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NJ S4806
Bill
Status
11/6/2025
Primary Sponsor
Brian Stack
Click for details
AI Summary
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Requires pharmacy benefit managers (PBMs) to pay or reimburse pharmacy claims within 14 calendar days, or provide written/electronic notice that the claim is contested or denied within that timeframe
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Mandates that PBMs submit records, contracts, documents, and data annually to the Department of Banking and Insurance for inspection and audit purposes, rather than only upon request
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Applies to claims received on or after the effective date, which is the first day of the fourth month following enactment
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Authorizes civil penalties up to $500 for unauthorized disclosure of confidential PBM information submitted to the department
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Maintains existing requirements for PBMs to update drug pricing information every seven days and provide appeal mechanisms for pricing disputes
Legislative Description
Establishes audit and payment requirements for pharmacy benefit managers.
Commerce
Last Action
Introduced in the Senate, Referred to Senate Commerce Committee
11/6/2025