New Jersey 2022-2023 Regular Session

New Jersey Assembly Bill A1697

Introduced
1/11/22  

Caption

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

Impact

If enacted, Assembly Bill A1697 would amend existing legislation concerning breast cancer screening guidelines in New Jersey. The bill modifies previous laws that dictate how health insurers handle coverage for mammograms and additional diagnostic testing, notably emphasizing that coverage must also extend to concurrent ultrasounds and advanced imaging techniques if deemed necessary by a healthcare provider. This change is anticipated to improve early detection rates and potentially save lives by ensuring that women at higher risk for breast cancer receive comprehensive screening.

Summary

Assembly Bill A1697 aims to enhance the screening and diagnostic testing for breast cancer by mandating healthcare professionals to concurrently order bi-lateral ultrasounds when prescribing mammograms for women with specific risk factors. Furthermore, this bill requires health insurers to cover these screenings, ensuring that women can access necessary diagnostic procedures without financial barriers. This aligns with the current measures in place for women's health and preventative care, which emphasize timely and appropriate cancer screenings based on individual risk profiles.

Contention

Despite the bill's positive implications for women's healthcare, discussions around A1697 may uncover points of contention. Some opponents may argue that mandating insurers to cover additional testing could increase costs for insurance companies, which could lead to higher premiums for all policyholders. Additionally, there may be concerns over the criteria used to determine which women qualify for these additional screenings, as there is a potential for disparities in access based on socioeconomic factors or lack of provider awareness regarding new guidelines.

Companion Bills

NJ S1521

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

Previously Filed As

NJ A1945

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

NJ S1244

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

NJ SB123

To Amend The Law Concerning Coverage For Mammograms And Breast Ultrasounds.

NJ A2775

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

NJ S1972

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

NJ S2716

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

NJ A08505

Requires health insurance coverage for mammography by either mammogram and breast ultrasound or breast tomosynthesis for persons with heterogeneously dense or extremely dense breasts.

NJ S2214

Requires certain ultrasounds on pregnant women to be performed by licensed health care professionals.

NJ A1462

"Michelle's Law"; requires health benefit plans to cover mammogram for an individual if recommended by health care provider.

NJ A2152

Requires health insurers to provide coverage for certain imaging related to breast cancer detection.

Similar Bills

NJ S855

"Michelle's Law"; requires health benefit plans to cover mammogram for an individual if recommended by health care provider.

NJ A1462

"Michelle's Law"; requires health benefit plans to cover mammogram for an individual if recommended by health care provider.

NJ S1244

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

NJ A1945

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

NJ S1972

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

NJ S2716

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

NJ A2775

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

NJ S3810

Requires health insurers to provide coverage for certain imaging related to breast cancer detection.