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Committee Statement — Senate Bill No. 2535, Senate Commerce Committee (November 3, 2022)

Summary

The Senate Commerce Committee statement, dated November 3, 2022, reports favorably and with committee amendments Senate Bill No. 2535. As amended, the bill amends Grace's Law to provide hearing aid coverage for covered persons who are 21 years old or younger, instead of 15 years old or younger. A health insurer may limit coverage to one hearing aid for each hearing-impaired ear every 24 months. The bill also requires coverage of the cost of treatment related to cochlear implants, including procedures for the implantation of cochlear devices. The committee amended the bill to clarify the one hearing aid per hearing-impaired ear limit and to remove a provision on parts, attachments, or accessories purchased from an out-of-network provider.

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Cite this document

“Committee Statement — Senate Bill No. 2535, Senate Commerce Committee (November 3, 2022).” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2022-11-03-scm-s2535-s1-866e490d47/, SHA-256 0fb2a8b70a8f701d0f909a9340e74827e321abfda1d9791804fc31b438758a62.

Full text

     SENATE COMMERCE COMMITTEE

                     STATEMENT TO

                   SENATE, No. 2535
                    with committee amendments



 STATE OF NEW JERSEY
                    DATED: NOVEMBER 3, 2022

    The Senate Commerce Committee reports favorably and with
committee amendments Senate Bill No. 2535.
   As amended, this bill, which amends P.L.2008, c.126, “Grace’s
Law,” removes the specification that 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 NJ FamilyCare Program) provide
coverage for expenses incurred in the purchase of a hearing aid only
for covered persons who are 15 years old or younger, and providing
instead that they provide coverage for those expenses for covered
persons who are 21 year old or younger. The bill allows a health
insurer to limit the coverage of a hearing aid to one hearing aid for
each hearing-impaired ear every 24 months.
   The bill also requires that benefits provide coverage of the cost
of treatment related to cochlear implants, including procedures for
the implantation of cochlear devices and costs for any parts,
attachments, or accessories of the device.
   In addition, the bill supplements P.L.2007, c.103 (C.52:14-
17.46.1 et seq.) to require the School Employees’ Health Benefits
Commission to ensure that every contract purchased by the
commission meets the same requirements for hearing aid and
cochlear implant coverage as “Grace’s Law.”

COMMITTEE AMENDMENTS:
    The committee amended the bill to:
    1) clarify that insurers may limit the benefit provided for in the bill
to one hearing aid per hearing-impaired ear every 24 months; and
    2) remove, from each section, the provision requiring a contract to
cover a part, attachment, or accessory when purchased from an out-of-
network provider, if the contract does not have a provider in its
network to provide the part, attachment or accessory, and to impose
cost sharing as if the out-of-network provider were part of the provider
network.

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