This bill amends New Jersey law to enhance health insurance coverage for mammograms, lowering the age for baseline mammogram examinations from 40 to 35 years. It mandates that women aged 35 and older receive one baseline mammogram and annual screenings thereafter. Additionally, women under 35 with a family history of breast cancer or other risk factors can receive mammograms as deemed necessary by their healthcare provider. The bill also requires coverage for additional diagnostic tests, such as ultrasounds or MRIs, if the initial mammogram indicates dense breast tissue or other risk factors.
Moreover, the legislation introduces a requirement for the School Employees Health Benefits Commission to ensure that health plans purchased after the bill's effective date comply with these updated mammogram coverage requirements. The coverage must be provided to the same extent as for any other medical condition under the respective health benefits plans. This initiative aims to improve early detection and treatment of breast cancer by making necessary screenings more accessible to women at a younger age.
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