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
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
1
Key actions
0
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
Rosy Bagolie
DDemocratic
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