The New Jersey Menopause Coverage Act requires health insurance plans to cover 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 provided on par with other medical conditions and that health insurance providers offer clear and accessible information about the available treatments.

Additionally, the Act amends existing law to ensure that these benefits are included in the medical assistance program, emphasizing their importance alongside other medical conditions. It also clarifies the definitions of menopause and perimenopause, with menopause defined as the permanent end of a female's menstrual cycle and perimenopause as the transitional phase leading to menopause. The provisions apply to all relevant health benefit contracts issued or renewed after the bill's effective date, ensuring comprehensive coverage for individuals experiencing these natural life stages.

Statutes affected:
Introduced: 30:4D-6