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Senate Commerce Committee Statement to Senate, No. 1439 (May 13, 2024)

Summary

Senate Commerce Committee statement to Senate, No. 1439, with committee amendments, State of New Jersey, dated May 13, 2024. The committee reports favorably and with committee amendments Senate Bill No. 1439, which as amended requires health benefits coverage for an additional orthotic or prosthetic appliance if the covered person’s physician determines that it is necessary to enable the covered person to engage in physical and recreational activities. The statement says reimbursement is at the same rate as under the federal Medicare reimbursement schedule. It says current law does not require coverage of an additional appliance for physical or recreational activities, and that the committee amended the bill to require coverage for appliances obtained from a licensed podiatrist.

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“Senate Commerce Committee Statement to Senate, No. 1439 (May 13, 2024).” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2024-05-13-scm-s1439-s1-b2f42c0929/, SHA-256 9aed6d1e604236dc41f3a6fc6d9dd978fe075f7b2f81dcbfe493d5b909e37472.

Full text

     SENATE COMMERCE COMMITTEE

                   STATEMENT TO

                 SENATE, No. 1439
                  with committee amendments



 STATE OF NEW JERSEY
                      DATED: MAY 13, 2024

    The Senate Commerce Committee reports favorably and with
committee amendments Senate Bill No. 1439.
    As amended, the bill requires health benefits coverage for an
additional orthotic or prosthetic appliance from any licensed
orthotist or prosthetist, any certified pedorthist, or licensed
podiatrist, 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.
    The bill also requires health benefits coverage for orthotic or
prosthetic appliances, as well as additional orthotics or prosthetic
appliances for engaging in physical and recreational activities,
obtained from a licensed podiatrist.
    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.
    This bill was prefiled for introduction in the 2024-2025 session
pending technical review. As reported, the bill includes the changes
required by technical review, which has been performed.

COMMITTEE AMENDMENTS:
    The committee amended the bill to require health benefits
coverage for orthotic or prosthetic appliances obtained from a
licensed podiatrist.

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