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Bill > S2666


NJ S2666

NJ S2666
Requires health care professional to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.


summary

Introduced
02/12/2024
In Committee
02/12/2024
Crossed Over
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill requires any health care provider engaged in the diagnosis or treatment of breast cancer to concurrently order an ultrasound evaluation, a magnetic resonance imaging scan, a three-dimensional mammography, or other additional testing of an entire breast or breasts when ordering a mammogram examination if a woman has additional risk factors for breast cancer or other indications as determined by the provider. The bill also requires health insurers to cover the ultrasound evaluation, a magnetic resonance imaging scan, a three-dimensional mammography, or other additional testing of an entire breast or breasts of a woman of color when concurrently ordered with a mammogram examination. The bill provides that the health benefits coverage requirements apply to: health, hospital, and medical service corporations; commercial, individual, and group health insurers; health maintenance organizations; and health benefits plans issued pursuant to the New Jersey Individual Health Coverage and Small Employer Health Benefits Programs. The bill provides the requirements for coverage also apply to the State Health Benefits Program, which by law requires similar health benefits coverage under the School Employees' Health Benefits Program.

AI Summary

This bill mandates that healthcare providers must order a bilateral ultrasound, magnetic resonance imaging (MRI), 3D mammography, or other comprehensive breast imaging concurrently with a mammogram if a woman has increased risk factors for breast cancer or other medical indications, ensuring a more thorough evaluation. It also requires health insurers, including various types of corporations and plans like health maintenance organizations (HMOs) and the State Health Benefits Program, to cover these additional imaging tests when ordered alongside a mammogram, particularly for women of color who may have specific risk factors. This legislation aims to improve early detection and diagnosis of breast cancer by ensuring that comprehensive imaging is performed when deemed medically necessary, regardless of breast density or other risk factors, and that insurance coverage is provided for these essential tests.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 02/12/2024)

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