New Jersey 2024-2025 Regular Session

New Jersey Assembly Bill A1572

Introduced
1/9/24  

Caption

Lowers age at which certain insurers are required to provide coverage for mammograms.

Impact

The introduction of A1572 represents a significant shift in state law regarding women's health care and preventive services. By expanding coverage to younger women, the bill aims to facilitate earlier detection of breast cancer, which is critical for improving outcomes in patients diagnosed with the disease. This change could potentially lead to a reduction in breast cancer mortality rates among younger populations, addressing an important public health issue. However, it will also require insurance companies to adjust their policies, which may have financial implications in terms of increased coverage responsibilities.

Summary

Assembly Bill A1572 seeks to amend existing health insurance laws in New Jersey by lowering the age at which certain health insurers are required to provide coverage for mammograms. Under the current legislation, insurers are mandated to cover mammograms for women starting at age 40. This proposed bill will decrease that age to 35, ensuring that women aged 35 and older have access to at least one baseline mammogram and annual examinations thereafter. Additionally, for women under 35 who have a family history of breast cancer or other relevant risk factors, the bill allows for mammograms at intervals deemed necessary by their healthcare providers.

Contention

As with any legislative changes, there may be points of contention regarding the implications of A1572. Critics may argue that lowering the age for mandatory coverage could increase premiums for health insurance plans, as insurers will need to account for additional screening costs. Proponents, however, are likely to argue that the benefits of early detection and improved health outcomes far outweigh these costs. The debate will likely revolve around balancing the needs of public health with the economics of health care administration, as well as addressing the varying perspectives on preventive care within different stakeholder groups.

Companion Bills

NJ S2127

Same As Lowers age at which certain insurers are required to provide coverage for mammograms.

NJ A5095

Carry Over Lowers age at which certain insurers are required to provide coverage for mammograms.

NJ S3530

Carry Over Lowers age at which certain insurers are required to provide coverage for mammograms.

Similar Bills

NJ A1679

Requires health insurers, SHBP, and SEHBP to cover mammograms for women over 35 and women under 35 under certain circumstances.

WV HB3235

Relating to insurance coverage for breast cancer screening

NC S553

Save More Tatas Act

FL H0187

Coverage for Mammograms and Supplemental Breast Cancer Screenings

TX SB1747

Relating to coverage for screening mammograms, diagnostic imaging, and supplemental breast examinations under certain health benefit plans.

WV HB3123

Relating to notification of breast density

HI SB189

Relating To Breast Cancer Screening.

GA HB928

Insurance; utilization review by an insurer shall not be required in the instance in which a physician has determined the existence of dense breast tissue and the medical necessity of a breast ultrasound; provide