S 4495 New Jersey Senate · 2024-2025 Regular Session

Requires health benefits coverage for treatment of lipedema.

This bill requires all health insurance plans in New Jersey to cover treatment for lipedema, a chronic condition involving abnormal fat accumulation. It mandates coverage for specific treatments including compression garments, manual lymphatic drainage, medical nutrition therapy, mental health care, and lipectomy when deemed medically necessary by a surgeon. Insurers must accept a physician's diagnosis and surgeon documentation (including photos if applicable) as sufficient for coverage, cannot deny coverage solely based on photos, and must cover the full number of lipectomies recommended by a surgeon. Prior authorization for lipectomy must remain valid for one year, and coverage must align with the current standard of care for lipedema treatment.
Bill status in committee 1 of 4 stages cleared
Introduction
May 2025
Committee Review
Floor Vote
Governor
Introduced May 22, 2025 Last action May 22, 2025
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May 22, 2025
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
2 primary · 0 co-sponsors

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