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A2116
ASSEMBLY, No. 2116
STATE OF NEW JERSEY
222nd LEGISLATURE
�
PRE-FILED FOR INTRODUCTION IN THE 2026 SESSION
Sponsored by:
Assemblywoman LINDA S. CARTER
District 22 (Somerset and Union)
Assemblywoman VERLINA REYNOLDS-JACKSON
District 15 (Hunterdon and Mercer)
Assemblyman ROBERT J. KARABINCHAK
District 18 (Middlesex)
Co-Sponsored by:
Assemblywoman Quijano
SYNOPSIS
���� Requires health insurance coverage of screening for
Alzheimer's disease and related disorders for certain covered persons.
CURRENT VERSION OF TEXT
���� Introduced Pending Technical Review by Legislative
Counsel.
��
An Act
concerning health insurance coverage of
screening for Alzheimer�s disease and related disorders and supplementing
various parts of the statutory law.
����
Be It
Enacted
by the Senate and General Assembly of
the State of New Jersey:
���� 1.��� a.� A hospital service
corporation contract that provides hospital and medical expense benefits and is
delivered, issued, executed or renewed in this State pursuant to P.L.1938,
c.366 (C.17:48-1 et seq.), or approved for issuance or renewal in this State by
the Commissioner of Banking and Insurance, on or after the effective date of
this act, shall provide coverage for screening for Alzheimer�s disease and
related disorders for a covered person who is 65 years of age or older.
���� b.��� The benefits shall be
provided to the same extent as for any other condition under the contract.
���� c.���� This section shall
apply to those hospital service corporation contracts in which the hospital
service corporation has reserved the right to change the premium.
���� d.��� As used in this section,
"Alzheimer's disease and related disorders" means forms of dementia
characterized by a general loss of intellectual abilities of sufficient
severity to interfere with social or occupational functioning.
���� 2.��� a.� A medical service
corporation contract that provides hospital and medical expense benefits and is
delivered, issued, executed or renewed in this State pursuant to P.L.1940, c.74
(C.17:48A-1 et seq.), or approved for issuance or renewal in this State by the
Commissioner of Banking and Insurance, on or after the effective date of this
act, shall provide coverage for screening for Alzheimer�s disease and related
disorders for a covered person who is 65 years of age or older.
���� b.��� The benefits shall be
provided to the same extent as for any other condition under the contract.
���� c.���� This section shall
apply to those medical service corporation contracts in which the medical
service corporation has reserved the right to change the premium.
���� d.��� As used in this section,
"Alzheimer's disease and related disorders" means forms of dementia
characterized by a general loss of intellectual abilities of sufficient
severity to interfere with social or occupational functioning.
���� 3.��� a.� A health service
corporation contract that provides hospital and medical expense benefits and is
delivered, issued, executed or renewed in this State pursuant to P.L.1985,
c.236 (C.17:48E-1 et seq.), or approved for issuance or renewal in this State by
the Commissioner of Banking and Insurance, on or after the effective date of
this act, shall provide coverage for screening for Alzheimer�s disease and
related disorders for a covered person who is 65 years of age or older.
���� b.��� The benefits shall be
provided to the same extent as for any other condition under the contract.
���� c.���� This section shall
apply to those health service corporation contracts in which the health service
corporation has reserved the right to change the premium.
���� d.��� As used in this section,
"Alzheimer's disease and related disorders" means forms of dementia
characterized by a general loss of intellectual abilities of sufficient
severity to interfere with social or occupational functioning.
���� 4.��� a.� An individual health
insurance policy that provides hospital and medical expense benefits and is
delivered, issued, executed or renewed in this State pursuant to N.J.S.17B:26-1
et seq., or approved for issuance or renewal in this State by the Commissioner
of Banking and Insurance, on or after the effective date of this act, shall
provide coverage for screening for Alzheimer�s disease and related disorders
for a covered person who is 65 years of age or older.
���� b.��� The benefits shall be
provided to the same extent as for any other condition under the policy.
���� c.���� This section shall
apply to those individual health insurance policies in which the insurer has
reserved the right to change the premium.
���� d.��� As used in this section,
"Alzheimer's disease and related disorders" means forms of dementia
characterized by a general loss of intellectual abilities of sufficient
severity to interfere with social or occupational functioning.
���� 5.��� a.� A group health
insurance policy that provides hospital and medical expense benefits and is
delivered, issued, executed or renewed in this State pursuant to
N.J.S.17B:27-26 et seq., or approved for issuance or renewal in this State by
the Commissioner of Banking and Insurance, on or after the effective date of
this act, shall provide coverage for screening for Alzheimer�s disease and
related disorders for a covered person who is 65 years of age or older.
���� b.��� The benefits shall be
provided to the same extent as for any other condition under the policy.
���� c.���� This section shall
apply to those group health insurance policies in which the insurer has
reserved the right to change the premium.
���� d.��� As used in this section,
"Alzheimer's disease and related disorders" means forms of dementia
characterized by a general loss of intellectual abilities of sufficient
severity to interfere with social or occupational functioning.
���� 6.��� a.� An individual health
benefits plan that provides hospital and medical expense benefits and is
delivered, issued, executed or renewed in this State pursuant to P.L.1992,
c.161 (C.17B:27A-2 et seq.), or approved for issuance or renewal in this State
by the Commissioner of Banking and Insurance, on or after the effective date of
this act, shall provide coverage for screening for Alzheimer�s disease and
related disorders for a covered person who is 65 years of age or older.
���� b.��� The benefits shall be
provided to the same extent as for any other condition under the contract.
���� c.���� This section shall
apply to those health benefits plans in which the carrier has reserved the
right to change the premium.
���� d.��� As used in this section,
"Alzheimer's disease and related disorders" means forms of dementia
characterized by a general loss of intellectual abilities of sufficient
severity to interfere with social or occupational functioning.
���� 7.��� a.� A small employer
health benefits plan that provides hospital and medical expense benefits and is
delivered, issued, executed or renewed in this State pursuant to P.L.1992,
c.162 (C.17B:27A-17 et seq.), or approved for issuance or renewal in this State
by the Commissioner of Banking and Insurance, on or after the effective date of
this act, shall provide coverage for screening for Alzheimer�s disease and
related disorders for a covered person who is 65 years of age or older.
���� b.��� The benefits shall be
provided to the same extent as for any other condition under the contract.
���� c.���� This section shall
apply to those health benefits plans in which the carrier has reserved the
right to change the premium.
���� d.��� As used in this section,
"Alzheimer's disease and related disorders" means forms of dementia
characterized by a general loss of intellectual abilities of sufficient
severity to interfere with social or occupational functioning.
���� 8.��� a.� A health maintenance
organization contract for health care services that is delivered, issued,
executed, or renewed in this State pursuant to P.L.1973, c.337 (C.26:2J-1 et
seq.), or approved for issuance or renewal in this State by the Commissioner of
Banking and Insurance, on or after the effective date of this act, shall
provide coverage for screening for Alzheimer�s disease and related disorders
for a covered person who is 65 years of age or older.
���� b.��� The benefits shall be
provided to the same extent as for any other condition under the contract.
���� c.���� This section shall
apply to those contracts for health care services under which the health
maintenance organization has reserved the right to change the schedule of
charges for enrollee coverage.
���� d.��� As used in this section,
"Alzheimer's disease and related disorders" means forms of dementia
characterized by a general loss of intellectual abilities of sufficient
severity to interfere with social or occupational functioning.
���� 9.��� a.� The State Health
Benefits Commission shall ensure that every contract purchased by the
commission on or after the effective date of this act that provides hospital
and medical expense benefits shall provide coverage for screening for
Alzheimer�s disease and related disorders for a covered person who is 65 years
of age or older.
���� b.��� The benefits shall be
provided to the same extent as for any other condition under the contract.
���� c.���� As used in this
section, "Alzheimer's disease and related disorders" means forms of
dementia characterized by a general loss of intellectual abilities of
sufficient severity to interfere with social or occupational functioning.
���� 10.� a.� The School Employees�
Health Benefits Commission shall ensure that every contract purchased by the
commission on or after the effective date of this act that provides hospital
and medical expense benefits shall provide coverage for screening for Alzheimer�s
disease and related disorders for a covered person who is 65 years of age or
older.
���� b.��� The benefits shall be
provided to the same extent as for any other condition under the contract.
���� c.���� As used in this
section, "Alzheimer's disease and related disorders" means forms of
dementia characterized by a general loss of intellectual abilities of
sufficient severity to interfere with social or occupational functioning.
���� 11. This act shall take effect
on the 180th day following enactment, and shall apply to contracts delivered,
issued, executed, or renewed on or after that date.
STATEMENT
���� This bill requires health
insurance carriers (insurance companies, health, hospital, and medical service
corporations, health maintenance organizations, and State and School Employees'
Health Benefits Program contracts) to provide coverage for screening for
Alzheimer�s disease and related disorders for a covered person who is 65 years
of age or older.
���� As used in the bill,
"Alzheimer's disease and related disorders" means forms of dementia
characterized by a general loss of intellectual abilities of sufficient
severity to interfere with social or occupational functioning.