This bill requires all health insurance policies in New Jersey, including those for groups, individuals, and small employers, to cover the costs of diagnostic and supplemental breast examinations without any cost-sharing for the insured. It prohibits the delivery, issuance, execution, or renewal of contracts from group or individual hospital service corporations, medical service corporations, health service corporations, and individual health insurance policies unless they include these benefits. The bill ensures that these breast examinations are treated like other medical conditions and applies to high-deductible health plans in accordance with federal law.
Additionally, the bill defines "diagnostic breast examination" and "supplemental breast examination" based on the National Comprehensive Cancer Network Guidelines, specifying the types of examinations included. It mandates that health insurance carriers, including health maintenance organizations and State and School Employees' Health Benefits Programs, provide this coverage without cost-sharing. The provisions apply to all relevant contracts and policies issued or renewed after the effective date, aiming to enhance access to essential breast health screenings and promote early detection and prevention of breast cancer.