A 4838 New Jersey General Assembly · 2024-2025 Regular Session

Requires prescription drug coverage for serious mental illness without prior authorization or utilization management, including step therapy.

This New Jersey bill requires health insurance plans and Medicaid programs to cover prescription drugs for specific serious mental illnesses without prior authorization or step therapy protocols. It defines "serious mental illness" to include conditions like bipolar disorder, major depression, schizophrenia, and other disorders listed in the latest Diagnostic and Statistical Manual of Mental Disorders. The legislation applies to all health insurance carriers in New Jersey, mandating coverage for these medications without utilization management barriers that often delay treatment. This would directly affect individuals with these mental health conditions who currently face insurance hurdles to accessing necessary medications.
Bill status passed 3 of 5 stages cleared
Introduction
Sep 2024
Committee Review
Dec 2025
General Assembly Passage
Dec 2025
Senate Passage
Governor
Introduced Sep 23, 2024 Last action Jan 6, 2026
Floor votes · General Assembly Dec 22, 2025

How they voted

656
Passed · 7 other
Total votes 78
Dec 22, 2025
D Democratic50
47 Yea 3
94% Yea
R Republican28
18 Yea 6 Nay 4
64% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
6
Key actions
2
Committee
3
Dec 22, 2025
Lower · Passed
Passed Assembly (67-6-1)
lower
Dec 18, 2025
Lower · Passed
Reported out of Assembly Committee with Amendments, 2nd Reading
lower
Dec 11, 2025
Committee
Reported and Referred to Assembly Appropriations Committee
lower
Apr 10, 2025
Committee
Reported out of Assembly Committee with Amendments and Referred to Assembly Health Committee
lower
Sep 23, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
3 primary · 15 co-sponsors

Sponsors