New Jersey 2024-2025 Regular Session

New Jersey Senate Bill S4018

Introduced
1/14/25  
Refer
1/14/25  
Report Pass
5/22/25  
Refer
5/22/25  

Caption

Requires health insurance and Medicaid coverage for screening, prevention, and treatment services of behavioral health issues affecting children.

Impact

The implementation of S4018 is expected to significantly enhance the availability of behavioral health resources for children under 18 years old. By requiring health insurers, including state Medicaid programs, to provide coverage for preventative screenings and treatments, the bill promotes early intervention and support, potentially reducing the long-term costs associated with untreated mental health issues. The bill applies to all health benefit plans issued or renewed on or after the effective date, emphasizing the importance of preventive care in the earlier stages of life.

Summary

S4018 is a legislative bill that mandates health insurance and Medicaid coverage for the screening, prevention, and treatment of behavioral health issues affecting children in New Jersey. The bill aims to address the growing concern over children's mental health by ensuring accessible preventive services without requiring a formal mental health diagnosis. This is achieved through the authorization of billing for an 'at-risk diagnosis,' which considers various factors such as family circumstances and life challenges that may impact a child's developmental and behavioral health.

Contention

One of the notable points of contention surrounding S4018 may involve policy discussions regarding the adequacy of funding for such coverage, as well as concerns about the administrative burden on providers and insurers. Opponents might argue that the introduction of an 'at-risk diagnosis' could lead to an increase in claims and require substantial training for providers to implement the new billing codes correctly. Additionally, discussions may arise about the adequacy of existing healthcare resources to meet the increased demand for coverage under this new mandate.

Companion Bills

NJ A5052

Same As Requires health insurance and Medicaid coverage for screening, prevention, and treatment services of behavioral health issues affecting children.

Previously Filed As

NJ S3008

Requires health insurance and Medicaid coverage for screening, prevention, and treatment services of behavioral health issues affecting children.

NJ A2749

Requires health insurance and Medicaid coverage for screening, prevention, and treatment services of behavioral health issues affecting children.

NJ HB1578

Health insurance and Medicaid; require coverage for postpartum depression screenings.

NJ S3549

Requires health insurance coverage for certain obesity treatments.

NJ HB2097

Health insurance; coverage requirements for prostate cancer screenings.

NJ SB1314

Health insurance; coverage requirements for prostate cancer screenings.

NJ SB244

Revise laws related to health insurance coverage of behavioral health screening

NJ S722

Establishes "New Jersey Menopause Coverage Act"; requires health insurance coverage of medically necessary perimenopause and menopause treatments.

NJ S3502

Requires health insurance and Medicaid coverage for treatment of stuttering.

NJ S802

To support behavioral health prevention for children

Similar Bills

NJ S3008

Requires health insurance and Medicaid coverage for screening, prevention, and treatment services of behavioral health issues affecting children.

NJ A2749

Requires health insurance and Medicaid coverage for screening, prevention, and treatment services of behavioral health issues affecting children.

HI HR138

Urging The Prohibition Of The Use Of "excited Delirium", Or Similar Pseudoscientific Concepts, As A Medical Diagnosis, Cause Of Death, Or Legal Theory In The State Of Hawaii.

HI HCR146

Urging The Prohibition Of The Use Of "excited Delirium", Or Similar Pseudoscientific Concepts, As A Medical Diagnosis, Cause Of Death, Or Legal Theory In The State Of Hawaii.

CA AB360

Menopause.

LA SB42

Provides relative to perinatal behavioral health treatment. (8/1/25) (EN INCREASE GF EX See Note)

RI S0103

Mandates all insurance contracts, plans or policies provide insurance coverage for the expense of diagnosing and treating infertility, for women between the ages of 25 and 42 years including preimplantation genetic diagnosis (PGD) in conjunction with IVF.

MS SB2404

Cancer coverage under First Responders Health and Safety Act; extend eligibility.