Bill
Bill > S722
NJ S722
NJ S722Establishes "New Jersey Menopause Coverage Act"; requires health insurance coverage of medically necessary perimenopause and menopause treatments.
summary
Introduced
01/13/2026
01/13/2026
In Committee
01/13/2026
01/13/2026
Crossed Over
Passed
Dead
01/13/2026
01/13/2026
Signed/Enacted/Adopted
01/13/2026
01/13/2026
Introduced Session
2026-2027 Regular Session
Bill Summary
This bill establishes the "New Jersey Menopause Coverage Act" and requires health insurance coverage of medically necessary perimenopause and menopause treatments. 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, entities contracted to administer health benefits in connection with the State Health Benefits Program and School Employees' Health Benefits Program, and the New Jersey FamilyCare Program) will be required to cover medically necessary treatment for perimenopause, menopause, and symptoms associated with perimenopause and menopause, including but not limited to: (1) hormonal therapies such as hormone replacement therapy and bioidentical hormone treatments; (2) non-hormonal treatments, including medications to manage menopausal symptoms; (3) behavioral health care services; (4) pelvic floor physical therapy; (5) bone health treatments, including screenings, medications, and supplements, due to hormonal changes related to perimenopause and menopause; (6) preventative services for early detection and treatment of health conditions related to perimenopause and menopause such as cardiovascular disease, osteoporosis, and cancer; and (7) counseling and education regarding menopause management. The bill also requires that carriers are to provide clear and accessible information to covered persons regarding perimenopause and menopause treatments. For the purpose of this bill, "menopause" means the natural and permanent end of a female's menstrual cycle, diagnosed by a licensed medical provider after 12 consecutive months without a menstrual period. "Perimenopause" means the transitional period leading to menopause, marked by fluctuating hormone levels and changes in menstrual cycles.
AI Summary
This bill, known as the "New Jersey Menopause Coverage Act," mandates that health insurance providers in New Jersey must cover medically necessary treatments for perimenopause and menopause, which are defined as the transitional period leading to menopause and the natural end of a woman's menstrual cycle, respectively. This coverage will extend to a range of treatments including hormonal therapies like hormone replacement therapy and bioidentical hormones, non-hormonal medications, behavioral health services, pelvic floor physical therapy, bone health treatments, preventative screenings for conditions like cardiovascular disease and cancer, and counseling related to menopause management. The bill also requires insurers to provide clear information about these covered treatments to their policyholders and applies to various types of health insurance plans, including those offered by hospital service corporations, medical service corporations, health service corporations, individual and group policies, health maintenance organizations (HMOs), and state-administered programs like the State Health Benefits Program and the School Employees' Health Benefits Program, as well as the New Jersey FamilyCare Program.
Committee Categories
Business and Industry
Sponsors (3)
Last Action
Withdrawn Because Approved P.L.2025, c.200. (on 01/13/2026)
Bill Topics
Health
- ‐ Disease Prevention
- ‐ Health Insurance Reform
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location | Created |
|---|---|---|
| State Bill Page | https://www.njleg.state.nj.us/bill-search/2026/S722 | 01/14/2026 |
| BillText | https://pub.njleg.gov/Bills/2026/S1000/722_I1.HTM | 01/14/2026 |
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