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NJ S3586

Bill

Status

Introduced

2/19/2026

Primary Sponsor

James Beach

Click for details

Origin

Senate

2026-2027 Regular Session

AI Summary

  • Expands claims experience data availability from the State Health Benefits Program (SHBP) and School Employees' Health Benefits Program (SEHBP) to participating public employers, changing the request period from once every 24 months to once per calendar year.

  • Allows majority representatives of public employees to request and receive claims experience data within 15 days, provided the public employer has already requested the data.

  • Mandates 26 specific categories of information in claims data reports, including medical loss ratios, group census reports, top 20 diagnoses by amount paid, network utilization reports, and detailed prescription claims data.

  • Requires prescription-related data to include national drug codes, days' supply, ingredient costs, dispensing fees, rebate reports, and top 50 drugs by both total dispensed and total dollars paid.

  • Takes effect 90 days after enactment and maintains HIPAA privacy compliance while prohibiting release of data that could identify individuals or adversely affect personal privacy rights.

Legislative Description

Requires certain information to be included in SHBP and SEHBP claims experience data provided to certain public employers.

State Government, Wagering, Tourism & Historic Preservation

Last Action

Introduced in the Senate, Referred to Senate State Government, Wagering, Tourism & Historic Preservation Committee

2/19/2026

Committee Referrals

State Government, Wagering, Tourism & Historic Preservation2/19/2026

Full Bill Text

No bill text available