A 4273 New Jersey General Assembly · 2024-2025 Regular Session

Requires Medicaid provide health benefits coverage, and places certain requirements on insurers and State Health Benefits Program regarding existing mandate on health benefits coverage, for certain over-the-counter contraceptives.

This bill requires Medicaid and state health benefit programs to cover over-the-counter contraceptives approved by the FDA without requiring a prescription. It mandates that coverage must be provided without cost-sharing (no deductibles, copays, or coinsurance) for a 12-month supply of these contraceptives. The bill requires health plans to establish mechanisms allowing people to access contraceptives without paying at the pharmacy or to pay and submit for reimbursement. It also clarifies that pharmacist protocols for dispensing contraceptives don't apply to over-the-counter FDA-approved contraceptives. The bill expands public awareness campaigns to inform people about both pharmacy access and coverage options for these contraceptives.
Bill status in committee 1 of 4 stages cleared
Introduction
May 2024
Committee Review
Floor Vote
Governor
Introduced May 2, 2024 Last action May 2, 2024
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May 2, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Financial Institutions and Insurance Committee
lower
2 primary · 0 co-sponsors

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