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NJ A1679

Bill

Status

Introduced

1/9/2024

Primary Sponsor

Reginald Atkins

Click for details

Origin

General Assembly

2024-2025 Regular Session

AI Summary

  • Lowers the age for baseline mammogram coverage from 40 to 35 years old, with annual mammograms required for women 35 and over

  • Women under 35 with family history of breast cancer or other risk factors must receive coverage for mammograms at medically necessary intervals determined by their health care provider

  • Requires coverage for additional testing (ultrasound, MRI, 3D mammography) after baseline mammograms showing extremely dense breast tissue, abnormal results, or when patients have elevated risk factors

  • Applies to all health insurers including hospital/medical service corporations, commercial insurers, HMOs, individual and small employer health benefits plans, and the State Health Benefits Program (SHBP)

  • Adds new requirement for School Employees' Health Benefits Program (SEHBP) to provide the same mammogram coverage, which was not previously mandated under state law

Legislative Description

Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.

Appropriations

Last Action

Reported and Referred to Assembly Appropriations Committee

5/20/2024

Committee Referrals

Appropriations5/20/2024
Financial Institutions and Insurance1/9/2024

Full Bill Text

No bill text available