Prohibits pre-approval or precertification of medical tests, procedures and prescription drugs covered under health benefits or prescription drug benefits plans.
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Progress
Where this bill stands in the legislative process.
- Introduced
- Passed General Assembly
- Passed Senate
- To Governor
- Became Law
Overview
This bill prohibits health insurance companies, third-party administrators, and the State Health Benefits Program from requiring pre-approval or precertification for medical tests, procedures, or prescription drugs covered under health benefits plans. It aims to reduce barriers to accessing necessary medical care by preventing insurers from imposing these approval processes unless a licensed healthcare provider has prescribed the treatment. The bill applies to both private and public health plans in New Jersey.
Bill text
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Sponsors
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1 on record
Primary sponsor
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