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NJ S564
NJ S564Requires health insurance coverage of prenatal genetic test during first trimester of pregnancy.
summary
Introduced
01/13/2026
01/13/2026
In Committee
01/13/2026
01/13/2026
Crossed Over
Passed
Dead
Introduced Session
2026-2027 Regular Session
Bill Summary
This bill requires health insurance coverage of a prenatal genetic test during the first trimester of pregnancy. Under the bill, health insurance carriers (including insurance companies, hospital service corporations, medical service corporations, health service corporations, health maintenance organizations authorized to issue health benefits plans in New Jersey, and any entities contracted to administer health benefits in connection with the State Health Benefits Program and School Employees' Health Benefits Program) will be required to cover a prenatal genetic test during the first trimester of a pregnancy. The methods of testing for which benefits will be provided will include, but not be limited to, a carrier screening, a nuchal translucency screening, and a chorionic villus sampling. For the purpose of this bill, "carrier screening" means a blood sample or tissue sample swabbed from inside the cheek of an individual to determine whether the individual carries a gene for certain inherited disorders.
AI Summary
This bill mandates that various health insurance providers in New Jersey, including insurance companies, hospital and medical service corporations, health service corporations, and health maintenance organizations (HMOs), as well as entities administering benefits for the State Health Benefits Program and School Employees' Health Benefits Program, must cover prenatal genetic tests performed during the first trimester of pregnancy. These covered tests include, but are not limited to, carrier screening, which involves analyzing blood or cheek swab samples to identify if an individual carries genes for inherited disorders, as well as nuchal translucency screening and chorionic villus sampling. This coverage requirement applies to new and renewed insurance policies and contracts, ensuring that these important prenatal diagnostic services are accessible to pregnant individuals.
Committee Categories
Business and Industry
Sponsors (3)
Last Action
Introduced in the Senate, Referred to Senate Commerce Committee (on 01/13/2026)
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/2026/S564 |
| BillText | https://pub.njleg.gov/Bills/2026/S1000/564_I1.HTM |
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