A 5270 New Jersey General Assembly · 2026-2027 Regular Session

Requires coverage of clinician-administered drugs without additional financial penalties or certain limitations on location of administration of drugs.

This New Jersey bill requires health insurance plans and pharmacy benefit managers to cover drugs that must be administered by a clinician without charging patients extra fees or imposing special restrictions. It prohibits insurers from refusing to pay for these medications, forcing patients to use specific pharmacies, or penalizing them with higher copays simply because they receive care at a doctor's office or hospital rather than a pharmacy. Additionally, the law prevents insurers from denying coverage based on where the drug is administered, as long as it meets standard medical necessity criteria. While the bill allows insurers to suggest using home infusion services or external infusion sites, it does not make these options mandatory.
Bill status in committee 1 of 4 stages cleared
Introduction
Jun 2026
Committee Review
Floor Vote
Governor
Introduced Jun 15, 2026 Last action Jun 15, 2026
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Jun 15, 2026
Introduced
Introduced, Referred to Assembly Financial Institutions and Insurance Committee
lower
2 primary · 0 co-sponsors

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