A 3554 New Jersey General Assembly · 2026-2027 Regular Session

Removes exception of self-insured health benefits plans from law concerning pharmacy benefits managers.

This New Jersey bill (A-3554) removes an exemption that previously allowed self-insured employer health plans (covered under federal law) to be excluded from state regulations governing pharmacy benefits managers (PBMs). It directly affects self-insured health plans by requiring them to comply with the state's existing PBM rules, such as transparency and fair pricing standards. The bill also mandates a report to state legislators examining how a 2020 U.S. Supreme Court ruling (Rutledge v. PCMA) impacts these regulations. The policy change applies to all health plans renewed or initiated after the effective date, ensuring consistent oversight of PBMs across all plan types.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 13, 2026 Last action Jan 13, 2026
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Jan 13, 2026
Introduced
Introduced, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Lou Greenwald
Lou Greenwald
DDemocratic
NJ
6