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Bill > A2775


NJ A2775

NJ A2775
Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.


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 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, and the State Health Benefits Program) to provide coverage for mammograms for women age 35 or older, rather than age 40 and older as is required under current law. In addition, the bill also adds a new requirement for health benefits plans issued pursuant to the School Employees' Health Benefits Program to provide mammogram coverage under the same circumstances.

AI Summary

This bill mandates that health insurers, including various types of corporations and health maintenance organizations (HMOs), as well as the State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP), must cover mammograms for women starting at age 35, lowering the current age requirement from 40. Additionally, for women under 35, coverage will be provided if they have a family history of breast cancer or other risk factors, as determined by their healthcare provider. The bill also ensures coverage for further diagnostic testing, such as ultrasounds or MRIs, if initial mammograms show dense breast tissue or are abnormal, or if the patient has other risk factors, with these provisions applying to all applicable health plans and programs.

Committee Categories

Business and Industry

Sponsors (16)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/13/2026)

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