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

This New Jersey bill (S 2716) requires health insurers, State Health Benefits Program (SHBP), and State Employees Health Benefits Program (SEHBP) plans to cover mammograms for all women aged 35 and older annually, and for women under 35 with specific risk factors like family history of breast cancer or dense breast tissue. It mandates coverage for baseline mammograms at age 35, annual screenings for those 35+, and additional tests (like ultrasounds or MRIs) when medically necessary due to abnormal results or risk factors. The law applies to all group and individual health insurance policies in New Jersey, ensuring coverage for these services without additional cost-sharing for patients. Insurers may review the medical necessity of additional tests but must cover them if deemed appropriate by a healthcare provider.