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Senate Commerce Committee Statement to Senate, No. 3558 (February 10, 2025)

Summary

Senate Commerce Committee statement to Senate on Senate Bill No. 3558, dated February 10, 2025, reporting the bill favorably. The bill requires health insurers, including health maintenance organizations and the State Health Benefits Program, and the State Medicaid program to cover medical expenses for treating stuttering, including habilitative and rehabilitative speech therapy. Medical necessity is decided by the covered person's medical doctor. Coverage applies in person or by telemedicine or telehealth, without prior authorization or other utilization management requirements and without cost-sharing.

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Cite this document

“Senate Commerce Committee Statement to Senate, No. 3558 (February 10, 2025).” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2025-02-10-scm-s3558-s1-b6eca2270e/, SHA-256 1269597ec3a76a16fc146cebdf1c28db59628959c78438002610c5388295e48a.

Full text

     SENATE COMMERCE COMMITTEE

                    STATEMENT TO

                  SENATE, No. 3558

 STATE OF NEW JERSEY
                  DATED: FEBRUARY 10, 2025

    The Senate Commerce Committee reports favorably Senate Bill
No. 3558.
   This bill requires 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 School Employees’ Health Benefits
Program) and the State Medicaid program to provide coverage for
medical expenses incurred in the treatment of stuttering, including
habilitative speech therapy and rehabilitative speech therapy.
Whether treatment is a medical necessity is to be determined by the
covered person’s medical doctor.
   The bill requires coverage to be provided whether the services
are delivered in-person or through telemedicine or telehealth,
without the imposition of any prior authorization or other utilization
management requirements, and without cost-sharing.
   Pursuant to the bill, “habilitative speech therapy" means speech
therapy that helps a person keep, learn, or improve skills and
functioning for daily living; and “rehabilitative speech therapy"
means speech therapy that helps a person restore or improve skills
and functioning for daily living that have been lost or impaired.

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