A 4232 New Jersey General Assembly · 2024-2025 Regular Session

Prohibits prior authorization when prescribing certain drugs.

This bill prohibits insurance carriers (including health plans, HMOs, and similar entities) from requiring prior authorization when a patient needs an interchangeable drug and the brand-name or generic version is unavailable. It specifically targets the prior authorization process - where insurers review medical necessity before covering a drug - banning it for interchangeable drugs in this scenario. The law applies immediately to all carriers authorized to issue health benefits in New Jersey, including those managing state health programs. It directly affects patients seeking these specific drugs and healthcare providers prescribing them, removing an administrative barrier when alternatives aren't accessible.
Bill status in committee 1 of 4 stages cleared
Introduction
May 2024
Committee Review
Floor Vote
Governor
Introduced May 2, 2024 Last action May 2, 2024
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1
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Committee
0
May 2, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Rosy Bagolie
Rosy Bagolie
DDemocratic
NJ
27