Requires health insurance carriers to provide coverage for enrollment of student in recovery high school alternative education program.
Impact
By mandating coverage for recovery high schools, S3241 aims to bolster the educational framework for students dealing with significant challenges related to substance use. This revision in state law is noteworthy as it directly aligns with and reinforces the federal Mental Health Parity and Addiction Equity Act, which advocates for equal treatment of mental health and substance use disorders in insurance coverage.
Summary
Senate Bill S3241 requires health insurance carriers in New Jersey to provide coverage for the enrollment of students in recovery high school alternative education programs. This action is designed to support students diagnosed with substance use disorders by ensuring they have access to educational opportunities that align with their recovery needs. The bill amends existing laws related to mental health coverage in order to ensure that these alternative educational programs are included under the definition of medically necessary services.
Contention
While the bill is widely perceived as a step towards enhancing support for at-risk youth, there may be points of contention surrounding its implementation. Issues may arise regarding the determination of 'clinical appropriateness' for placement in these recovery programs, as this relies on subjective evaluations by various health professionals. Additionally, there could be debates over funding and resources, as mandated coverage could impose additional financial responsibilities on insurance providers and potentially lead to disputes over limits of coverage.
Requires health insurance carriers to provide coverage for treatment of mental health conditions and substance use disorders through collaborative care.
Requires health insurance carriers to provide coverage for treatment of mental health conditions and substance use disorders through collaborative care.
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.
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.