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Mandating medical

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ACIP recommendations frequently become mandatory through actions of state legislatures, or through state health departments to which legislatures have delegated such authority.

State policy is generally enforced by school districts, which set requirements for school attendance.

The Act requires a review of proposed mandated health benefits by an expert body to provide the Legislature with adequate and independent documentation defining the social and financial impact and medical efficacy of the proposed mandate. Mandated health benefits are defined as a benefit or coverage that is required by New Jersey law to be provided by any company authorized to transact health insurance in New Jersey in health policies and contracts issued in New Jersey, regardless of the state of domicile of the company.

Mandated Health Benefits include coverage for specific health care services, treatments or practices, or direct reimbursement to specific health care providers.

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Health benefits plans do not include the following plans, policies or contracts: accident only, credit, disability, long-term care, coverage arising out of workers' compensation or similar law, automobile medical payment insurance, personal injury protection insurance issued pursuant to P. 1972, c.70 (C.39:6A-1 et seq.) or hospital confinement indemnity coverage.EMTALA applies to "participating hospitals." The statute defines "participating hospitals" as those that accept payment from the Department of Health and Human Services, Centers for Medicare and Medicaid Services (CMS) under the Medicare program.or roughly 44% of all medical expenditures in the U.ospitals and health care systems now often mandate influenza vaccinations for their employees, and they may apply to everyone in the system, from janitors to chief executive officers. The Centers for Disease Control and Prevention (CDC) reported that vaccination coverage among health care personnel during the 2014-2015 season was 44.0% in settings where vaccine was not offered, promoted, or required and 73.6% or 83.9%, respectively, when vaccine was offered free on site for 1 day or multiple days. “There are no direct data, but there are some indications that clearly show a trend toward more and more hospitals and health systems adopting policies that mandate their employees be immunized yearly against influenza,” said Paul Carson, MD, FACP, director of infection control and prevention at Sanford Medical Center in Fargo, N. “Based upon self-reporting to the Immunization Action Coalition, it is probably safe to assume that, at a minimum, somewhere around 10% of hospitals have adopted these policies, and likely it is much higher than that,” he said.For many health care organizations and infectious disease specialists, the reasons for mandating the yearly vaccine are compelling.Some children, as reported by ABC's 20/20, are being home schooled because they have not received all the required vaccines.