S.1554

Breann's Law requires health insurers, SHBP, and NJ FamilyCare to provide out-of-network coverage for children with catastrophic illnesses.

Breann's Law mandates that health insurers, the State Health Benefits Plan, and NJ FamilyCare provide out-of-network coverage for children diagnosed with catastrophic illnesses. This coverage must be provided to the same extent as in-network benefits. A catastrophic illness is defined as an acute or prolonged condition that is life-threatening or poses a serious risk of residual disability. The law applies to various health benefit plans and contracts, ensuring that children with severe medical conditions have access to necessary out-of-network services.