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  • NJ A1977
  • Requires health benefits coverage for mammograms for women under 40 who lack access to family medical history due to their or their parent's adoption.
Introduced
(1/27/2016)
In Committee
(6/1/2017)
Crossed OverPassedSignedDead/Failed/Vetoed
2016-2017 Regular Session
This bill requires health insurers, including health, hospital, and medical service corporations; commercial individual, small employer, and larger group health insurers; health maintenance organizations; and the State Health Benefits Program (SHBP) to provide health benefits coverage for expenses incurred in conducting an annual mammogram for women under 40 years of age who may be at risk for breast cancer but may not have access to their family medical histories because they were adopted, beginning when the woman's physician deems the mammogram to be medically necessary. For women with a family history of breast cancer, many physicians recommend they begin annual mammograms 10 years prior to the age at which their family member was first diagnosed; for some women, this means that they should start having annual mammograms as early as age 25. Currently, most insurers are required to provide benefits for expenses incurred in conducting mammograms for women with a family history of breast cancer at an age and interval deemed to be medically necessary by a woman's health care provider. Adopted women and daughters of adopted parents may not have access to their family's medical history, and thus may not be able to prove their family history to receive insurance coverage for this potentially life-saving screening. According to the Centers for Disease Control and Prevention, breast cancer is the second most fatal cancer among American women. Women with a close relative who has been diagnosed with breast cancer face twice the risk of being diagnosed themselves. Although an estimated 40,000 women died from breast cancer in 2010, earlier detection through screening has helped to steadily decrease this number since 1990. Thus, in order to ensure that younger women without knowledge of their family history, but still at great risk for breast cancer, have access to this potentially life-saving test, this bill extends the annual mammogram requirement to cover adopted women and daughters of adopted parents under the age of 40, as recommended by their physicians.
Financial Institutions and Insurance
Reported and Referred to Assembly Appropriations Committee  (on 6/1/2017)
 
 

Date Chamber Action Description
6/1/2017 A Reported and Referred to Assembly Appropriations Committee
6/1/2017 Assembly Financial Institutions and Insurance Hearing (19:00 6/1/2017 )
1/27/2016 A Introduced, Referred to Assembly Financial Institutions and Insurance Committee
Date Motion Yea Nay Other
Detail 6/1/2017 Assembly Financial Institutions and Insurance Committee: Reported Favorably 13 0 0