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NJ S4651
Bill
Status
6/23/2025
Primary Sponsor
Joseph Vitale
Click for details
AI Summary
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Mandates New Jersey Medicaid coverage for continuous glucose monitors (CGMs) and related repair costs for recipients diagnosed with diabetes who are insulin-treated or have documented problematic hypoglycemia (two or more level 2 events or one level 3 event)
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Requires CGMs to be FDA-approved, prescribed according to federal indications, and recipients must demonstrate sufficient training in device use as determined by their treating physician
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Establishes ongoing eligibility requirements including follow-up care visits with a health care practitioner every 6 months for the first 18 months, then annually thereafter
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Directs the Commissioner of Human Services to apply for federal Medicaid waivers or state plan amendments necessary to implement the program and secure federal financial participation
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Authorizes immediate adoption of emergency regulations for up to six months to implement the act, with permanent rules to follow standard administrative procedures
Legislative Description
Requires Medicaid coverage for continuous glucose monitors and related supplies for individuals diagnosed with diabetes who meet certain coverage eligibility criteria.
Health, Human Services and Senior Citizens
Last Action
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
6/23/2025