SENATE, No. 1607

STATE OF NEW JERSEY

222nd LEGISLATURE

 

PRE-FILED FOR INTRODUCTION IN THE 2026 SESSION

 


 

Sponsored by:

Senator CARMEN F. AMATO, JR.

District 9 (Ocean)

Senator VIN GOPAL

District 11 (Monmouth)

 

Co-Sponsored by:

Senators Singer and Diegnan

 

 

 

 

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

     Introduced Pending Technical Review by Legislative Counsel.

  


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.