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A2301
ASSEMBLY, No. 2301
STATE OF NEW JERSEY
222nd LEGISLATURE
�
PRE-FILED FOR INTRODUCTION IN THE 2026 SESSION
Sponsored by:
Assemblywoman LUANNE M. PETERPAUL
District 11 (Monmouth)
SYNOPSIS
���� Requires certain issuance standards and open
enrollment for Medicare supplement policies.
CURRENT VERSION OF TEXT
���� Introduced Pending Technical Review by Legislative
Counsel.
��
An Act
concerning Medicare supplement policies and
supplementing P.L.1982, c.94 (C.17B:26A-1 et seq.).
����
Be It
Enacted
by the Senate and General Assembly of
the State of New Jersey:
���� 1.��� a.� (1)� An insurer
shall not deny or condition the issuance or effectiveness of any Medicare
supplement policy available for sale in this State, and shall not discriminate
in the pricing of such a policy because of the health status, claims
experience, receipt of health care, or medical condition of an applicant.
Applicants shall be accepted at all times throughout the year for any Medicare
supplement policy available from an issuer.
���� (2)�� The requirements of this
subsection shall be applicable to applicants enrolled in Medicare whether
enrolled by reason of age or by reason of disability.
���� (3)�� This subsection shall
not be construed as preventing an issuer from applying a preexisting condition
limitation in accordance with the requirements of section 4 of P.L.1982, c. 94
(C.17B:26A-4) except as provided in subsection b. of this section.
���� b.��� The issuer of a Medicare
supplement policy shall not impose an exclusion of benefits based upon a
preexisting condition pursuant to that policy or certificate in the case of an
individual described in 42 U.S.C. s.1395ss(s)(3)(B) or (F) who seeks to enroll
under the Medicare supplement policy during the period specified in 42 U.S.C.
s.1395ss(s)(3)(E) and who submits evidence of the date of termination,
disenrollment, or Medicare Part D enrollment along with the application for
that Medicare supplement policy.
���� 2.��� This act shall take
effect on the 90th day next following enactment.
STATEMENT
���� This bill requires certain
issuance standards for Medicare supplement policies, and provides that those
policies must have a continuous open enrollment period.
���� Specifically, the bill
prohibits issuers of Medicare supplement policies from denying or conditioning
the issuance or effectiveness of a policy or discriminating in the pricing of a
policy because of the health status, claims experience, receipt of health care,
or medical condition of an applicant.� The bill also requires applicants to be
accepted at all times throughout the year for any Medicare supplement policies
available from an issuer.
���� The requirements of the bill
are applicable to applicants enrolled in Medicare whether enrolled by reason of
age or by reason of disability.