New Jersey 2024-2025 Regular Session

New Jersey Assembly Bill A4511

Introduced
6/6/24  

Caption

Requires health insurance carriers to provide coverage for enrollment of student in recovery high school alternative education program.

Impact

The bill is expected to create a significant impact on state health laws concerning the integration of mental health treatment with educational support mechanisms. By mandating health insurance coverage for recovery high schools, A4511 aligns with federal mandates such as the Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008, promoting comprehensive care for mental health and substance use. This integration may lead to improved recovery outcomes by facilitating access to education and resources specific to the needs of students grappling with these challenges.

Summary

Assembly Bill A4511 aims to amend existing health insurance policies to require coverage for the enrollment of students in recovery high school programs, which serve those diagnosed with substance use disorders. This bill targets specific educational interventions, ensuring that students receiving treatment for substance abuse can access a structured school environment conducive to their recovery. The proposed legislative change emphasizes the need for mental health conditions and substance use disorders to be treated equivalently to other medical conditions under health insurance criteria.

Sentiment

The general sentiment surrounding A4511 is largely supportive among mental health advocates and educational reform groups. These stakeholders advocate that the bill addresses a critical gap in services for youths in recovery, providing necessary support through educational avenues. However, some concerns have been raised regarding the logistical implications of implementing such coverage mandates, particularly around the qualifications of counselors and determining what constitutes 'clinically appropriate' placements in recovery programs.

Contention

Notable points of contention revolve around the specifics of health insurance implementations and the criteria set forth for determining coverage eligibility. Stakeholders worry about the potential complexities in defining eligibility for recovery high school programs and the processes that health insurance companies may establish to comply with the bill. There is also an underlying debate on how effectively these programs will align with the fluctuating standards of mental health treatment as various health directives evolve.

Companion Bills

NJ S3241

Same As Requires health insurance carriers to provide coverage for enrollment of student in recovery high school alternative education program.

Similar Bills

NJ S3241

Requires health insurance carriers to provide coverage for enrollment of student in recovery high school alternative education program.

NJ A2008

Requires health insurance carriers to provide coverage for treatment of mental health conditions and substance use disorders through collaborative care.

NJ S352

Requires health insurance carriers to provide coverage for treatment of mental health conditions and substance use disorders through collaborative care.

LA HB278

Provides requirements for the Psychiatric Collaborative Care Model (EN INCREASE EX See Note)

OK SB444

Mental health and substance use disorder benefits; requiring certain plans and Medicaid provide reimbursement for care pursuant to collaborative care model; allowing for denial in certain circumstances. Effective date.

OK SB444

Mental health and substance use disorder benefits; requiring certain plans and Medicaid provide reimbursement for care pursuant to collaborative care model; allowing for denial in certain circumstances. Effective date.

CA AB552

Integrated School-Based Behavioral Health Partnership Program.

CA SB855

Health coverage: mental health or substance use disorders.