Secures protections for patients and providers accessing and providing legally protected health care activities; establishes right of residents to legally protected health care services, which are restricted in other states.

S 3491 establishes legal protections for patients and healthcare providers accessing or providing reproductive health care (including abortion) and gender-affirming health care services in New Jersey. The bill defines "legally protected health care activity" as services lawful in New Jersey, regardless of where the patient resides, and creates criminal penalties for interfering with access to these services (such as obstructing facilities, intimidating patients, or recording individuals without consent). It also prohibits New Jersey from extraditing people for providing or seeking these services, protects patient privacy regarding these services, and specifies that fertilized eggs, embryos, or fetuses cannot have independent legal rights under New Jersey law. The bill applies to all individuals seeking or providing these services within New Jersey, including those traveling from states with restrictions on reproductive or gender-affirming care.