidence

Sub-Topics Hospitals Insurance Women's Health

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

A 1893: Modifies laws regarding compensation and leaves of absence for certain public employees who served in the military; requires public employers follow certain policies and procedures for leaves of absence.

This bill modifies New Jersey law to improve leave and compensation for public employees who serve in military reserves or the National Guard. It guarantees up to 30 work days of paid leave per year (90 days for National Guard members) for military duty, including travel days and pre-deployment rest periods (5-10 days based on service length). Public employers must continue covering retirement and health insurance contributions during leave, and employees cannot be forced to use vacation time during military leave. The law directly affects state, county, and municipal employees who are active military reservists or National Guard members.

Topics ✓ HealthcareSupports HealthcareRequires public employers to maintain health insurance contributions during military leave, preventing coverage disruption for employees' healthcare access.92% confidence ✓ Labor & EmploymentSupports Labor & EmploymentGuarantees paid military leave (up to 90 days), maintains health/retirement coverage during leave, and prevents forced vacation use - directly strengthens public employees' benefits and rights under Labor & Employment.95% confidence

Sub-Topics Insurance Paid Leave Public Employees

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

A 1941: Requires health insurers to provide coverage for hearing aids.

This New Jersey bill (A 1941) requires most health insurance plans sold in the state to cover hearing aids. It directly affects health insurers and policyholders by mandating coverage for one hearing aid per ear every 48 months (4 years) when prescribed by a licensed audiologist or hearing aid dispenser. The policy limits out-of-pocket costs to no more than 15% of the hearing aid's price, including copays or deductibles. This applies to hospital service corporations, medical service corporations, health service corporations, group and individual health insurance policies, HMOs, and health benefits plans. The bill does not cover hearing aids for cosmetic purposes, only medically necessary ones.

Topics ✓ HealthcareSupports HealthcareMandates hearing aid coverage in insurance plans, expanding patient access to a specific health service without restrictions.95% confidence

Sub-Topics Hospitals Insurance

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