A 4209 New Jersey General Assembly · 2026-2027 Regular Session

Requires health insurers, SHBP and SEHBP to provide coverage for diagnosis, evaluation and treatment of lymphedema.

This bill requires all health insurers operating in New Jersey - including hospital service corporations, medical service corporations, health service corporations, individual health insurance policies, group health plans, and individual health benefits plans - to cover the diagnosis, evaluation, and treatment of lymphedema when deemed medically necessary by a patient’s physician. It applies to all such insurance contracts delivered, issued, or renewed in New Jersey after the bill’s effective date, mandating coverage at the same level and cost-sharing (like deductibles and coinsurance) as for other similar medical services. The bill directly affects patients with lymphedema and insurers by ensuring this specific condition is treated as a standard covered service under existing policies. It does not alter overall coverage limits or introduce new funding, but expands mandatory benefits to include lymphedema care.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 19, 2026 Last action Feb 19, 2026
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Feb 19, 2026
Introduced
Introduced, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Carol Murphy
Carol Murphy
DDemocratic
NJ
7