Requires prescription drug coverage for serious mental illness without prior authorization or utilization management, including step therapy.

New Jersey's S 1192 requires health insurers to cover prescription drugs for serious mental illnesses without prior authorization or step therapy (where patients must try cheaper drugs first). It applies to conditions like schizophrenia, bipolar disorder, major depression, and PTSD as defined in the DSM. Insurers must also submit annual reports to the Department of Banking and Insurance detailing how they apply medical necessity standards for mental health coverage to ensure they’re no stricter than for physical health treatments. This bill directly affects health insurers and beneficiaries in New Jersey seeking mental health medication coverage.