This bill amends New Jersey law to enhance health insurance coverage for mammograms, lowering the age threshold for baseline screenings from 40 to 35 years. It mandates that health insurers, including the State Health Benefits Program (SHBP) and the School Employees' Health Benefits Program (SEHBP), provide coverage for one baseline mammogram for women at 35 years of age, as well as annual mammograms for women aged 35 and older. Additionally, women under 35 with specific risk factors, such as a family history of breast cancer, are also entitled to receive mammograms as deemed necessary by their healthcare provider.

The legislation further requires coverage for additional diagnostic tests, like ultrasounds or MRIs, if the initial mammogram indicates dense breast tissue or other risk factors. It ensures that these benefits are provided to the same extent as for any other medical condition and introduces a requirement for the School Employees Health Benefits Commission to guarantee that health plans purchased after the bill's effective date include the same mammogram coverage. Overall, this bill aims to improve early detection and treatment of breast cancer among women in New Jersey.

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