LEGISLATIVE FISCAL ESTIMATE

[Second Reprint]

ASSEMBLY, No. 5785

STATE OF NEW JERSEY

221st LEGISLATURE

 

DATED: JANUARY 14, 2026

 

 

SUMMARY

 

Synopsis:

Requires certain wellness visits to be covered once per year without waiting periods.

 

Type of Impact:

No fiscal impact.

Agencies Affected:

Division of Pensions and Benefits in the Department of the Treasury; certain local government employers.

 

 

Office of Legislative Services Estimate

Fiscal Impact

 

Annual

 

 

State Expenditure Increase

 

None

 

 

Local Expenditure Increase

 

None

 

 

 

 

·         The Office of Legislative Services (OLS) determines that requiring the State Health Benefits Commission and the School Employees’ Health Benefits Commission to provide coverage for an annual wellness visit for a covered member who is over three years of age once per plan or calendar year, without requiring any waiting period, will have no fiscal impact on State or participating local government costs as both programs already provide coverage for such visits at least once per plan year.

 

BILL DESCRIPTION

 

      This bill requires health insurers, including the State Health Benefits Program and the School Employees’ Health Benefits Program, to provide coverage for annual wellness visits for covered persons who are over three years of age once per plan or calendar year, without requiring any waiting period. 

FISCAL ANALYSIS

 

EXECUTIVE BRANCH

 

      None received.

 

OFFICE OF LEGISLATIVE SERVICES

 

      The OLS determines that requiring the State Health Benefits Commission and the School Employees’ Health Benefits Commission to provide coverage for an annual wellness visit for a covered member who is over three years of age once per plan or calendar year, without requiring any waiting period, will have no fiscal impact on State or participating local government costs as both programs already provide coverage for such visits at least once per plan year.

 

 

Section:

State Government

Analyst:

Anna Harris

Associate Fiscal Analyst

Approved:

Thomas Koenig

Legislative Budget and Finance Officer

 

 

This legislative fiscal estimate has been produced by the Office of Legislative Services due to the failure of the Executive Branch to respond to our request for a fiscal note.

 

This fiscal estimate has been prepared pursuant to P.L.1980, c.67 (C.52:13B-6 et seq.).