New Jersey 2024-2025 Regular Session

New Jersey Senate Bill S2127

Introduced
1/9/24  

Caption

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

Impact

The passage of S2127 would amend existing laws that govern health insurance coverage for mammograms, resulting in broader access to screening for a younger demographic of women. This is a critical step in addressing public health concerns around breast cancer, as early detection is often linked to improved outcomes. By allowing for baseline mammograms at a younger age, the bill aims to enhance preventative care measures and offer greater security for women's health within the state.

Summary

Senate Bill S2127 proposes significant changes to mammogram coverage under health insurance policies in New Jersey. Specifically, it mandates that health insurers must provide coverage for baseline mammogram examinations for women aged 35 and older, lowering the previous requirement which only mandated coverage for women from the age of 40. The bill also stipulates that women under 35 with a family history of breast cancer or associated risk factors should receive mammogram examinations as deemed necessary by their healthcare provider. This expansion is aimed at ensuring earlier detection and prevention of breast cancer, particularly for those who may be at increased risk.

Contention

While proponents of the bill champion the importance of early detection in combating breast cancer, there may be contention surrounding the increased costs for insurance companies and potential implications for premiums. Some stakeholders may express concerns over the financial impacts on healthcare plans, suggesting that broadening coverage could lead to increased healthcare spending. However, supporters argue that the long-term savings from early diagnosis and treatment could outweigh the upfront costs, thus making a strong case for the need for proactive health policies.

Companion Bills

NJ A1572

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 A2448

Requires health care professionals to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.

NJ A1697

Requires health care professionals to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.

NJ S2666

Requires health care professional to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bi-lateral ultrasounds.

NJ S1521

Requires health care professionals to order bi-lateral ultrasounds concurrently when ordering mammograms; requires insurers to cover concurrent mammograms and bilateral ultrasounds.

NJ A4093

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

NJ A1679

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

NJ A1572

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

NJ A5095

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