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Bill > A1945


NJ A1945

NJ A1945
Requires health care professionals to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.


summary

Introduced
01/13/2026
In Committee
01/13/2026
Crossed Over
Passed
Dead

Introduced Session

2026-2027 Regular Session

Bill Summary

This bill requires any health care provider engaged in the diagnosis or treatment of breast cancer to concurrently order an ultrasound evaluation, a magnetic resonance imaging scan, three-dimensional mammography, or other additional testing of an entire breast or breasts when ordering a mammogram examination if a woman has additional risk factors for breast cancer or other indications as determined by the provider. The bill also requires health insurers to cover the ultrasound evaluation, a magnetic resonance imaging scan, three-dimensional mammography, or other additional testing of an entire breast or breasts when concurrently ordered with a mammogram examination. The bill provides that the health benefits coverage requirements apply to: health, hospital, and medical service corporations; commercial, individual, and group health insurers; health maintenance organizations; and health benefits plans issued pursuant to the New Jersey Individual Health Coverage and Small Employer Health Benefits Programs. The bill provides the coverage requirements also apply to the State Health Benefits Program, which by law requires similar health benefits coverage under the School Employees' Health Benefits Program.

AI Summary

This bill mandates that healthcare providers concurrently order additional breast imaging, such as ultrasounds, MRIs, or 3D mammograms, alongside a standard mammogram when a woman has increased risk factors for breast cancer or other medical indications, thereby expanding the scope of diagnostic testing beyond just the mammogram itself. Furthermore, it requires health insurers, including various types of health corporations, commercial insurers, health maintenance organizations (HMOs), and state-sponsored health plans like the State Health Benefits Program, to cover these concurrently ordered additional breast imaging tests when prescribed by a healthcare provider, ensuring that these crucial diagnostic tools are accessible to patients.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

Introduced, Referred to Assembly Health Committee (on 01/13/2026)

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