NJ LEG Hearing Aids Ins Coverage


On Jan. 8, NJ LEG reported on hearing aids and cochlear implants bill.


  • NJ LEG reported that AB 4048/SB 2535, requiring health benefits coverage of hearing aids and cochlear implants for insureds aged 21 or younger, was conditionally vetoed.
  • Bill Provisions
  • An individual health insurance policy must cover cost of treatment related to cochlear implants, including procedures for the implantation of cochlear devices and part costs,.
  • In addition, costs of replacement of obsolete external cochlear implant processors.
  • Bill addresses policy with no in-network provider to provide part, attachment, nor accessory necessary to the continued function of a preexisting cochlear implant.
  • Such policy shall cover the part, attachment, or accessory when purchased from and provided by an out-of-network provider, and only impose cost sharing as indicated.
  • Specifically as if the out-of-network provider were part of the provider network.
  • Applies to others such as health service corp contract, medical service corp contract.
  • Bill would amend sections 2 through 11 of P.L.2008, c.126 found at NJ INS 26.
  • Legislative History
  • On May 12, 2022, bill introduced in Senate; on Mar. 20, 2023, bill passed in Senate.
  • On Mar. 20, 2023,, bill introduced in Assembly; on Dec. 21, 2023 bill passed Assembly.
  • On Nov. 27, 2023, bill introduced in Senate; on Dec. 21, 2023, bill passed in Senate.
  • On Jan. 8, 2024, bill returned by governor for changes; bill repassed by both chambers
  • Effectiveness
  • If enacted, act shall take effect on the 90th day next after the date of enactment.
  • Jan. 2024 NJ LEG Approval
  • On Jan. 16, 2024, NJ LEG governor approved AB 4048 / SB 2535 as P.L. 2023, C. 275.

Regulators NJ LEG
Entity Types Ins
Reference P.L. 2023 c. 275, 1/16/2024; Bill A4048, S2535 1/8/2024; Citation: NJ INS 26;
Functions Product Administration; Product Design; Underwriting
Countries United States of America
Category
State
Products Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 1/8/2024
Effective Date 4/15/2024
Rule Id 197431
Linked to Rule :197293
Reg. Last Update 1/16/2024
Report Section US Insurance

Last substantive update on 01/18/2024