N.J. Admin. Code § 11:24-5A.1

Current through Register Vol. 56, No. 24, December 18, 2024

Section 11:24-5A.1 - Scope and purpose

(a) The purpose of this subchapter is to implement N.J.S.A. 26:2S-39, and having concluded a study and issued a report to the Governor and Legislature demonstrating that such a rule is necessary, provide that health benefit plans delivered, issued, executed, or renewed in this State provide coverage for medical and surgical abortion consistent with this subchapter.

(b) This subchapter shall apply to all policies and contracts providing hospital or medical services or benefits that are delivered, issued, executed, or renewed in this State in the individual, small group, and large group markets and all health maintenance organization contracts issued pursuant to N.J.S.A. 26:2J-1 et seq.

(c) This subchapter shall not apply to any policy or contract which, pursuant to a contract between a carrier and the New Jersey Department of Human Services, provides benefits to persons who are eligible for medical assistance pursuant to P.L. 1968, c. 413 (N.J.S.A. 30:4D-1 et seq.); the Children's Health Care Coverage Program pursuant to P.L. 1997, c. 272 (N.J.S.A. 30:4I-1 et seq.); the FamilyCare Health Coverage Program pursuant to P.L. 2000, c. 71 (N.J.S.A. 30:4J-1 et seq.); or any other program administered by the Division of Medical Assistance and Health Services in the New Jersey Department of Human Services.

N.J. Admin. Code § 11:24-5A.1

Adopted by 55 N.J.R. 2007(b), effective 9/18/2023