Bill

Bill > A4093


NJ A4093

NJ A4093
Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.


summary

Introduced
05/26/2022
In Committee
11/27/2023
Crossed Over
06/30/2023
Passed
Dead
01/08/2024

Introduced Session

2022-2023 Regular Session

Bill Summary

Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.

AI Summary

This bill requires health insurers, the State Health Benefits Program (SHBP), and the School Employees' Health Benefits Program (SEHBP) to cover mammograms for women over 35 and women under 35 with certain risk factors. Specifically, it mandates coverage for one baseline mammogram for women 35 and older, annual mammograms for women 35 and over, and mammograms as deemed medically necessary for women under 35 with a family history of breast cancer or other risk factors. The bill also requires coverage for additional breast screening and diagnostic tests, such as ultrasounds and MRIs, if the initial mammogram shows dense breast tissue or other abnormalities, or if the patient has additional risk factors. This coverage must be provided to the same extent as for other medical conditions under the health plan.

Committee Categories

Budget and Finance, Business and Industry

Sponsors (20)

Last Action

Received in the Senate, Referred to Senate Commerce Committee (on 11/27/2023)

bill text


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