Healthcare in New Jersey

in committee · New Jersey · General Assembly Jun 15, 2026

A 5270: 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.

Topics ✓ Healthcare

Sub-Topics Hospitals Insurance Prescription Drugs

in committee · New Jersey · Senate Jun 24, 2026

S 4511: Requires health benefits coverage of assisted reproductive technology to prevent transmission of monogenic disorder.

This bill requires health insurance plans in New Jersey with more than 50 members to cover medically necessary infertility treatments, including assisted reproductive technology, for individuals and couples. The law specifically mandates coverage for procedures used to prevent the transmission of severely disabling or life-threatening monogenic disorders to offspring, alongside other standard infertility services like IVF and genetic testing. While the bill sets specific guidelines for coverage limits and medical necessity, it includes an exemption allowing religious employers to exclude certain reproductive technologies if they conflict with the employer's religious beliefs.

Topics ✓ Healthcare

Sub-Topics Insurance

in committee · New Jersey · General Assembly Jun 23, 2026

A 5317: Requires health insurance carriers to provide opportunity to clinical laboratory and laboratory services provider to participate as preferred or contracting provider in carriers' provider network.

This bill requires health insurance carriers in New Jersey to allow clinical laboratories and laboratory services providers to join their provider networks as preferred or contracting partners. The legislation mandates that insurance contracts must not deny these providers the right to participate under the same terms and conditions applied to other providers, provided they hold the necessary state or federal licenses and agree to the contract's terms. Additionally, the bill ensures that subscribers can choose their own laboratories without facing higher copayments or fees compared to other options, while also prohibiting insurers from restricting how providers charge for additional services like prescription counseling. These changes aim to increase competition and choice for patients by ensuring laboratories have equal access to insurance networks.

Topics ✓ Healthcare

Sub-Topics Insurance

in committee · New Jersey · General Assembly Jun 28, 2026

A 5340: Provides gross income tax credit to qualified family caregivers for care and support expenses incurred for qualifying family members.

This bill creates a New Jersey gross income tax credit for qualified family caregivers who pay for care and support expenses for qualifying family members. The credit allows caregivers to reduce their tax liability by up to $3,000 annually, or $5,000 if the person they care for is a veteran or has a disability, with the remaining amount potentially refunded if taxes are fully offset. To claim the benefit, caregivers must submit detailed documentation, such as receipts, proof of payment, and medical certifications, to the Division of Taxation. The legislation also clarifies that caregivers can claim this credit alongside existing dependent deductions or other credits, while ensuring the total credit for a single care recipient does not exceed the annual limits even if multiple family members provide care.

Topics ✓ Budget & Taxes ✓ Healthcare ✓ Veterans

Sub-Topics Income Tax Tax Credits

in committee · New Jersey · Senate Jun 15, 2026

S 4461: Authorizes parking privileges for certain immediate family members of persons with dementia.

This bill creates a special parking program for immediate family members of individuals diagnosed with dementia in New Jersey. It allows caregivers to apply for a placard that permits them to park in spaces reserved for municipal residents, university lots, and designated areas at medical facilities and retail stores. The program includes provisions for overnight parking and metered spots for up to 24 hours without penalty, provided the vehicle is being used to render health or personal care services. Placards are valid for two years, require a modest application fee, and must be registered with the Motor Vehicle Commission to prevent misuse.

Topics ✓ Healthcare

in committee · New Jersey · Senate Jun 30, 2026

S 4408: Creates voluntary pilot program to allow certain facilities flexibility in their psychiatric bed status.

This bill establishes a voluntary pilot program allowing licensed psychiatric facilities in New Jersey to temporarily convert certain adult acute psychiatric beds into closed acute psychiatric beds. Under this plan, facilities can make these changes without needing approval from the Department of Health or altering their official license. Participating facilities must submit quarterly reports detailing patient types, usage duration, and conversion numbers, which will be made public online. The program is set to run for 24 months, after which the state health commissioner will evaluate its success and recommend whether to extend or make it permanent.

Topics ✓ Healthcare

Sub-Topics Mental Health

in committee · New Jersey · Senate Jun 22, 2026

S 4516: Makes various changes to SHBP governance and administration.

This bill restructures the governance of New Jersey's State Health Benefits Program by creating a new 13-member State Health Benefits Commission. The commission will include existing state officials, representatives from local and higher education employers, and members appointed by various public employee unions, including specific seats for police and firefighters. It also establishes a process for selecting an independent expert to advise on health plan design while ensuring the commission operates with a majority vote requirement. The legislation mandates that commission members serve without pay but receive expense reimbursement, and it requires the commission to publish an annual financial report for public review.

Topics ✓ Healthcare ✓ Labor & Employment

Sub-Topics Insurance Public Employees

passed both · New Jersey · Senate Jun 30, 2026

S 4413: Establishes School-based Partnerships for Access and Resilience for Kids program in DCF; requires school districts to develop mental health support and partnership programs. **

This bill creates the School-Based Partnerships for Access and Resilience for Kids program within the Department of Children and Families to support student mental health. It requires school districts, charter schools, and renaissance schools to develop specific mental health support programs that connect students with high behavioral health needs to the new SPARK program navigator. The SPARK program, operated by the New Jersey Pediatric Psychiatry Collaborative, will provide same-day psychiatric consultations, referrals to community providers, and assistance with school re-entry after a mental health crisis. Access to these services is limited to students in kindergarten through grade 12 and requires written consent from a parent or legal guardian. Additionally, the bill mandates that schools have designated staff or formal agreements with external providers to ensure ongoing counseling support for their students.

Topics ✓ Education ✓ Healthcare

Sub-Topics K-12 Education Student Health Children's Health Mental Health

in committee · New Jersey · Senate Jun 11, 2026

S 4416: Expands role of New Jersey Health Care Quality Institute and transfers $3 million from DCF to DHS for establishment of dashboard and associated implementation.

This bill expands the role of the New Jersey Health Care Quality Institute to oversee the implementation of a new children's mental health data dashboard and related improvements. It transfers $3 million from the Department of Children and Families to the Department of Human Services to fund this initiative, which involves creating a visual map of how families access care and analyzing eligibility rules and barriers. The Institute will coordinate with various state agencies to study current services, identify disparities based on factors like race and payer type, and develop policy recommendations to improve the system. Additionally, the Institute will serve as the central entity for implementing the findings from this study to make pediatric mental health care more efficient and accessible across the state.

Topics ✓ Healthcare ✓ Technology

Sub-Topics Children's Health Mental Health

passed · New Jersey · General Assembly Jun 30, 2026

A 5236: Requires DCF to strengthen Statewide pediatric psychiatry and behavioral health care services for children and families.

This bill directs New Jersey's Department of Children and Families to improve access to mental health care for children and their families. It requires the department to expand services through the New Jersey Pediatric Psychiatry Collaborative, which includes adding telehealth options, providing real-time psychiatric support to pediatric doctors, and offering better training and referral systems. The legislation also mandates greater transparency by setting specific performance goals for service providers, making contract results public, and launching a public awareness campaign to help families find care. Additionally, the bill establishes a new requirement for hospitals and clinics to report standardized data on how often children seek psychiatric or behavioral health services.

Topics ✓ Healthcare ✓ Technology

Sub-Topics Children's Health Mental Health Telehealth

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