Prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions for covered persons solely because of change in health benefits plan or pharmacy benefits manager.
This bill prohibits New Jersey's State Health Benefits Program (SHBP), School Employees' Health Benefits Program (SEHBP), and Medicaid from denying coverage for maintenance medications treating chronic conditions when a person's health plan or pharmacy benefits manager changes. It specifically prevents coverage loss if the person was already taking the medication before the change and the new plan covers that medication class. The law applies to all covered individuals under these programs who experience such plan transitions. It ensures continuity of essential medications without requiring new prior authorizations due to administrative changes.
Bill status
in committee
1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 2, 2026
Last action Mar 2, 2026
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Full legislative history
Actions timeline
Total actions
1
Key actions
0
Committee
0
Mar 2, 2026
Introduced
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
upper
2 primary · 0 co-sponsors
Sponsors
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