A 3125 New Jersey General Assembly · 2024-2025 Regular Session

Requires prescription drug services covered under Medicaid program to be provided via fee-for-service delivery system.

New Jersey's A3125 bill would require the state's Medicaid program to pay for prescription drugs directly through a fee-for-service system instead of through managed care plans. Reimbursement for covered drugs would be calculated as the lowest of several pricing methods (including NADAC costs, federal limits, or state maximums) plus a fixed $10.92 dispensing fee per prescription. This change would directly affect pharmacies dispensing drugs to Medicaid patients and alter how the state reimburses providers for prescription services. The bill aims to increase state Medicaid savings while standardizing payment rates across different drug types and pharmacy settings.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024 Last action Jan 9, 2024
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Jan 9, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Aging and Human Services Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Craig Coughlin
Craig Coughlin
DDemocratic
NJ
19