Requires third-party discounts and payments for individuals covered by health benefits plans to apply to copayments, coinsurance, deductibles, or other out-of-pocket costs for covered benefits.

This bill requires health insurance carriers and pharmacy benefits managers in New Jersey to apply third-party discounts and payments toward an individual's cost-sharing amounts, including copayments, coinsurance, deductibles, and other out-of-pocket costs for covered health benefits. It prohibits insurers from using "accumulators" that would prevent these discounts from reducing an individual's cost-sharing responsibility. The bill mandates that carriers must give credit for any cost-sharing amount paid by the enrollee or on their behalf by another party when calculating out-of-pocket costs. It also requires annual certification to the Commissioner of Banking and Insurance to verify compliance with these requirements. The bill takes effect January 1, 2025, and applies to all health benefits plans offered or issued by carriers in New Jersey.