The New Jersey Menopause Coverage Act requires health insurance plans to provide coverage for medically necessary treatments related to perimenopause and menopause. This includes a variety of services such as hormonal therapies, non-hormonal treatments, behavioral health care, pelvic floor physical therapy, bone health treatments, preventative services for related health conditions, and counseling on menopause management. The bill mandates that these benefits be offered to the same extent as any other medical condition, ensuring comprehensive healthcare coverage for women experiencing these natural life stages. Additionally, insurance providers must supply clear and accessible information to their subscribers regarding the treatments covered.

The Act also stipulates that the School Employees Health Benefits Commission must include these benefits in all health benefit contracts purchased after the bill's effective date. It amends existing law to ensure that these new benefits are recognized under the medical assistance program, treating them with equal importance as other medical conditions. The definitions of menopause and perimenopause are clarified, with menopause defined as the permanent end of a female's menstrual cycle and perimenopause as the transitional phase leading to menopause. This legislation aims to enhance awareness and access to necessary treatments for individuals experiencing these transitional health phases.

Statutes affected:
Introduced: 30:4D-6