Healthcare

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.

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).

This bill expands New Jersey's existing Senior Citizens and Disabled Residents Transportation Assistance Program to provide transportation services specifically for disabled veterans needing to attend medical appointments for service-connected conditions. It directs the Department of Military and Veterans' Affairs to work with counties to identify veterans' transportation needs and provides funding by redirecting 4% of casino revenue fund allocations (previously used for senior/disabled transport) to cover these new services. The program helps counties pay for expanded transit options, including door-to-door service or subsidized rides, for veterans certified with service-connected disabilities by the U.S. Department of Veterans Affairs. This directly affects disabled veterans in New Jersey who require transportation to VA-approved medical appointments but are not covered by existing travel reimbursement programs.

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.

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.

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.

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.