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NJ S4003
Bill
Status
3/19/2026
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 supplies for individuals diagnosed with diabetes who are treated with insulin or have documented problematic hypoglycemia (glucose below 54 mg/dL)
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Requires CGM recipients to have physician determination of sufficient training on the device and prescriptions consistent with FDA-approved indications for use
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Establishes follow-up care requirements for continued coverage: visits with a treating practitioner every six months for the first 18 months, then annually thereafter
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Directs the Commissioner of Human Services to apply for necessary federal Medicaid waivers or state plan amendments to implement the coverage and secure federal financial participation
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Authorizes immediate adoption of implementing regulations, effective for up to six months pending formal rulemaking 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
3/19/2026