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NJ S4294

Bill

Status

Introduced

3/24/2025

Primary Sponsor

Teresa Ruiz

Click for details

Origin

Senate

2024-2025 Regular Session

AI Summary

  • Requires New Jersey Medicaid to cover medically necessary ovulation enhancing drugs and related medical services for beneficiaries ages 21-44 experiencing infertility, contingent on federal financial participation

  • Covered medical services include office visits, hysterosalpingograms, pelvic ultrasounds, and blood testing related to prescribing and monitoring ovulation enhancing drug use

  • Limits coverage to three cycles of treatment per lifetime per beneficiary

  • Defines infertility as failure to establish pregnancy after 12 months of unprotected intercourse for ages 21-34, or after 6 months for ages 35-44, with protections ensuring the definition cannot deny or delay treatment based on relationship status or sexual orientation

  • Directs the Commissioner of Human Services to apply for necessary federal waivers or state plan amendments and adopt implementing regulations, with the act taking effect on the first day of the fourth month following enactment

Legislative Description

Requires unrestricted Medicaid coverage for ovulation enhancing drugs and medical services related to administering such drugs for certain beneficiaries experiencing infertility.

Budget and Appropriations

Last Action

Referred to Senate Budget and Appropriations Committee

12/8/2025

Committee Referrals

Budget and Appropriations12/8/2025
Health, Human Services and Senior Citizens3/24/2025

Full Bill Text

No bill text available