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NJ S4309
Bill
Status
5/12/2025
Primary Sponsor
Linda Greenstein
Click for details
AI Summary
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Health insurance carriers must cover diagnostic breast examinations (to evaluate abnormalities found during screening or other exams) without any deductibles, copayments, or coinsurance
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Supplemental breast examinations for individuals at increased risk of breast cancer must also be covered without cost-sharing, including those with dense breast tissue or relevant family/personal medical history
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Covered examination methods include contrast-enhanced mammography, diagnostic mammography, breast MRI, breast ultrasound, and molecular breast imaging, following National Comprehensive Cancer Network Guidelines
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Requirements apply to all major insurance types: commercial insurers, HMOs, hospital/medical/health service corporations, individual and small employer plans, and State/School Employees' Health Benefits Programs
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Takes effect on the first day of the fourth month following enactment and applies to all new and renewed policies after that date
Legislative Description
Requires health insurance coverage of diagnostic and supplemental breast examinations without cost-sharing.
Commerce
Last Action
Introduced in the Senate, Referred to Senate Commerce Committee
5/12/2025