Bill
Bill > S1330
NJ S1330
NJ S1330"Michelle's Law"; requires health benefit plans to cover mammogram for an individual if recommended by health care provider.
summary
Introduced
01/09/2024
01/09/2024
In Committee
01/09/2024
01/09/2024
Crossed Over
Passed
Dead
01/12/2026
01/12/2026
Introduced Session
2024-2025 Regular Session
Bill Summary
This bill requires health benefit plans to cover the cost of a mammogram if a health care provider recommends the examination. Presently, health benefit plans are only required to cover mammograms for women who are 40 and over or women under the age of 40 if they have a family history of breast cancer or other breast cancer related risk factor. Health benefit plans must also cover additional testing of an entire breast or breasts after a baseline mammogram examination. Under this bill, health benefit plans will be required to cover the cost of a mammogram examination, and any additional testing after the examination, if the health care provider of the subscriber or other person covered under the plan recommends it. Mammograms for women 40 and over will still be covered under this bill. This bill, named "Michelle's Law," is in response to the tragic death of Michelle DeVita. Michelle was a 38-year-old woman who lost her battle to breast cancer. Under the requirements of the current law, insurance was not required to provide her coverage for a mammogram.
AI Summary
This bill, named "Michelle's Law," requires health benefit plans to cover the cost of a mammogram if a health care provider recommends the examination, regardless of the individual's age or risk factors. Currently, health benefit plans are only required to cover mammograms for women who are 40 and over or women under 40 with a family history of breast cancer or other risk factors. This bill expands coverage to include additional testing, such as ultrasounds, MRI scans, and 3D mammography, if recommended by the individual's health care provider. The bill is in response to the tragic death of Michelle DeVita, a 38-year-old woman who lost her battle to breast cancer under the requirements of the current law, which did not require insurance to provide coverage for her mammogram.
Committee Categories
Health and Social Services
Sponsors (4)
Last Action
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 01/09/2024)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.njleg.state.nj.us/bill-search/2024/S1330 |
| BillText | https://pub.njleg.gov/Bills/2024/S1500/1330_I1.HTM |
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