New Jersey 2022-2023 Regular Session

New Jersey Assembly Bill A730

Introduced
1/11/22  

Caption

Requires health insurers to cover Lyme disease.

Impact

The introduction of A730 is significant, as it supplements existing statutes related to health insurance and sets new requirements for coverage that could improve the standard of care for patients suffering from Lyme disease. By prohibiting insurers from denying coverage based on treatment classification, the bill seeks to enhance treatment accessibility for this condition, which has been a contentious issue in the realm of healthcare policy. This change may lead to broader implications for how health insurers structure treatment coverage for other illnesses that might also be categorized as experimental.

Summary

Assembly Bill A730 requires health insurers operating in the state of New Jersey to provide coverage for the treatment of Lyme disease. The bill mandates that hospital service corporations, medical service corporations, health maintenance organizations, and commercial insurers must offer benefits for expenses incurred due to the treatment of Lyme disease, which must be determined as medically necessary by the covered person's physician. This bill aims to ensure that individuals affected by Lyme disease can access necessary treatment without facing coverage denials based on the characterization of such treatments as experimental or investigational.

Contention

Notably, the bill could generate debate among stakeholders, particularly from insurance providers who may argue about the potential increase in costs associated with mandated coverage for Lyme disease treatments. The concern is that this requirement could lead to higher premiums for consumers as insurers adjust to incorporate new requirements that may increase their claims expenditure. Supporters of the bill, however, argue that ensuring comprehensive coverage for Lyme disease treatment is a necessary step toward addressing a public health concern that has been inadequately addressed in the past.

Companion Bills

NJ S1691

Same As Requires health insurers to cover Lyme disease.

Previously Filed As

NJ S3262

Requires health insurers to cover Lyme disease.

NJ A3246

Requires health insurance coverage for certain neurological diseases.

NJ A4209

Requires health insurers, SHBP and SEHBP to provide coverage for diagnosis, evaluation and treatment of lymphedema.

NJ S06862

Requires health insurers to provide coverage for long term medical care for Lyme disease and other tick borne related pathogens.

NJ A996

Requires health insurers to provide coverage for testing for suspected dyslexia.

NJ A3242

Requires health benefits coverage of continuous glucose monitoring system for treatment of glycogen storage disease.

NJ S598

Requires health insurance coverage for certain neurological diseases.

NJ A2116

Requires health insurance coverage of screening for Alzheimer's disease and related disorders for certain covered persons.

NJ S1320

Requires health insurers to provide coverage for treatment of tick-borne diseases.

NJ A470

Requires health insurance carriers to provide coverage for hospitalizations resulting from coronavirus disease 2019 without imposing cost-sharing requirements.

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