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Bill > S1972
NJ S1972
NJ S1972Lowers age at which certain insurers are required to provide coverage for mammograms.
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 insurers (health, hospital and medical service corporations, commercial individual and group health insurers, health maintenance organizations, 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) to provide coverage for mammograms for women 35 years of age or older. Existing law requires insurers to provide the coverage for women 40 years of age or older. Under the bill, insurers are required to provide coverage for one baseline mammogram examination for women who are 35 years of age; a mammogram examination every year for women age 35 and over; and, in the case of a woman who is under 35 years of age and has a family history of breast cancer or other breast cancer risk factors, a mammogram examination at such age and intervals as deemed medically necessary by the woman's health care provider.
AI Summary
This bill requires various health insurers, including health, hospital, and medical service corporations, commercial individual and group health insurers, health maintenance organizations (HMOs), and plans for state and school employees, to cover mammograms for women starting at age 35, lowering the previous age requirement of 40. Specifically, it mandates coverage for a baseline mammogram for women aged 35, annual mammograms for women aged 35 and older, and mammograms for women under 35 with a family history of breast cancer or other risk factors, as deemed medically necessary by their healthcare provider. The bill also continues to require coverage for additional breast imaging like ultrasounds or MRIs if a mammogram shows dense tissue, is abnormal, or if the patient has other risk factors, with such coverage potentially subject to medical necessity review by the insurer.
Committee Categories
Business and Industry
Sponsors (2)
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/S1972 |
| BillText | https://pub.njleg.gov/Bills/2026/S2000/1972_I1.HTM |
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