A 5542 New Jersey General Assembly · 2024-2025 Regular Session

Requires health insurance coverage of diagnostic and supplemental breast examinations without cost-sharing.

This New Jersey bill requires all health insurance plans to cover diagnostic and supplemental breast examinations without cost-sharing (such as deductibles or copays). It applies to all insurance plans, including employer-sponsored coverage, health maintenance organizations, and state employee health programs. Diagnostic exams evaluate abnormalities found during screening or detected through other means, while supplemental exams are used for screening when no abnormality is present but risk factors like family history or dense breast tissue exist. The bill mandates coverage for these exams under the same terms as other medical conditions, following National Comprehensive Cancer Network Guidelines.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2025
Committee Review
Floor Vote
Governor
Introduced Apr 10, 2025 Last action Apr 10, 2025
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Apr 10, 2025
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
3 primary · 1 co-sponsor

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