A 2937 New Jersey General Assembly · 2024-2025 Regular Session

Requires health insurers, SHBP, and SEHBP to provide coverage for certain drug regimens for treatment of AIDS or HIV under certain circumstances.

This bill requires New Jersey health insurers, health plans, and state health benefit programs (including SHBP and SEHBP) to cover specific antiretroviral drug regimens for HIV/AIDS treatment. It mandates coverage for single-tablet regimens when equally effective as multi-tablet regimens, and for multi-tablet regimens when clinically equivalent or more effective with better patient adherence (after peer review by infectious disease specialists). Insurers must complete prior authorization requests within 14 days or automatically approve them. The law applies to all relevant health plans, including individual and group policies, and requires coverage at the same level as for other medical conditions.
Bill status in committee 1 of 4 stages cleared
Introduction
Jan 2024
Committee Review
Floor Vote
Governor
Introduced Jan 9, 2024 Last action Jan 9, 2024
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Jan 9, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Gary Schaer
Gary Schaer
DDemocratic
NJ
36