A 5409 New Jersey General Assembly · 2024-2025 Regular Session

Requires NJ FamilyCare to reimburse inpatient providers for long-acting injectable antipsychotic drugs at outpatient reimbursement rate.

This bill requires New Jersey's Medicaid program (NJ FamilyCare) to pay inpatient hospitals the same rate for long-acting injectable antipsychotic drugs as it does for outpatient use. It directly affects hospitals and inpatient providers who treat patients with serious mental illnesses like schizophrenia or bipolar disorder. The key mechanism mandates that reimbursement for these drugs in hospitals must be separate from standard hospital payment systems (DRGs) and match the outpatient rate, which reflects the actual drug cost. This change aims to ensure hospitals receive adequate reimbursement for these high-cost medications, which are designed to manage symptoms for up to 24 weeks with a single dose.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 6, 2025 Last action Dec 4, 2025
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What changed between versions

Introduced Version Reprint AHU 12/4/25 1R · 2 edits
MINOR
The Assembly Aging and Human Services Committee reported this bill with amendments on December 4, 2025. The most significant substantive change is the addition of a new section (Section 12) that authorizes pharmacists to administer long-acting injectable antipsychotic drugs in inpatient settings, provided they are appropriately educated and qualified as determined by the State Board of Pharmacy and acting under rules jointly promulgated with the State Board of Medical Examiners. The explanatory statement was removed, and existing sections were renumbered to accommodate the new provision.
Scope change
The bill's scope expanded to include pharmacists as authorized administrators of long-acting injectable antipsychotic drugs in inpatient settings, not just other healthcare providers who were previously covered under the reimbursement provisions.
SCOPE

New Section 12 allows pharmacists to administer long-acting injectable antipsychotic drugs to patients in an inpatient setting pursuant to a prescription from an authorized prescriber, provided the pharmacist is appropriately educated and qualified as determined by the New Jersey State Board of Pharmacy and in accordance with rules jointly promulgated by the State Board of Pharmacy and the State Board of Medical Examiners.

TECHNICAL

Existing sections 2, 3, and 4 were renumbered to sections 13, 14, and 15 to accommodate the new section. The explanatory statement was removed from the bill text.

Floor votes

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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
Dec 4, 2025
Committee
Reported out of Assembly Committee with Amendments and Referred to Assembly Health Committee
lower
Mar 6, 2025
Introduced
Introduced in the Assembly, Referred to Assembly Aging and Human Services Committee
lower
3 primary · 1 co-sponsor

Sponsors