A 6209 New Jersey General Assembly · 2024-2025 Regular Session

Improves access to lower-cost generic and biosimilar drugs.

This bill requires New Jersey's Medicaid managed care organizations to automatically cover lower-cost generic and biosimilar drugs when they are cheaper than the original brand drugs. Specifically, if a generic drug's wholesale cost is lower than its reference drug at launch, the health plan must immediately add it to their formulary with better cost-sharing (like lower copays) and cannot impose extra barriers like prior authorization. The bill also mandates that health plans publish clear, accessible formulary lists online with update dates, ensuring transparency for Medicaid enrollees and the public. These changes directly affect Medicaid health plans and beneficiaries by improving access to affordable medications.
Bill status in committee 1 of 4 stages cleared
Introduction
Dec 2025
Committee Review
Floor Vote
Governor
Introduced Dec 8, 2025 Last action Dec 8, 2025
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Dec 8, 2025
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 Roy Freiman
Roy Freiman
DDemocratic
NJ
16