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Home Source documents Committee Statement — Senate Bill No. 3919, Senate Commerce Committee (December 18, 2023)

Committee Statement — Senate Bill No. 3919, Senate Commerce Committee (December 18, 2023)

Summary

A Senate Commerce Committee statement to Senate, No. 3919, State of New Jersey, dated December 18, 2023. The committee reports favorably Senate Bill No. 3919. The statement says the bill requires health benefits coverage for an additional orthotic or prosthetic appliance from a licensed orthotist or prosthetist, or a certified pedorthist, if the covered person's physician determines it is necessary for physical and recreational activities. Reimbursement is at the same rate as under the federal Medicare reimbursement schedule. The statement says the bill applies to the State Health Benefits Program and the School Employees’ Health Benefits Program, among others.

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Cite this document

“Committee Statement — Senate Bill No. 3919, Senate Commerce Committee (December 18, 2023).” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2023-12-18-scm-s3919-s1-aa39422af7/, SHA-256 a465ebcec2d9fb7957278f7571f3e995d859c76bcc57849cdac724fc8abe6c64.

Full text

     SENATE COMMERCE COMMITTEE

                   STATEMENT TO

                 SENATE, No. 3919

 STATE OF NEW JERSEY
                  DATED: DECEMBER 18, 2023

    The Senate Commerce Committee reports favorably Senate Bill
No. 3919.
    This bill requires health benefits coverage for an additional
prosthetic appliance under certain circumstances.
   The bill requires health benefits coverage for an additional
orthotic or prosthetic appliance from any licensed orthotist or
prosthetist, or any certified pedorthist, if the covered person’s
physician determines that the additional appliance is necessary to
enable the covered person to engage in physical and recreational
activities, including running, bicycling, swimming, climbing,
skiing, snowboarding, and team and individual sports.           The
reimbursement for the additional orthotic or prosthetic appliance is
at the same rate as reimbursement for the appliances under the
federal Medicare reimbursement schedule.
   Current law requires health benefits coverage for expenses
incurred in obtaining an orthotic or prosthetic appliance from any
licensed orthotist or prosthetist, or any certified pedorthist, as
determined medically necessary by the covered person's physician,
but does not require coverage of an additional appliance for
physical or recreational activities.
   The bill would apply to hospital, medical, and health service
corporations; commercial individual, small employer, and larger
group insurers; health maintenance organizations; and the State
Health Benefits Program and the School Employees’ Health
Benefits Program.

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