Bill > S4148

This bill establishes the "New Jersey Menopause Coverage Act" which requires health insurance providers, including hospital service corporations, medical service corporations, health service corporations, individual health plans, small employer health benefit plans, and state health benefit programs, to provide comprehensive coverage for medically necessary perimenopause and menopause treatments. The coverage must include a wide range of services such as hormonal and non-hormonal therapies, behavioral health care services, pelvic floor physical therapy, bone health treatments, preventative services with an "A" or "B" rating from the United States Preventive Services Task Force, and counseling regarding menopause management. Insurance providers must offer clear and accessible information about these treatments and provide benefits for these services to the same extent as for any other medical condition. The bill defines menopause as the permanent end of a female's menstrual cycle (diagnosed after 12 consecutive months without a period) and perimenopause as the transitional period leading to menopause, characterized by fluctuating hormone levels and changes in menstrual cycles. The act will take effect 90 days after enactment, with most policies applying immediately, though individual health plans will have until January 1, 2027, to implement the new coverage requirements.

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https://www.njleg.state.nj.us/bill-search/2024/S4148