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A2438 • 2026

Prohibits pre-approval or precertification of prenatal ultrasound screenings covered under health benefits plans.

Prohibits pre-approval or precertification of prenatal ultrasound screenings covered under health benefits plans.

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
McCoy, Tennille R.
Last action
2026-01-13
Official status
Introduced, Referred to Assembly Financial Institutions and Insurance Committee
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Prohibits pre-approval or precertification of prenatal ultrasound screenings covered under health benefits plans.

Prohibits pre-approval or precertification of prenatal ultrasound screenings covered under health benefits plans.

What This Bill Does

  • Prohibits pre-approval or precertification of prenatal ultrasound screenings covered under health benefits plans.
  • Topic: Financial Institutions and Insurance Fiscal note: This bill has been certified by OLS for a fiscal note.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-01-13 New Jersey Legislature

    Introduced, Referred to Assembly Financial Institutions and Insurance Committee

Official Summary Text

Prohibits pre-approval or precertification of prenatal ultrasound screenings covered under health benefits plans.
Topic:
Financial Institutions and Insurance
Fiscal note:
This bill has been certified by OLS for a fiscal note.

Current Bill Text

Read the full stored bill text 
A2438

ASSEMBLY, No. 2438

STATE OF NEW JERSEY

222nd LEGISLATURE

�

PRE-FILED FOR INTRODUCTION IN THE 2026 SESSION

Sponsored by:

Assemblywoman TENNILLE R. MCCOY

District 14 (Mercer and Middlesex)

Assemblywoman ROSAURA "ROSY" BAGOLIE

District 27 (Essex and Passaic)

Co-Sponsored by:

Assemblywoman Speight and Assemblyman Sampson

SYNOPSIS

���� Prohibits pre-approval or precertification of
prenatal ultrasound screenings covered under health benefits plans.

CURRENT VERSION OF TEXT

���� Introduced Pending Technical Review by Legislative
Counsel.

��

An Act

concerning pre-approval and precertification of
certain ultrasound screenings and supplementing various parts of the statutory
law.

����
Be It
Enacted
by the Senate and General Assembly of
the State of New Jersey:

���� 1.��� Notwithstanding the
provisions of any other law, rule or regulation to the contrary, a carrier
shall not condition the payment of any benefit for a prenatal ultrasound
screening upon any pre-approval or precertification of any kind by the carrier
if that prenatal ultrasound screening is otherwise covered under the health
benefits plan and it has been prescribed by a licensed health care provider.

���� 2.��� Notwithstanding the
provisions of any other law, rule or regulation to the contrary, a third party
administrator shall not condition the payment of any benefit for a prenatal
ultrasound screening upon any pre-approval or precertification of any kind by the
third party administrator or benefits payer if that prenatal ultrasound
screening is otherwise covered under the health benefits plan and it has been
prescribed by a licensed health care provider.

���� 3.��� Notwithstanding the
provisions of any other law, rule or regulation to the contrary, a contract for
health benefits purchased by the State Health Benefits Program shall not
condition the payment of any benefit for a prenatal ultrasound screening upon
any pre-approval or precertification of any kind if that prenatal ultrasound
screening is otherwise covered under the health benefits plan and it has been
prescribed by a licensed health care provider.

���� 4.��� Notwithstanding the
provisions of any other law, rule or regulation to the contrary, a contract for
health benefits purchased by the School Employees� Health Benefits Program
shall not condition the payment of any benefit for a prenatal ultrasound screening
upon any pre-approval or precertification of any kind if that prenatal
ultrasound screening is otherwise covered under the health benefits plan and it
has been prescribed by a licensed health care provider.

���� 5.��� This act shall take
effect immediately and apply to health benefits plans issued or purchased on or
after that date.

STATEMENT

����� This bill prohibits health insurers, third party
administrators, and the State Health Benefits Program and the School Employees�
Health Benefits Program from requiring the pre-approval or precertification of
prenatal ultrasound screenings covered under a health benefits plan.