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NJ S4806

Bill

Status

Introduced

11/6/2025

Primary Sponsor

Brian Stack

Click for details

Origin

Senate

2024-2025 Regular Session

AI Summary

  • 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

  • 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

  • Applies to claims received on or after the effective date, which is the first day of the fourth month following enactment

  • Authorizes civil penalties up to $500 for unauthorized disclosure of confidential PBM information submitted to the department

  • 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

Committee Referrals

Commerce11/6/2025

Full Bill Text

No bill text available