Requires health insurance carriers to provide coverage for epinephrine auto-injector devices and asthma inhalers; limits cost sharing for health insurance coverage of insulin.
Impact
The passage of A2839 would represent a significant change to state laws regarding health insurance coverage for chronic conditions, emphasizing the need for immediate medical interventions such as anaphylactic reactions (for epinephrine auto-injectors) and asthma exacerbations (for inhalers). By limiting the out-of-pocket costs for insulin, the bill also aims to alleviate financial burdens faced by individuals with diabetes, potentially leading to improved health outcomes as patients would be more likely to adhere to necessary treatment regimens.
Summary
Assembly Bill A2839 requires health insurance carriers in New Jersey to provide coverage for epinephrine auto-injector devices and asthma inhalers, targeting chronic conditions that may necessitate immediate medical attention. The bill further limits cost-sharing requirements for insulin, ensuring that copayments for insulin do not exceed $35 per 30-day supply. This encompasses both group and individual health insurance policies delivered or renewed in the state, reflecting a concentrated effort to make essential medications more accessible and affordable to residents.
Sentiment
The sentiment surrounding A2839 is largely positive among advocates for public health and chronic condition management. Supporters argue that the bill highlights the importance of making life-saving medication accessible, particularly for vulnerable populations such as those with severe allergies or asthma and individuals with diabetes. However, there may be concerns from insurance companies regarding the financial implications of mandated coverage, which could affect premium costs moving forward.
Contention
Notable contention may arise concerning the balance between insurance carriers' financial sustainability and the provision of affordable healthcare access. While proponents advocate for improved access to lifesaving medications, insurers might express concerns regarding the potential for increased premiums or further regulatory burden. Additionally, opponents may debate the overall impacts on the healthcare market, questioning whether such mandates drive up costs for consumers in other areas.
Same As
Requires health insurance carriers to provide coverage for epinephrine auto-injector devices and asthma inhalers; limits cost sharing for health insurance coverage of insulin.
Requires health insurance carriers to provide coverage for epinephrine auto-injector devices and asthma inhalers; limits cost sharing for health insurance coverage of insulin.
Provides that purchase of insulin is not subject to deductible; requires health insurers to limit copayments and coinsurance for insulin; requires insulin manufacturers to submit report to Commissioner of Banking and Insurance.
Provides that purchase of insulin is not subject to deductible; requires health insurers to limit copayments and coinsurance for insulin; requires insulin manufacturers to submit report to Commissioner of Banking and Insurance.
Requires health insurance carriers to provide coverage for epinephrine auto-injector devices and asthma inhalers; limits cost sharing for health insurance coverage of insulin.
Provides that purchase of insulin is not subject to deductible; requires health insurers to limit copayments and coinsurance for insulin; requires insulin manufacturers to submit report to Commissioner of Banking and Insurance.
Provides that purchase of insulin is not subject to deductible; requires health insurers to limit copayments and coinsurance for insulin; requires insulin manufacturers to submit report to Commissioner of Banking and Insurance.