New Jersey 2022-2023 Regular Session

New Jersey Assembly Bill A648

Introduced
1/11/22  

Caption

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

Impact

If enacted, this bill will amend existing laws pertaining to women’s health services, effectively broadening the scope of coverage provided by health benefit plans in New Jersey. The proposed changes would ensure that all women, regardless of their age or risk factors, can access potentially life-saving mammograms if their healthcare provider deems it necessary. This change is expected to reduce the financial burden on women seeking preventative care and encourage proactive health management.

Summary

Assembly Bill A648, known as 'Michelle's Law,' seeks to expand health insurance coverage for mammograms by requiring health benefits plans to cover the cost of mammograms for all women, contingent on a healthcare provider's recommendation. Currently, coverage for mammograms is mandated only for women aged 40 and above or those under 40 with specific risk factors. This legislation aims to rectify the situation where women, like Michelle DeVita, who passed away from breast cancer, were left without necessary screening due to restrictive insurance policies. By implementing this law, the bill hopes to increase early detection rates among women and improve health outcomes.

Contention

The bill has spurred discussions regarding the balance between necessary healthcare provisions and healthcare costs. Supporters argue that the bill is vital for enabling women to access important health screenings, thus saving lives through early detection of breast cancer. Meanwhile, opponents may express concerns regarding the financial implications for insurance providers and how these changes could affect overall healthcare costs and accessibility. Overall, the debate underscores the ongoing challenge of ensuring comprehensive healthcare coverage while managing costs in the health insurance sector.

Companion Bills

NJ S586

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

Previously Filed As

NJ A1462

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

NJ S855

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

NJ A2775

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

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 A2202

Establishes pilot program to provide Medicaid coverage of remote maternal health services for eligible beneficiaries.

NJ A1428

Requires New Jersey Student Learning Standards in Comprehensive Health and Physical Education include content on risks of cannabis and marijuana use.

NJ A1434

Requires DOLWD to take measures to ensure State unemployment offices reopen immediately and remain open during and after public health emergency.

NJ A1463

Requires State employees work in person if job requires face-to-face interaction with public; requires State agency provide alternatives if closure is unpreventable.

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.