Healthcare

passed · New Jersey · General Assembly May 18, 2026

A 1502: "Patient and Provider Protection Act."

This bill regulates pharmacy benefits managers (PBMs) and insurance carriers to increase transparency and fairness in prescription drug coverage. It requires carriers and PBMs to establish pharmacy and therapeutics committees with strict conflict-of-interest rules, prohibits commission-based PBM compensation (mandating flat fees instead), and mandates detailed reporting of PBM fees for insurance filings. The law directly affects insurers, PBMs, and pharmacies by changing how drug formularies (approved drug lists) are managed and how PBM costs are calculated and disclosed. Key provisions include banning preferential formulary placement for higher-cost drugs over lower-cost generics/biosimilars and requiring actuarial documentation for PBM compensation. The bill aims to reduce patient cost-sharing and ensure PBM compensation aligns with administrative costs.

Topics ✓ HealthcareSupports HealthcareRegulates PBMs/insurers for transparency, fairness in drug coverage, bans commission-based fees, and mandates detailed reporting - directly protects patient access and rights in healthcare.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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passed · New Jersey · General Assembly May 18, 2026

A 2739: Prohibits social media platforms from promoting certain practices or features of eating disorders to child users.

This bill would prohibit social media platforms from promoting content related to eating disorders - such as diet products, extreme weight loss practices, or harmful eating behaviors - to users under 18. Platforms must conduct quarterly internal audits and annual independent audits to ensure their algorithms or features don’t contribute to eating disorders in children, and fix any issues within 30 days if identified. Small platforms with less than $100 million in annual revenue are exempt from the audit requirements. The bill does not hold platforms liable for user-generated content unless the platform paid to promote it (e.g., via advertisements).

Topics ✓ HealthcareSupports HealthcarePrevents social media promotion of eating disorder content to minors, directly protecting youth mental health and reducing risk factors requiring healthcare services.95% confidence ✓ TechnologySupports TechnologyBill regulates social media algorithms to prevent harmful content promotion for minors, aligning with consumer protection regulations in digital rights.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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signed · New Jersey · General Assembly Mar 25, 2026

A 4070: Establishes "Privacy Protection Act"; concerns collection and sharing of certain personal information.

This New Jersey bill establishes the "Privacy Protection Act" to limit how government agencies and healthcare facilities collect and share certain personal information. It prohibits them from requesting details like immigration status, citizenship, social security numbers, or tax IDs unless necessary for specific public services, benefits, or healthcare delivery (with healthcare exceptions for patient safety). The bill requires written consent in the person's preferred language for sharing any collected data, detailing exactly what will be shared, why, and confirming consent is voluntary without retaliation. It also bans selling or sharing vehicle license plate data except under court orders, subpoenas, or with explicit written consent, and mandates government entities to update privacy policies within one year.

Topics ✓ HealthcareSupports HealthcareRequires written consent for sharing personal info in healthcare contexts, protecting patient privacy rights during treatment and delivery of services.90% confidence ✓ ImmigrationSupports ImmigrationProhibits collection of immigration status without necessity, reducing state cooperation with federal enforcement and protecting immigrant privacy.85% confidence ✓ TechnologySupports TechnologyBill restricts government/healthcare data collection/sharing and mandates consent, directly strengthening data privacy protections under technology policy.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

in committee · New Jersey · General Assembly Mar 16, 2026

A 2018: Requires publication of guide for licensure as integrated care facility; assigns DOH and DHS employees to communicate with facilities.

This New Jersey bill requires the Department of Health (DOH) and Department of Human Services (DHS) to create and publish an online guide for healthcare facilities. It directly affects facilities like community mental health centers, substance use treatment programs, and federally qualified health centers that seek licensure for integrated care services. The guide must clearly explain the steps and rules needed for facilities to: (1) provide integrated health care (coordinating general and behavioral health services), (2) add behavioral health or substance use treatment to existing primary care licenses, and (3) contact assigned department staff for help. The bill defines "integrated health care" as systematically coordinating general and behavioral health services to address issues like mental illness, substance use, and chronic conditions.

Topics ✓ HealthcareSupports HealthcareMandates DOH/DHS to create online guide for integrated care facility licensure, directly supporting mental health/substance use programs' access to coordinated care services.92% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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in committee · New Jersey · General Assembly Feb 19, 2026

A 4186: Enters New Jersey into Emergency Medical Services Personnel Licensure Interstate Compact.

New Jersey would join the Emergency Medical Services Personnel Licensure Interstate Compact (REPLICA), allowing EMTs, paramedics, and other licensed emergency medical personnel to work across state lines more easily. The bill directly affects EMS professionals seeking to practice in multiple states by enabling mutual recognition of licenses between participating states. Key provisions require member states to immediately recognize licenses from other compact states and share information about disciplinary actions against license holders. This streamlines cross-state emergency response while maintaining oversight through shared accountability measures.

Topics ✓ HealthcareSupports HealthcareEnables cross-state practice for EMTs/paramedics, improving emergency medical access and workforce mobility in healthcare services.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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in committee · New Jersey · General Assembly Feb 12, 2026

A 434: Prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions for covered persons solely because of change in health benefits plan or pharmacy benefits manager.

This bill prevents New Jersey's State Health Benefits Program (SHBP), School Employees' Health Benefits Program (SEHBP), and Medicaid from denying coverage for maintenance medications treating chronic conditions when a person's health plan or pharmacy provider changes. It requires coverage continuity if a patient was taking the medication before the plan change and the new plan covers that specific drug class. The law applies to state employees, school staff, and Medicaid recipients who rely on ongoing medication for conditions like diabetes or hypertension. It ensures these individuals won't lose access to essential medications due solely to administrative shifts in their health coverage plans.

Topics ✓ EducationSupports EducationBill ensures health coverage continuity for school staff (including teachers) under SEHBP, supporting educator well-being and stability in education workforce.85% confidence ✓ HealthcareSupports HealthcarePrevents coverage denials for chronic maintenance meds during plan changes, ensuring continuity of care for SHBP/SEHBP/Medicaid beneficiaries. Protects patient access to essential medications.95% confidence ✓ Labor & EmploymentSupports Labor & EmploymentEnsures healthcare coverage continuity for state employees and school staff (covered under SHBP/SEHBP), protecting employment-related benefits and preventing disruptions in chronic medication access.90% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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in committee · New Jersey · General Assembly Feb 12, 2026

A 3242: Requires health benefits coverage of continuous glucose monitoring system for treatment of glycogen storage disease.

This bill requires all health insurance plans in New Jersey to cover continuous glucose monitoring systems prescribed for treating glycogen storage disease, a rare metabolic condition. It applies to hospital service corporations, medical service corporations, health service corporations, individual health insurance policies, group health plans, and health benefits plans. The coverage must be provided at the same level as for other medical conditions, eliminating insurance denials for this specific treatment. This directly affects patients with glycogen storage disease and their insurers, ensuring access to necessary monitoring technology without extra cost barriers.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for continuous glucose monitoring for glycogen storage disease, eliminating denials and expanding access to necessary treatment under all covered plans.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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in committee · New Jersey · General Assembly Jan 13, 2026

A 2281: Requires Medicaid coverage for fertility preservation services in cases of iatrogenic infertility caused by medically necessary treatments.

This bill requires New Jersey Medicaid to cover fertility preservation services (like egg or sperm freezing) for individuals who develop infertility as a direct result of medically necessary treatments, such as cancer therapy. It directly affects Medicaid beneficiaries facing treatment-induced infertility who would otherwise pay out-of-pocket for these services. The key provision amends Medicaid coverage to include these services under "comprehensive medical care" when recommended by a physician prior to treatments known to cause infertility. The policy change ensures coverage for fertility preservation as part of standard medical care, without adding new administrative burdens to existing Medicaid services.

Topics ✓ HealthcareSupports HealthcareBill mandates Medicaid coverage for fertility preservation services, expanding insurance coverage and improving patient access for treatment-induced infertility without out-of-pocket costs.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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in committee · New Jersey · General Assembly Jan 13, 2026

A 2457: Requires State Long-Term Care Ombudsman to include memory care training in annual long-term care training program.

This bill requires New Jersey's State Long-Term Care Ombudsman to add specific memory care training to their annual long-term care training program within one year. The training must cover the needs and rights of residents with Alzheimer's disease and related disorders, including methods to address their unique challenges. If the ombudsman's program does not include this training by the deadline, they must report to the legislature explaining the delay and steps to implement it. The bill directly affects the ombudsman's program, long-term care facility staff, and residents with memory-related conditions.

Topics ✓ HealthcareSupports HealthcareRequires memory care training for ombudsman to address Alzheimer's patients' needs and rights, enhancing long-term care quality and patient protections.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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in committee · New Jersey · General Assembly Jan 13, 2026

A 3745: Requires health insurance and Medicaid coverage for the treatment of stuttering.

This bill requires all health insurance plans and Medicaid in New Jersey to cover medically necessary speech therapy for stuttering, including both habilitative (helping develop speech skills) and rehabilitative (helping regain lost skills) therapy. It applies to all health insurance policies sold in New Jersey, including individual, group, and hospital service contracts, and mandates coverage whether therapy is provided in-person or via telehealth. Insurers must cover these services at the same level as other medical treatments, without additional restrictions. The law directly affects residents with stuttering who rely on insurance for speech therapy, ensuring they receive consistent coverage for this specific treatment.

Topics ✓ HealthcareSupports HealthcareMandates insurance/Medicaid coverage for stuttering therapy, expanding access to speech services under both habilitative and rehabilitative categories.95% confidence | Rep's Stance ✓ Voted Yes ✓ Supports Healthcare

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