Bill Text: NJ S3571 | 2018-2019 | Regular Session | Introduced


Bill Title: Requires health benefits coverage for rapid diagnostic testing for influenza A and B viruses.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2019-03-07 - Introduced in the Senate, Referred to Senate Commerce Committee [S3571 Detail]

Download: New_Jersey-2018-S3571-Introduced.html

SENATE, No. 3571

STATE OF NEW JERSEY

218th LEGISLATURE

 

INTRODUCED MARCH 7, 2019

 


 

Sponsored by:

Senator  JOSEPH A. LAGANA

District 38 (Bergen and Passaic)

 

 

 

 

SYNOPSIS

     Requires health benefits coverage for rapid diagnostic testing for influenza A and B viruses.

 

CURRENT VERSION OF TEXT

     As introduced.

 


An Act concerning health benefits coverage for influenza testing and supplementing various parts of the statutory law.

 

     Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

     1.    a.   A hospital service corporation contract that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in the use of rapid diagnostic testing to screen for influenza A and B virus infections.

     b.    The provisions of this section shall apply to those hospital service corporation contracts in which the hospital service corporation has reserved the right to change the premium.

 

     2.    a.   A medical service corporation contract that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in the use of rapid diagnostic testing to screen for influenza A and B virus infections.

     b.    The provisions of this section shall apply to those medical service corporation contracts in which the medical service corporation has reserved the right to change the premium.

 

     3.    a.   A health service corporation contract that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in the use of rapid diagnostic testing to screen for influenza A and B virus infections.

     b.    The provisions of this section shall apply to those health service corporation contracts in which the health service corporation has reserved the right to change the premium.

 

     4.    a.   An individual health insurance policy that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in the use of rapid diagnostic testing to screen for influenza A and B virus infections.

     b.    The provisions of this section shall apply to those policies in which the insurer has reserved the right to change the premium.

     5.    a.   A group health insurance policy that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in the use of rapid diagnostic testing to screen for influenza A and B virus infections.

     b.    The provisions of this section shall apply to those policies in which the insurer has reserved the right to change the premium.

 

     6.    a.   An individual health benefits plan that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in the use of rapid diagnostic testing to screen for influenza A and B virus infections.

     b.    The provisions of this section shall apply to those individual health benefits plans in which the carrier has reserved the right to change the premium.

 

     7.    a.   A small employer health benefits plan that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in the use of rapid diagnostic testing to screen for influenza A and B virus infections.

     b.    The provisions of this section shall apply to those small employer health benefits plans in which the carrier has reserved the right to change the premium.

 

     8.    a.   A health maintenance organization contract that provides hospital or medical expense benefits and is delivered, issued, executed or renewed in this State, or approved for issuance or renewal in this State by the Commissioner of Banking and Insurance, on or after the effective date of this act, shall provide coverage for expenses incurred in the use of rapid diagnostic testing to screen for influenza A and B virus infections.

     b.    The provisions of this section shall apply to those contracts for health care services by health maintenance organizations under which the health maintenance organization has reserved the right to change the schedule of charges.

 

     9.    The State Health Benefits Commission shall ensure that every contract purchased by the commission on or after the effective date of this act that provides hospital or medical expense benefits shall provide coverage for expenses incurred in the use of rapid diagnostic testing to screen for influenza A and B virus infections.

 

     10.  The School Employees' Health Benefits Commission shall ensure that every contract purchased by the commission on or after the effective date of this act that provides hospital or medical expense benefits shall provide coverage for expenses incurred in the use of rapid diagnostic testing to screen for influenza A and B virus infections.

 

     11.  This act shall take effect on the 90th day after enactment.

 

 

STATEMENT

 

     This bill requires health insurers (health, hospital and medical service corporations, commercial individual and group health insurers; health maintenance organizations, health benefits plans issued pursuant to the New Jersey Individual Health Coverage and Small Employer Health Benefits Programs, the State Health Benefits Program, and the School Employees' Health Benefits Program) to provide coverage for expenses incurred in the use of rapid diagnostic testing to screen for influenza A and B virus infections.

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