This bill amends New Jersey law to enhance health insurance coverage for mammograms, specifically lowering the age requirement for baseline mammograms from 40 to 35 years. It mandates that women aged 35 and older receive annual mammograms, while also allowing women under 35 with a family history of breast cancer or other risk factors to receive mammograms as deemed necessary by their healthcare provider. Additionally, the bill requires coverage for further diagnostic tests, such as ultrasounds or MRIs, if the initial mammogram reveals dense breast tissue or other risk factors.

The legislation also extends these coverage requirements to the State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP), ensuring that all relevant health plans provide the same level of mammogram coverage. The bill clarifies that the required coverage must be provided to the same extent as for any other medical condition under the insurance contracts. This legislation is set to take effect immediately and will apply to all health benefits plans currently in effect or renewed after the effective date.

Statutes affected:
Introduced: 17:48-6, 17:48A-7, 17:48E-35.4, 17B:26-2.1, 17B:27-46.1, 26:2J-4.4, 17B:27A-7.10, 17B:27A-19.13, 52:14-17.29