ASSEMBLY, No. 5216 STATE OF NEW JERSEY 221st LEGISLATURE INTRODUCED JANUARY 23, 2025
ASSEMBLY, No. 5216
STATE OF NEW JERSEY
221st LEGISLATURE
INTRODUCED JANUARY 23, 2025
Sponsored by: Assemblyman GREGORY E. MYHRE District 9 (Ocean) Co-Sponsored by: Assemblymen Inganamort, Sauickie, Assemblywoman Fantasia, Assemblymen Kanitra, Clifton, Scharfenberger and Auth SYNOPSIS Prohibits health insurance carriers from placing time limit on coverage of anesthesia services before, during, or after medical or surgical procedures. CURRENT VERSION OF TEXT As introduced.
Sponsored by:
Assemblyman GREGORY E. MYHRE
District 9 (Ocean)
Co-Sponsored by:
Assemblymen Inganamort, Sauickie, Assemblywoman Fantasia, Assemblymen Kanitra, Clifton, Scharfenberger and Auth
SYNOPSIS
Prohibits health insurance carriers from placing time limit on coverage of anesthesia services before, during, or after medical or surgical procedures.
CURRENT VERSION OF TEXT
As introduced.
An Act concerning health insurance coverage for anesthesia and supplementing P.L.1997, c.192 (26:2S-1 et seq.). Be It Enacted by the Senate and General Assembly of the State of New Jersey: 1. a. A carrier shall not limit coverage based on the amount of time in which anesthesia services are used before, during, or after a medical or surgical procedure. b. As used in this section: "Anesthesia services" means the same as the prevailing medical coding standards found within the American Medical Association's Current Procedural Terminology code for anesthesia, including anesthesia modifier codes. "Carrier" means an insurance company, health service corporation, hospital service corporation, medical service corporation, or health maintenance organization authorized to issue health benefits plans in this State. 2. This act shall take effect on the 90th day next following enactment and shall apply to policies and contracts delivered, issued, executed, or renewed on or after that date. STATEMENT This bill prohibits health insurance carriers from placing a time limit on the coverage of anesthesia services before, during, or after a medical or surgical procedure. Under the bill, a carrier (including an insurance company, health service corporation, hospital service corporation, medical service corporation, or health maintenance organization authorized to issue health benefits plans in the State) will be prohibited from limiting coverage based on the amount of time in which anesthesia services are used before, during, or after a medical or surgical procedure. For the purpose of this bill, "anesthesia services" means the same as the prevailing medical coding standards found within the American Medical Association's Current Procedural Terminology code for anesthesia, including anesthesia modifier codes.
An Act concerning health insurance coverage for anesthesia and supplementing P.L.1997, c.192 (26:2S-1 et seq.).
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. a. A carrier shall not limit coverage based on the amount of time in which anesthesia services are used before, during, or after a medical or surgical procedure.
b. As used in this section:
"Anesthesia services" means the same as the prevailing medical coding standards found within the American Medical Association's Current Procedural Terminology code for anesthesia, including anesthesia modifier codes.
"Carrier" means an insurance company, health service corporation, hospital service corporation, medical service corporation, or health maintenance organization authorized to issue health benefits plans in this State.
2. This act shall take effect on the 90th day next following enactment and shall apply to policies and contracts delivered, issued, executed, or renewed on or after that date.
STATEMENT
This bill prohibits health insurance carriers from placing a time limit on the coverage of anesthesia services before, during, or after a medical or surgical procedure.
Under the bill, a carrier (including an insurance company, health service corporation, hospital service corporation, medical service corporation, or health maintenance organization authorized to issue health benefits plans in the State) will be prohibited from limiting coverage based on the amount of time in which anesthesia services are used before, during, or after a medical or surgical procedure.
For the purpose of this bill, "anesthesia services" means the same as the prevailing medical coding standards found within the American Medical Association's Current Procedural Terminology code for anesthesia, including anesthesia modifier codes.