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S1796 • 2026

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

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

Budget
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Singleton, Troy
Last action
2026-03-16
Official status
Referred to Senate Budget and Appropriations Committee
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

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

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

What This Bill Does

  • Expands requirements for health insurance carriers concerning prostate cancer screening and requires coverage be provided without cost sharing.
  • Topic: Budget and Appropriations Fiscal note: This bill has been certified by OLS for a fiscal note.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-03-16 New Jersey Legislature

    Reported from Senate Committee with Amendments, 2nd Reading

  2. 2026-03-16 New Jersey Legislature

    Referred to Senate Budget and Appropriations Committee

  3. 2026-01-13 New Jersey Legislature

    Introduced in the Senate, Referred to Senate Commerce Committee

Official Summary Text

Expands requirements for health insurance carriers concerning prostate cancer screening and requires coverage be provided without cost sharing.
Topic:
Budget and Appropriations
Fiscal note:
This bill has been certified by OLS for a fiscal note.

Current Bill Text

Read the full stored bill text
S1796 1R

[First Reprint]

SENATE, No. 1796

STATE OF NEW JERSEY

222nd LEGISLATURE

�

PRE-FILED FOR INTRODUCTION IN THE 2026 SESSION

Sponsored by:

Senator TROY SINGLETON

District 7 (Burlington)

Senator BRIAN P. STACK

District 33 (Hudson)

Co-Sponsored by:

Senators Gopal, Greenstein, A.M.Bucco, Amato, Lagana,
Burgess, Beach, Turner, Ruiz, Johnson, Zwicker, Diegnan, Space, McKeon,
Steinhardt and McKnight

SYNOPSIS

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

CURRENT VERSION OF TEXT

���� As reported by the Senate Commerce Committee on March
16, 2026, with amendments.

��

An Act
concerning health insurance coverage for prostate
cancer screening and amending P.L.1996, c.125 and supplementing various parts
of the statutory law.

����
Be It
Enacted
by the Senate and General Assembly of
the State of New Jersey:

���� 1.��� Section 1 of P.L.1996,
c.125 (C.17:48E-35.13) is amended to read as follows:.

���� 1.���
a.
� No health
service corporation contract providing hospital or medical expense benefits
[
for groups
with greater than 49 persons
]

shall be delivered, issued, executed or renewed in this State, or approved for
issuance or renewal in this State by the Commissioner of Insurance on or after
the effective date of
[
this
act
]

P.L.1996,
c.125 (C.17:48E-35.13 et al.)
, unless the contract provides benefits to any
named subscriber or other person covered thereunder for expenses incurred in
conducting an annual
[
medically
recognized diagnostic examination including, but not limited to, a digital
rectal examination and a prostate-specific antigen test for men age 50 and over
who are asymptomatic and for men age 40 and over with a family history of
prostate cancer or other prostate cancer risk factors
]

prostate cancer screening

1
in
accordance with the latest nationally recognized clinical practice guidelines
1
.

���� The benefits shall be provided
to the same extent as for any other medical condition under the contract
except
that no deductible, coinsurance, copayment, or any other cost-sharing
requirement on the benefits shall be imposed

1
[
for men who
are between 40 and 75 years of age
]
1
.

���� This section shall apply to
all health service corporation contracts in which the health service
corporation has reserved the right to change the premium.

����
1
The provisions of this section shall apply to a high-deductible health
plan to the maximum extent permitted by federal law, except if the plan is used
to establish a medical savings account pursuant to section 220 of the federal
Internal Revenue Code of 1986 (26 U.S.C. s.220) or a health savings account
pursuant to section 223 of the federal Internal Revenue Code of 1986 (26 U.S.C.
s.223).� The provisions of this section shall apply to the plan to the maximum
extent that is permitted by federal law and does not disqualify the account for
the deduction allowed under section 220 or 223 of the federal Internal Revenue
Code of 1986, as applicable.� The provisions of this section shall apply to a
plan that meets the requirements of a catastrophic plan, as defined in 45
C.F.R. s.156.155, to the maximum extent permitted by federal law.
1

����
b.��� As used in this
section:

����
1
[
�Prostate
cancer screening� means medically viable methods for the detection and
diagnosis of prostate cancer, which includes a digital rectal exam and the
prostate-specific antigen test and associated laboratory work.� �Prostate
cancer screening� shall also include subsequent follow up testing as direct by
a health care provider, including, but not limited to:

����
(1)�� urinary analysis;

����
(2)�� serum biomarkers;

����
(3)�� medical imaging,
including, but not limited to, magnetic resonance imaging
]

����
�Nationally
recognized clinical practice guidelines� means evidence-based clinical practice
guidelines developed by independent organizations or medical professional
societies utilizing a transparent methodology and reporting structure and with
a conflict of interest policy.� The guidelines establish standards of care
informed by a systematic review of evidence and an assessment of the benefits
and risks of alternative care options and include recommendations intended to
optimize patient care
1
.

(cf: P.L.1996, c.125, s.1)

���� 2.��� Section 2 of P.L.1996,
c.125 (C.17:48-6p) is amended to read as follows:

���� 2.���
a.
� No hospital
service corporation contract providing hospital or medical expense benefits
[
for groups
with greater than 49 persons
]

shall be delivered, issued, executed or renewed in this State, or approved for
issuance or renewal in this State by the Commissioner of Insurance on or after
the effective date of
[
this
act
]

P.L.1996,
c.125 (C.17:48E-35.13 et al.)
, unless the contract provides benefits to any
named subscriber or other person covered thereunder for expenses incurred in
conducting an annual
[
medically
recognized diagnostic examination including, but not limited to, a digital
rectal examination and a prostate-specific antigen test for men age 50 and over
who are asymptomatic and for men age 40 and over with a family history of
prostate cancer or other prostate cancer risk factors
]

prostate cancer screening

1
in
accordance with the latest nationally recognized clinical practice guidelines
1
.

���� The benefits shall be provided
to the same extent as for any other medical condition under the contract
except
that no deductible, coinsurance, copayment, or any other cost-sharing
requirement on the benefits shall be imposed

1
[
for men who
are between 40 and 75 years of age
]
1
.

���� This section shall apply to
all hospital service corporation contracts in which the hospital service
corporation has reserved the right to change the premium.

����
1
The provisions of this section shall apply to a high-deductible health
plan to the maximum extent permitted by federal law, except if the plan is used
to establish a medical savings account pursuant to section 220 of the federal
Internal Revenue Code of 1986 (26 U.S.C. s.220) or a health savings account
pursuant to section 223 of the federal Internal Revenue Code of 1986 (26 U.S.C.
s.223).� The provisions of this section shall apply to the plan to the maximum
extent that is permitted by federal law and does not disqualify the account for
the deduction allowed under section 220 or 223 of the federal Internal Revenue
Code of 1986, as applicable.� The provisions of this section shall apply to a
plan that meets the requirements of a catastrophic plan, as defined in 45
C.F.R. s.156.155, to the maximum extent permitted by federal law.
1

����
b.��� As used in this
section:

����
1
[
�Prostate
cancer screening� means medically viable methods for the detection and
diagnosis of prostate cancer, which includes a digital rectal exam and the
prostate-specific antigen test and associated laboratory work.� �Prostate
cancer screening� shall also include subsequent follow up testing as direct by
a health care provider, including, but not limited to:

����
(1)�� urinary analysis;

����
(2)�� serum biomarkers;

����
(3)�� medical imaging,
including, but not limited to, magnetic resonance imaging
]

����
�Nationally
recognized clinical practice guidelines� means evidence-based clinical practice
guidelines developed by independent organizations or medical professional
societies utilizing a transparent methodology and reporting structure and with
a conflict of interest policy.� The guidelines establish standards of care
informed by a systematic review of evidence and an assessment of the benefits
and risks of alternative care options and include recommendations intended to
optimize patient care
1
.

(cf: P.L.1996, c.125, s.2)

���� 3.��� Section 3 of P.L.1996,
c.125 (C.17:48A-7n) is amended to read as follows:

���� 3.���
a.
�
No
medical service corporation contract providing hospital or medical expense
benefits
[
for
groups with greater than 49 persons
]

shall be delivered, issued, executed or renewed in this State, or approved for
issuance or renewal in this State by the Commissioner of Insurance on or after
the effective date of
[
this
act
]

P.L.1996,
c.125 (C.17:48E-35.13 et al.)
, unless the contract provides benefits to any
named subscriber or other person covered thereunder for expenses incurred in
conducting an annual
[
medically
recognized diagnostic examination including, but not limited to, a digital
rectal examination and a prostate-specific anitgen test for men age 50 and over
who are asymptomatic and for men age 40 and over with a family history of
prostate cancer or other prostate cancer risk factors
]

prostate cancer screening

1
in
accordance with the latest nationally recognized clinical practice guidelines
1
.

���� The benefits shall be provided
to the same extent as for any other medical condition under the contract
except
that no deductible, coinsurance, copayment, or any other cost-sharing
requirement on the benefits shall be imposed

1
[
for men who
are between 40 and 75 years of age
]
1
.

���� This section shall apply to
all medical service corporation contracts in which the medical service
corporation has reserved the right to change the premium.

����
1
The provisions of this section shall apply to a high-deductible health
plan to the maximum extent permitted by federal law, except if the plan is used
to establish a medical savings account pursuant to section 220 of the federal
Internal Revenue Code of 1986 (26 U.S.C. s.220) or a health savings account
pursuant to section 223 of the federal Internal Revenue Code of 1986 (26 U.S.C.
s.223).� The provisions of this section shall apply to the plan to the maximum
extent that is permitted by federal law and does not disqualify the account for
the deduction allowed under section 220 or 223 of the federal Internal Revenue
Code of 1986, as applicable.� The provisions of this section shall apply to a
plan that meets the requirements of a catastrophic plan, as defined in 45
C.F.R. s.156.155, to the maximum extent permitted by federal law.
1

����
b.��� As used in this
section:

����
1
[
�Prostate
cancer screening� means medically viable methods for the detection and
diagnosis of prostate cancer, which includes a digital rectal exam and the
prostate-specific antigen test and associated laboratory work.� �Prostate
cancer screening� shall also include subsequent follow up testing as direct by
a health care provider, including, but not limited to:

����
(1)�� urinary analysis;

����
(2)�� serum biomarkers;

����
(3)�� medical imaging,
including, but not limited to, magnetic resonance imaging
]

����
�Nationally
recognized clinical practice guidelines� means evidence-based clinical practice
guidelines developed by independent organizations or medical professional
societies utilizing a transparent methodology and reporting structure and with
a conflict of interest policy.� The guidelines establish standards of care
informed by a systematic review of evidence and an assessment of the benefits
and risks of alternative care options and include recommendations intended to
optimize patient care
1
.

(cf: P.L.1996, c.125, s.3)

���� 4.��� Section 4 of P.L.1996,
c.125 (C.17B:27-46.1o) is amended to read as follows:

���� 4.�
a.
�
No
group health insurance policy providing hospital or medical expense benefits
[
for groups
with greater than 49 persons
]

shall be delivered, issued, executed or renewed in this State, or approved for
issuance or renewal in this State by the Commissioner of Insurance on or after
the effective date of
[
this
act
]

P.L.1996,
c.125 (C.17:48E-35.13 et al.)
, unless the policy provides benefits to any
named insured or other person covered thereunder for expenses incurred in
conducting an annual
[
medically
recognized diagnostic examination including, but not limited to, a digital
rectal examination and a prostate-specific antigen test for men age 50 and over
who are asymptomatic and for men age 40 and over with a family history of�
prostate cancer or other prostate cancer risk factors
]

prostate cancer screening
1
in accordance
with the latest nationally recognized clinical practice guidelines
1
.

���� The benefits shall be provided
to the same extent as for any other medical condition under the policy
except
that no deductible, coinsurance, copayment, or any other cost-sharing
requirement on the benefits shall be imposed

1
[
for men who
are between 40 and 75 years of age
]
1
.

���� This section shall apply to
all group health insurance policies in which the health insurer has reserved
the right to change the premium.

����
1
The provisions of this section shall apply to a high-deductible health
plan to the maximum extent permitted by federal law, except if the plan is used
to establish a medical savings account pursuant to section 220 of the federal
Internal Revenue Code of 1986 (26 U.S.C. s.220) or a health savings account
pursuant to section 223 of the federal Internal Revenue Code of 1986 (26 U.S.C.
s.223).� The provisions of this section shall apply to the plan to the maximum
extent that is permitted by federal law and does not disqualify the account for
the deduction allowed under section 220 or 223 of the federal Internal Revenue
Code of 1986, as applicable.� The provisions of this section shall apply to a
plan that meets the requirements of a catastrophic plan, as defined in 45
C.F.R. s.156.155, to the maximum extent permitted by federal law.
1

����
b.��� As used in this
section:

����
1
[
�Prostate
cancer screening� means medically viable methods for the detection and
diagnosis of prostate cancer, which includes a digital rectal exam and the
prostate-specific antigen test and associated laboratory work.� �Prostate
cancer screening� shall also include subsequent follow up testing as direct by
a health care provider, including, but not limited to:

����
(1)�� urinary analysis;

����
(2)�� serum biomarkers;

����
(3)�� medical imaging,
including, but not limited to, magnetic resonance imaging
]

����
�Nationally
recognized clinical practice guidelines� means evidence-based clinical practice
guidelines developed by independent organizations or medical professional
societies utilizing a transparent methodology and reporting structure and with
a conflict of interest policy.� The guidelines establish standards of care
informed by a systematic review of evidence and an assessment of the benefits
and risks of alternative care options and include recommendations intended to
optimize patient care
1
.

(cf: P.L.1996, c.125, s.4)

���� 5.��� Section 5 of P.L.1996,
c.125 (C.26:2J-4.13) is amended to read as follows:

���� 5.���
a.
� A certificate
of authority to establish and operate a health maintenance organization in this
State shall not be issued or continued by the Commissioner of Health on or
after the effective date of
[
this
act
]

P.L.1996,
c.125 (C.17:48E-35.13 et al.)
unless the health maintenance organization
provides health care services to any enrollee which include an annual
[
medically
recognized diagnostic examination including, but not limited to, a digital
rectal examination and a prostate-specific antigen test for men age 50 and over
who are asymptomatic and for men age 40 and over with a family history of�
prostate cancer or other prostate cancer risk factors
]

prostate cancer screening

1
in
accordance with the latest nationally recognized clinical practice guidelines
1
.

���� The health care services shall
be provided to the same extent as for any other medical condition under the
contract
except that no deductible, coinsurance, copayment, or any other
cost-sharing requirement on the services shall be imposed

1
[
for men who
are between 40 and 75 years of age
]
1
.

���� The provisions of this section
shall apply to all contracts for health care services by health maintenance
organizations under which the right to change the schedule of charges for
enrollee coverage is reserved.

����
1
The provisions of this section shall apply to a high-deductible health
plan to the maximum extent permitted by federal law, except if the plan is used
to establish a medical savings account pursuant to section 220 of the federal
Internal Revenue Code of 1986 (26 U.S.C. s.220) or a health savings account
pursuant to section 223 of the federal Internal Revenue Code of 1986 (26 U.S.C.
s.223).� The provisions of this section shall apply to the plan to the maximum
extent that is permitted by federal law and does not disqualify the account for
the deduction allowed under section 220 or 223 of the federal Internal Revenue
Code of 1986, as applicable.� The provisions of this section shall apply to a
plan that meets the requirements of a catastrophic plan, as defined in 45
C.F.R. s.156.155, to the maximum extent permitted by federal law.
1

����
b.��� As used in this
section:

����
1
[
�Prostate
cancer screening� means medically viable methods for the detection and
diagnosis of prostate cancer, which includes a digital rectal exam and the
prostate-specific antigen test and associated laboratory work.� �Prostate
cancer screening� shall also include subsequent follow up testing as directed
by a health care provider, including, but not limited to:

����
(1)�� urinary analysis;

����
(2)�� serum biomarkers;

����
(3)�� medical imaging,
including, but not limited to, magnetic resonance imaging
]

����
�Nationally
recognized clinical practice guidelines� means evidence-based clinical practice
guidelines developed by independent organizations or medical professional
societies utilizing a transparent methodology and reporting structure and with
a conflict of interest policy.� The guidelines establish standards of care
informed by a systematic review of evidence and an assessment of the benefits
and risks of alternative care options and include recommendations intended to
optimize patient care
1
.

(cf: P.L.1996, c.125, s.5)

���� 6.��� (New section)� a.� Every
individual health insurance policy that provides hospital or medical expense
benefits and is delivered, issued, executed or renewed in this State pursuant
to chapter 26 of Title 17B of the New Jersey Statutes, or approved for issuance
or renewal in this State by the Commissioner of Banking and Insurance, on or
after the effective date of this act shall provide coverage for an annual
prostate cancer screening
1
in
accordance with the latest nationally recognized clinical practice guidelines
1
.

���� The benefits shall be provided
to the same extent as for any other medical condition under the contract except
that no deductible, coinsurance, copayment, or any other cost-sharing
requirement on the services shall be imposed
1
[
for men who are between 40 and 75
years of age
]
1
.

���� The provisions of this section
shall apply to all policies in which the insurer has reserved the right to
change the premium.

����
1
The provisions of this section shall apply to a high-deductible health
plan to the maximum extent permitted by federal law, except if the plan is used
to establish a medical savings account pursuant to section 220 of the federal
Internal Revenue Code of 1986 (26 U.S.C. s.220) or a health savings account
pursuant to section 223 of the federal Internal Revenue Code of 1986 (26 U.S.C.
s.223).� The provisions of this section shall apply to the plan to the maximum
extent that is permitted by federal law and does not disqualify the account for
the deduction allowed under section 220 or 223 of the federal Internal Revenue
Code of 1986, as applicable.� The provisions of this section shall apply to a
plan that meets the requirements of a catastrophic plan, as defined in 45
C.F.R. s.156.155, to the maximum extent permitted by federal law.
1

���� b.��� As used in this section:

����
1
[
�Prostate
cancer screening� means medically viable methods for the detection and
diagnosis of prostate cancer, which includes a digital rectal exam and the
prostate-specific antigen test and associated laboratory work.� �Prostate
cancer screening� shall also include subsequent follow up testing as direct by
a health care provider, including, but not limited to:

���� (1)�� urinary analysis;

���� (2)�� serum biomarkers;

���� (3)�� medical imaging,
including, but not limited to, magnetic resonance imaging
]

����
�Nationally
recognized clinical practice guidelines� means evidence-based clinical practice
guidelines developed by independent organizations or medical professional
societies utilizing a transparent methodology and reporting structure and with
a conflict of interest policy.� The guidelines establish standards of care
informed by a systematic review of evidence and an assessment of the benefits
and risks of alternative care options and include recommendations intended to
optimize patient care
1
.

���� 7.��� (New section)� a.� Every
individual health benefits plan that provides hospital or medical expense
benefits and is delivered, issued, executed or renewed in this State pursuant
to P.L.1992, c.161 (C.17B:27A-2 et seq.) or approved for issuance or renewal in
this State on or after the effective date of this act shall provide benefits
for an annual prostate cancer screening
1
in
accordance with the latest nationally recognized clinical practice guidelines
1
.

���� The benefits shall be provided
to the same extent as for any other medical condition under the contract except
that no deductible, coinsurance, copayment, or any other cost-sharing
requirement on the services shall be imposed
1
[
for men who are between 40 and 75
years of age
]
1
.

���� The provisions of this section
shall apply to all health benefits plans in which the carrier has reserved the
right to change the premium.

����� 1
The
provisions of this section shall apply to a high-deductible health plan to the
maximum extent permitted by federal law, except if the plan is used to
establish a medical savings account pursuant to section 220 of the federal
Internal Revenue Code of 1986 (26 U.S.C. s.220) or a health savings account
pursuant to section 223 of the federal Internal Revenue Code of 1986 (26 U.S.C.
s.223).� The provisions of this section shall apply to the plan to the maximum
extent that is permitted by federal law and does not disqualify the account for
the deduction allowed under section 220 or 223 of the federal Internal Revenue
Code of 1986, as applicable.� The provisions of this section shall apply to a
plan that meets the requirements of a catastrophic plan, as defined in 45
C.F.R. s.156.155, to the maximum extent permitted by federal law.
1

���� b.��� As used in this section:

����
1
[
�Prostate
cancer screening� means medically viable methods for the detection and
diagnosis of prostate cancer, which includes a digital rectal exam and the
prostate-specific antigen test and associated laboratory work.� �Prostate
cancer screening� shall also include subsequent follow up testing as direct by
a health care provider, including, but not limited to:

���� (1)�� urinary analysis;

���� (2)�� serum biomarkers;

���� (3)�� medical imaging,
including, but not limited to, magnetic resonance imaging
]

����
�Nationally
recognized clinical practice guidelines� means evidence-based clinical practice
guidelines developed by independent organizations or medical professional
societies utilizing a transparent methodology and reporting structure and with
a conflict of interest policy.� The guidelines establish standards of care
informed by a systematic review of evidence and an assessment of the benefits
and risks of alternative care options and include recommendations intended to
optimize patient care
1
.

���� 8.��� (New section)� a. �Every
small employer health benefits plan that provides hospital or medical expense
benefits and is delivered, issued, executed or renewed in this State pursuant
to P.L.1992, c.162 (C.17B:27A-17 et seq.) or approved for issuance or renewal
in this State on or after the effective date of this act shall provide benefits
for an annual prostate cancer screening
1
in
accordance with the latest nationally recognized clinical practice guidelines
1
.

���� The benefits shall be provided
to the same extent as for any other medical condition under the contract except
that no deductible, coinsurance, copayment, or any other cost-sharing
requirement on the services shall be imposed
1
[
for men who are between 40 and 75
years of age
]
1
.

���� The provisions of this section
shall apply to all health benefits plans in which the carrier has reserved the
right to change the premium.

����
1
The provisions of this section shall apply to a high-deductible health
plan to the maximum extent permitted by federal law, except if the plan is used
to establish a medical savings account pursuant to section 220 of the federal
Internal Revenue Code of 1986 (26 U.S.C. s.220) or a health savings account
pursuant to section 223 of the federal Internal Revenue Code of 1986 (26 U.S.C.
s.223).� The provisions of this section shall apply to the plan to the maximum
extent that is permitted by federal law and does not disqualify the account for
the deduction allowed under section 220 or 223 of the federal Internal Revenue
Code of 1986, as applicable.� The provisions of this section shall apply to a
plan that meets the requirements of a catastrophic plan, as defined in 45
C.F.R. s.156.155, to the maximum extent permitted by federal law.
1

���� b.��� As used in this section:

����
1
[
�Prostate
cancer screening� means medically viable methods for the detection and
diagnosis of prostate cancer, which includes a digital rectal exam and the
prostate-specific antigen test and associated laboratory work.� �Prostate
cancer screening� shall also include subsequent follow up testing as direct by
a physician, including, but not limited to:

���� (1)�� urinary analysis;

���� (2)�� serum biomarkers;

���� (3)�� medical imaging,
including, but not limited to, magnetic resonance imaging
]

����
�Nationally
recognized clinical practice guidelines� means evidence-based clinical practice
guidelines developed by independent organizations or medical professional
societies utilizing a transparent methodology and reporting structure and with
a conflict of interest policy.� The guidelines establish standards of care
informed by a systematic review of evidence and an assessment of the benefits
and risks of alternative care options and include recommendations intended to
optimize patient care
1
.

���� 9.��� (New section)� a.� The
State Health Benefits Commission shall ensure that every contract purchased by
the commission on or after the effective date of this act that provides
hospital or medical expense benefits shall provide coverage for an annual
prostate cancer screening
1
in
accordance with the latest nationally recognized clinical practice guidelines
1
.

���� The benefits shall be provided
to the same extent as for any other medical condition under the contract except
that no deductible, coinsurance, copayment, or any other cost-sharing
requirement on the services shall be imposed
1
[
for men who are between 40 and 75
years of age
]
1
.

���� b.��� As used in this section:

����
1
[
�Prostate
cancer screening� means medically viable methods for the detection and
diagnosis of prostate cancer, which includes a digital rectal exam and the
prostate-specific antigen test and associated laboratory work.� �Prostate
cancer screening� shall also include subsequent follow up testing as direct by
a health care provider, including, but not limited to:

���� (1)�� urinary analysis;

���� (2)�� serum biomarkers;

���� (3)�� medical imaging,
including, but not limited to, magnetic resonance imaging
]

����
�Nationally
recognized clinical practice guidelines� means evidence-based clinical practice
guidelines developed by independent organizations or medical professional
societies utilizing a transparent methodology and reporting structure and with
a conflict of interest policy.� The guidelines establish standards of care
informed by a systematic review of evidence and an assessment of the benefits
and risks of alternative care options and include recommendations intended to
optimize patient care
1
.

���� 10.� (New section)� a.� The
School Employees� Health Benefits Commission shall ensure that every contract
purchased by the commission on or after the effective date of this act that
provides hospital or medical expense benefits shall provide coverage for an
annual prostate cancer screening
1
in
accordance with the latest nationally recognized clinical practice guidelines
1
.

���� The benefits shall be provided
to the same extent as for any other medical condition under the contract except
that no deductible, coinsurance, copayment, or any other cost-sharing
requirement on the services shall be imposed
1
[
for men who are between 40 and 75
years of age
]
1
.

���� b.��� As used in this section:

����
1
[
�Prostate
cancer screening� means medically viable methods for the detection and
diagnosis of prostate cancer, which includes a digital rectal exam and the
prostate-specific antigen test and associated laboratory work.� �Prostate
cancer screening� shall also include subsequent follow up testing as direct by
a health care provider, including, but not limited to:

���� (1)�� urinary analysis;

���� (2)�� serum biomarkers;

���� (3)�� medical imaging,
including, but not limited to, magnetic resonance imaging
]

����
�Nationally
recognized clinical practice guidelines� means evidence-based clinical practice
guidelines developed by independent organizations or medical professional
societies utilizing a transparent methodology and reporting structure and with
a conflict of interest policy.� The guidelines establish standards of care
informed by a systematic review of evidence and an assessment of the benefits
and risks of alternative care options and include recommendations intended to
optimize patient care
1
.

���� 11.� This act shall take
effect on the 90th day next following the date of enactment and shall apply to
all contracts and policies delivered, issued, executed, or renewed on or after
that date
1
except
that section 7 of this act shall take effect an apply to policies and contracts
that are delivered, issued, executed, or renewed pursuant to P.L.1992, c.162
(C.17B:27A-2 et seq.) on January 1, 2027
1
.