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NJ S4148

Bill

Status

Introduced

2/25/2025

Primary Sponsor

John Burzichelli

Click for details

Origin

Senate

2024-2025 Regular Session

AI Summary

  • 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

  • Mandates coverage for behavioral health services, pelvic floor physical therapy, bone health treatments (screenings and medications), and menopause management counseling

  • 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

  • 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

  • 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

Committee Referrals

Commerce2/25/2025

Full Bill Text

No bill text available