New Jersey Menopause Coverage Act Signed Into Law
Legislation will expand insurance access to menopause-related treatments
(TRENTON) – Governor Murphy today signed Bill A5278, the "New Jersey Menopause Coverage Act,” into law. Sponsored by Assemblywoman Heather Simmons, Assemblyman Roy Freiman, and Assemblywoman Lisa Swain, this legislation would require health insurers to cover diagnosis and treatment of menopause symptoms.
Under the bill, health insurance carriers will be required to cover medically necessary treatment for perimenopause, menopause, and symptoms associated with perimenopause and menopause. This includes hormonal therapies, non-hormonal treatments, behavioral health care, pelvic floor physical therapy, bone health treatments, preventative services, and counseling and education regarding treatment.
“For too long, menopause has been treated as a private burden rather than a public health issue,” said Assemblywoman Simmons (D-Gloucester, Salem, Cumberland). “This legislation sends a clear message. Your symptoms are real. Your health matters. New Jersey is stepping up.”
According to data cited by the National Institute for Health, approximately 1.3 million people become menopausal each year. The Mayo Clinic estimates that menopause related symptoms result in $1.8 billion in lost productivity annually across the United States.
“This bill is about applying common sense to an overlooked part of healthcare,” said Assemblyman Freiman (D-Hunterdon, Mercer, Middlesex, Somerset). “Menopause affects a significant portion of our population each year, and it’s time our insurance policies reflect that reality. Providing coverage is not just good health policy. It’s smart, equitable, and long overdue.”
Currently, insurance coverage for menopause in New Jersey depends on the specific plan and treatment. Coverage is ultimately determined by the insurance provider.
“Menopause care has been overlooked for decades,” said Assemblywoman Swain (D-Bergen). “Women deserve access that supports their health, careers, and quality of life. This bill is about fairness, dignity, and updating our healthcare system to match reality.”