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NJ S4148
Bill
Status
2/25/2025
Primary Sponsor
John Burzichelli
Click for details
AI Summary
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Requires all health insurance plans in New Jersey to cover medically necessary treatments for women diagnosed with perimenopause and menopause, including hormone replacement therapy, bioidentical hormones, and non-hormonal medications
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Mandates coverage for behavioral health services, pelvic floor physical therapy, bone health treatments (screenings and medications), and menopause management counseling
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Requires coverage of preventive services rated "A" or "B" by the U.S. Preventive Services Task Force for conditions related to perimenopause and menopause, including osteoporosis and cancer screening
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Applies to hospital service corporations, medical service corporations, health maintenance organizations, individual and group health policies, small employer plans, State Health Benefits Program, and School Employees' Health Benefits Program
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Takes effect 90 days after enactment for most plans, with individual health benefits plans effective January 1, 2027; insurers must provide clear information to covered persons about available menopause-related benefits
Legislative Description
Establishes "New Jersey Menopause Coverage Act"; requires health insurance coverage of medically necessary perimenopause and menopause treatments.
Substituted by another Bill
Last Action
Substituted by A5278 (2R)
12/22/2025