S 1796 New Jersey Senate · 2026-2027 Regular Session

Expands requirements for health insurance carriers concerning prostate cancer screening and requires coverage be provided without cost sharing.

S 1796 requires New Jersey health insurance plans to cover prostate cancer screening without cost-sharing (like deductibles or copays) for men aged 40-75 with specific risk factors, including family history of prostate cancer. The bill mandates that group health insurance policies (for groups over 49 people) cover annual screenings - such as digital rectal exams and PSA tests - as well as follow-up tests like imaging or lab work. This applies to all health service, hospital service, and medical service corporation contracts in New Jersey. The law affects insurance carriers by expanding existing coverage requirements and directly benefits men in the specified age group with risk factors.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 13, 2026 Last action Mar 16, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Reprint · 6 edits
MODERATE
The Senate Commerce Committee made several substantive amendments to this prostate cancer screening coverage bill. Most significantly, the no-cost-sharing requirement is expanded from men aged 40-75 to all ages (the age restriction was struck), and a new requirement ties coverage to the latest nationally recognized clinical practice guidelines. New provisions address how the requirements interact with high-deductible health plans, health savings accounts, and catastrophic plans under federal law.
ELIGIBILITY

The age restriction on no-cost-sharing coverage was removed. The original bill limited free prostate cancer screening to men between 40 and 75 years of age; the committee struck this limitation, meaning the no-cost-sharing requirement would apply regardless of age.

REQUIREMENT

A new requirement mandates that prostate cancer screening be provided in accordance with the latest nationally recognized clinical practice guidelines. This ties coverage to current medical evidence rather than requiring coverage for all screening methods unconditionally.

DEFINITION

A new definition of 'nationally recognized clinical practice guidelines' was added, specifying they must be evidence-based, developed by independent organizations or medical professional societies, use transparent methodology and reporting, have a conflict of interest policy, and be informed by systematic review of evidence with assessment of benefits and risks.

SCOPE

New provisions in every section address applicability to high-deductible health plans (HDHPs), medical savings accounts under IRC Section 220, health savings accounts under IRC Section 223, and catastrophic plans as defined in 45 C.F.R. s.156.155. The requirements apply to these plan types only to the maximum extent permitted by federal law, with specific carve-outs to avoid disqualifying HSA or MSA tax deductions.

Five additional senators (Diegnan, Space, McKeon, Steinhardt, and McKnight) were added as co-sponsors, indicating broader legislative support for the bill after committee review.

TIMELINE

The effective date was modified. While most of the bill still takes effect 90 days after enactment, a new exception provides that Section 7 (covering individual health plans under P.L.1992, c.162) shall take effect on January 1, 2027 instead.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
1
Mar 16, 2026
Committee
Referred to Senate Budget and Appropriations Committee
upper
Jan 13, 2026
Introduced
Introduced in the Senate, Referred to Senate Commerce Committee
upper
2 primary · 14 co-sponsors

Sponsors