S 3434 New Jersey Senate · 2024-2025 Regular Session

Clarifies coverage requirements for health insurers of over-the-counter contraceptive drugs.

This bill requires health insurers in New Jersey to cover over-the-counter contraceptive drugs without cost-sharing, prescription requirements, or medical management restrictions. It clarifies that insurers must provide coverage for either requested prescription contraceptives or their therapeutic equivalents, with medical necessity for over-the-counter contraceptives deemed automatically present. The law applies to all health insurance plans sold in New Jersey, including hospital service corporations, medical service corporations, health maintenance organizations, and Medicaid programs. It ensures that individuals can access contraceptive drugs at point-of-sale without deductibles, copays, or provider orders, and extends coverage to pharmacy-furnished self-administered hormonal contraceptives. The bill updates existing coverage requirements to explicitly include over-the-counter contraceptive drugs as a standard benefit.
Bill status in committee 1 of 4 stages cleared
Introduction
Jun 2024
Committee Review
Floor Vote
Governor
Introduced Jun 10, 2024 Last action Jun 20, 2024
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Full legislative history

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Total actions
2
Key actions
1
Committee
1
Jun 20, 2024
Upper · Passed
Reported out of Senate Committee, 2nd Reading
upper
Jun 10, 2024
Introduced
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
upper
2 primary · 0 co-sponsors

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