A 4275 New Jersey General Assembly · 2024-2025 Regular Session

Prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions for covered persons solely because of change in health benefits plan or pharmacy benefits manager.

This bill prohibits New Jersey's State Health Benefits Program (SHBP), School Employees' Health Benefits Program (SEHBP), and Medicaid from denying coverage for maintenance medications treating chronic conditions solely due to changes in a person's health plan or pharmacy benefits manager. It ensures coverage continues if the individual was taking the medication before the change and the new plan covers the same class of drugs. The law applies to all enrolled individuals in these programs and takes effect seven months after enactment. It prevents disruptions in care for chronic conditions during routine plan transitions.
Bill status in committee 1 of 4 stages cleared
Introduction
May 2024
Committee Review
Floor Vote
Governor
Introduced May 2, 2024 Last action Oct 24, 2024
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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
Oct 24, 2024
Committee
Reported and Referred to Assembly Appropriations Committee
lower
May 2, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
2 primary · 0 co-sponsors

Sponsors