Bill Text: NJ S3805 | 2018-2019 | Regular Session | Introduced


Bill Title: Requires health benefits and Medicaid coverage for breastfeeding support.*

Spectrum: Partisan Bill (Democrat 4-0)

Status: (Introduced - Dead) 2019-12-16 - Substituted by A5509 (ACS/1R) [S3805 Detail]

Download: New_Jersey-2018-S3805-Introduced.html

SENATE, No. 3805

STATE OF NEW JERSEY

218th LEGISLATURE

 

INTRODUCED MAY 30, 2019

 


 

Sponsored by:

Senator  M. TERESA RUIZ

District 29 (Essex)

Senator  NELLIE POU

District 35 (Bergen and Passaic)

 

 

 

 

SYNOPSIS

     Requires health benefits coverage for breastfeeding support.

 

CURRENT VERSION OF TEXT

     As introduced.

  


An Act concerning health benefits coverage for breastfeeding support 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 P.L.     , c.    (C.       )(pending before the Legislature as this bill), shall provide coverage without requiring any cost sharing, for expenses incurred in the provision of breastfeeding support and counseling before or after the birth of an infant and the provision of a breast pump.

     b.    This section shall apply to those 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 P.L.     , c.    (C.       )(pending before the Legislature as this bill), shall provide coverage without requiring any cost sharing, for expenses incurred in the provision of breastfeeding support and counseling before or after the birth of an infant and the provision of a breast pump.

     b.    This section shall apply to those 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 P.L.     , c.    (C.       )(pending before the Legislature as this bill), shall provide coverage without requiring any cost sharing, for expenses incurred in the provision of breastfeeding support and counseling before or after the birth of an infant and the provision of a breast pump.

     b.    This section shall apply to those contracts in which the health service corporation has reserved the right to change the premium.

 

     4.    a.  An individual health insurer 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 P.L.     , c.    (C.       )(pending before the Legislature as this bill), shall provide coverage without requiring any cost sharing, for expenses incurred in the provision of breastfeeding support and counseling before or after the birth of an infant and the provision of a breast pump.

     b.    This section shall apply to those policies in which the insurer has reserved the right to change the premium.

 

     5.    a.  A group health insurer 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 P.L.     , c.    (C.       )(pending before the Legislature as this bill), shall provide coverage without requiring any cost sharing, for expenses incurred in the provision of breastfeeding support and counseling before or after the birth of an infant and the provision of a breast pump.

     b.    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 P.L.     , c.    (C.       )(pending before the Legislature as this bill), shall provide coverage without requiring any cost sharing, for expenses incurred in the provision of breastfeeding support and counseling before or after the birth of an infant and the provision of a breast pump.

     b.    This section shall apply to all 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 P.L.     , c.    (C.       )(pending before the Legislature as this bill), shall provide coverage without requiring any cost sharing, for expenses incurred in the provision of breastfeeding support and counseling before or after the birth of an infant and the provision of a breast pump.

     b.    This section shall apply to all 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 P.L.     , c.    (C.       )(pending before the Legislature as this bill), shall provide coverage without requiring any cost sharing, for expenses incurred in the provision of breastfeeding support and counseling before or after the birth of an infant and the provision of a breast pump.

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

 

     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 without requiring any cost sharing, for expenses incurred in the provision of breastfeeding support and counseling before or after the birth of an infant and the provision of a breast pump.

 

     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 without requiring any cost sharing, for expenses incurred in the provision of breastfeeding support and counseling before or after the birth of an infant and the provision of a breast pump.

 

     11.  This act shall take effect on the 90th day next following 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 without requiring any cost sharing, for expenses incurred in the provision of breastfeeding support and counseling before or after the birth of an infant and the provision of a breast pump.

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