A 5790 New Jersey General Assembly · 2024-2025 Regular Session

Requires health benefits coverage for treatment of lipedema.

This bill requires New Jersey health insurance plans (both hospital and medical service corporations) to cover specific lipedema treatments, directly affecting patients diagnosed with this chronic condition and their insurers. It mandates coverage for compression garments, manual lymphatic drainage, medical nutrition therapy, mental health care, and medically necessary lipectomies (including pre- and post-surgery appointments). Insurers must accept physician diagnoses and surgeon documentation (including photos for diagnosis support) but cannot deny coverage based solely on photos, and must cover the full number of lipectomies deemed necessary by the surgeon. The bill also requires prior authorization for lipectomies to remain valid for one year without arbitrary revocation, aligning with existing prior authorization rules.
Bill status passed 3 of 5 stages cleared
Introduction
Jun 2025
Committee Review
Oct 2025
General Assembly Passage
Jun 2025
Senate Passage
Governor
Introduced Jun 12, 2025 Last action Oct 20, 2025
Floor votes · General Assembly Jun 30, 2025

How they voted

662
Passed · 10 other
Total votes 78
Jun 30, 2025
D Democratic50
49 Yea 1
98% Yea
R Republican28
17 Yea 2 Nay 9
60% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
5
Key actions
2
Committee
3
Oct 20, 2025
Committee
Received in the Senate, Referred to Senate Commerce Committee
upper
Jun 30, 2025
Lower · Passed
Passed Assembly (68-2-9)
lower
Jun 19, 2025
Lower · Passed
Reported out of Assembly Committee, 2nd Reading
lower
Jun 19, 2025
Committee
Reported out of Assembly Committee with Amendments and Referred to Assembly Appropriations Committee
lower
Jun 12, 2025
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
3 primary · 1 co-sponsor

Sponsors