Bill

Bill > S3060


NJ S3060

Expands requirements for health insurance carriers concerning prostate cancer screening and requires coverage be provided without cost sharing.


summary

Introduced
04/08/2024
In Committee
04/08/2024
Crossed Over
Passed
Dead

Introduced Session

2024-2025 Regular Session

Bill Summary

As amended, this bill requires health, hospital, and medical service corporations, health maintenance organizations, and commercial group health insurers to provide coverage for an annual prostate cancer screening without cost sharing for men who are between 40 and 75 years of age. Under current law, these health insurance carriers are required only to provide coverage for an annual medically recognized diagnostic examination including, but not limited to, a digital rectal examination and a prostate-specific antigen test for men age 50 and over who are asymptomatic and for men age 40 and over with a family history of prostate cancer or other prostate cancer risk factors. The bill expands the definition of "prostate cancer screening" to mean medically viable methods for the detection and diagnosis of prostate cancer, which includes a digital rectal exam and the prostate-specific antigen test and associated laboratory work. "Prostate cancer screening" shall also include subsequent follow up testing as direct by a physician, including, but not limited to: (1) urinary analysis; (2) serum biomarkers; (3) medical imaging, including, but not limited to, magnetic resonance imaging. The bill also extends the prostate cancer screening requirements to commercial individual health insurers, health benefits plans issued pursuant to the New Jersey Individual Health Coverage and Small Employer Health Benefits Programs, the State Health Benefits Program, and the School Employees' Health Benefits Program, which are not required to provide this coverage under current law.

AI Summary

This bill expands the requirements for health insurance carriers in New Jersey to provide coverage for prostate cancer screening. It requires health, hospital, and medical service corporations, health maintenance organizations, and commercial group and individual health insurers to cover annual prostate cancer screening, including a digital rectal exam and prostate-specific antigen (PSA) test, without any cost-sharing for men between the ages of 40 and 75. The bill also expands the definition of "prostate cancer screening" to include additional follow-up testing such as urinary analysis, serum biomarkers, and medical imaging. Additionally, the bill extends these prostate cancer screening coverage requirements to the State Health Benefits Program and the School Employees' Health Benefits Program.

Committee Categories

Business and Industry

Sponsors (11)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 04/08/2024)

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