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Bill

A 2037

Requires insurance companies to provide at least ninety days of rehabilitation services to an insured upon a doctor's prescription

2025 Regular Session Introduced by Ken Blankenbush and 18 co-sponsors

Insurers must cover at least 90 days of doctor-prescribed rehabilitation for insured patients, boosting access to rehab and support for providers.

REFERRED TO INSURANCE
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Bill Summary · A 2037

Summary of Bill A 2037

Purpose and Intent

Bill A 2037 would require insurance companies to provide insured individuals with a minimum of 90 days of rehabilitation services upon a doctor’s prescription. The core aim is to ensure access to structured rehabilitation care, potentially improving recovery outcomes and reducing gaps in post-acute treatment.

Key Provisions

  • Mandate: Insurance providers must cover at least 90 days of rehabilitation services for an insured, when prescribed by a physician.
  • Trigger: The 90-day coverage requirement is activated by a doctor’s prescription.
  • Coverage scope: The text provided does not specify the exact types of rehabilitation services included (e.g., physical therapy, occupational therapy, speech therapy) or any caps beyond the 90-day minimum. The bill’s summary notes only the 90-day rehabilitation requirement.

Who Is Affected

  • Insurers: Health and/or casualty insurers regulated by the state would need to comply with the 90-day rehabilitation coverage requirement.
  • Insured individuals: Patients who receive a doctor’s prescription for rehabilitation services would benefit from guaranteed access to 90 days of covered services.
  • Providers: Rehabilitation service providers (physical therapists, occupational therapists, etc.) may experience changes in reimbursement processes and patient access.

Timeline and Status

  • Introduced: January 14, 2025.
  • Status: Referred to the Assembly Committee on Insurance. The legislative actions listed show two entries for “REFERRED TO INSURANCE” on January 14, 2025, indicating placement in committee for consideration.
  • Procedural note: As a committee-referred bill, it has not yet advanced to floor votes or passage. Further committee action or amendments would determine its progression.

Legislative Context and Related Bills

  • Related (prior-session) bills: A 9211, A 492, A 1163, A 3654, A 5436.
  • Senate companion: S 1792 (listed as a companion bill).
  • Relationship: The existence of related and companion bills suggests ongoing interest in broadening or codifying guaranteed rehabilitation coverage and may influence potential amendments or cross-bill alignment.

Sponsors

  • Primary sponsor: Albert A. Stirpe.
  • Notable co-sponsors (selected): William Magnarelli, Jonathan Jacobson, Pamela J. Hunter, Nader Sayegh, Billy Jones, Jo Anne Simon, Linda Rosenthal, Edward Ra, David DiPietro, Joe DeStefano, Catalina Cruz, Phil Steck, Vivian Cook, Marianne Buttenschon, Donna Lupardo, Karines Reyes, Mike Reilly, Kenneth Blankenbush.
  • The broad sponsor list indicates cross-chamber or cross-ideological support typical for a consumer-protection-type health coverage measure.

Notes

  • The summary indicates only the 90-day rehabilitation requirement; additional details such as eligibility, provider network requirements, cost-sharing, annual limits, or carve-outs are not provided in the available text.
  • Readers may want to track the bill’s progress in the Assembly Committee on Insurance for amendments, potential fiscal analyses, and any Senate companion movement (S 1792).

Compiled from official sources — confirm details with the bill’s official record.

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