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NJ A4209
Bill
Status
2/19/2026
Primary Sponsor
Carol Murphy
Click for details
AI Summary
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Mandates health insurance coverage for the diagnosis, evaluation, and treatment of lymphedema when determined medically necessary by a physician.
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Applies to hospital service corporations, medical service corporations, health service corporations, individual and group health insurance policies, HMOs, and small employer health benefits plans in New Jersey.
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Requires the State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP) to include lymphedema coverage in all contracts.
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Coverage must be provided with the same deductibles, coinsurance, and cost-sharing as similar services under the plan.
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Takes effect on the first day of the seventh month following enactment.
Legislative Description
Requires health insurers, SHBP and SEHBP to provide coverage for diagnosis, evaluation and treatment of lymphedema.
Financial Institutions and Insurance
Last Action
Introduced, Referred to Assembly Financial Institutions and Insurance Committee
2/19/2026