S 4486 New Jersey Senate · 2024-2025 Regular Session

Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.

This bill requires health insurers, the State Health Benefits Program (SHBP), and the School Employees' Health Benefits Program (SEHBP) to cover mammograms for women starting at age 35, rather than the current age of 40. It also mandates coverage for women under 35 who have a family history of breast cancer or other risk factors, as determined by their healthcare provider. The bill requires coverage for additional breast cancer screening tests like ultrasounds or MRIs if a mammogram shows dense breast tissue, abnormalities, or if other risk factors are present. This applies to all health insurance plans in New Jersey, including individual and group policies, health maintenance organizations, and health benefits plans. The policy change will take effect immediately for all health benefits plans currently in effect or issued after the bill's effective date.
Sub-Topics: Insurance
Bill status in committee 1 of 4 stages cleared
Introduction
May 2025
Committee Review
Floor Vote
Governor
Introduced May 19, 2025 Last action May 19, 2025
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May 19, 2025
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Britnee Timberlake
Britnee Timberlake
DDemocratic
NJ
34