Bill > S4486

This bill requires various health insurance providers in New Jersey, including hospital service corporations, medical service corporations, health service corporations, individual and group health insurance policies, health maintenance organizations, and state health benefit programs, to expand mammogram coverage for women. Specifically, the bill lowers the age for baseline mammogram examinations from 40 to 35 years old, mandates annual mammograms for women 35 and older, and allows women under 35 with a family history of breast cancer or other risk factors to receive mammogram examinations as deemed medically necessary by their healthcare provider. Additionally, the bill requires coverage for supplemental screening tests like ultrasounds, MRI scans, and three-dimensional mammography when certain conditions are met, such as extremely dense breast tissue, abnormal mammogram results, or specific breast cancer risk factors. These provisions apply to all health benefit plans where the carrier has reserved the right to change premiums, and the coverage must be provided to the same extent as other medical conditions. The bill aims to improve early breast cancer detection by expanding access to mammography screenings for women at younger ages and with various risk profiles.

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https://www.njleg.state.nj.us/bill-search/2024/S4486