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NJ A434
Bill
Status
1/13/2026
Primary Sponsor
Michael Venezia
Click for details
AI Summary
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Prohibits the State Health Benefits Program (SHBP), School Employees' Health Benefits Program (SEHBP), and Medicaid from denying coverage for maintenance medications prescribed for chronic conditions solely due to a change in health benefits plan or pharmacy benefits manager.
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Coverage protection applies only when the patient was already taking the medication before the plan or pharmacy benefits manager change occurred.
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The new plan or pharmacy benefits manager must provide coverage for that class of drugs for the protection to apply.
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Takes effect on the first day of the seventh month following enactment and applies to contracts issued or renewed after that date.
Legislative Description
Prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions for covered persons solely because of change in health benefits plan or pharmacy benefits manager.
Health
Last Action
Reported and Referred to Assembly Health Committee
2/12/2026