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  • NJ A4328
  • Provides for procurement by State of pharmacy benefits manager, automated reverse auction services, and claims adjudication services.
Introduced
(11/14/2016)
In Committee
(11/14/2016)
Crossed OverPassedSignedDead/Failed/Vetoed
2016-2017 Regular Session
This bill provides that the State will procure, in an expedited manner, professional services contracts for: technical assistance to evaluate the qualifications of bidders on a Pharmacy Benefits Manager (PBM) procurement and online automated reverse auction services to support comparison of the pricing for the PBM procurement; real-time, electronic, line-by-line, claim-by-claim review of invoiced PBM pharmacy claims using an automated claims adjudication technology platform that allows for online comparison of PBM invoices and auditing of other aspects of the services provided by the PBM; and a PBM for the State Health Benefits Plan or the School Employees' Health Benefits Plan. The bill authorizes the Division of Purchase and Property in the Department of the Treasury, to the extent necessary, to waive or modify any other law or regulation that may interfere with the procurement of these services. It is anticipated that the assistance of these professional services vendors and this method of awarding a pharmacy benefits manager contract will save substantial amounts of public funds. The bill will take effect immediately and expire after the next PBM contact is awarded. State budget savings that will result from the awarding of the contracts specified in this bill should be credited toward the $250 million of savings to the State in health care costs for public employees, savings that were assumed in the State Fiscal Year 2017 Appropriations Act (P.L.2016, c.10).
2nd Reading in the Assembly, Substituted by another Bill
Substituted by S2749  (on 11/21/2016)
 
 
Date Chamber Action Description
11/21/2016 A Substituted by S2749
11/14/2016 A Reported out of Assembly Committee, 2nd Reading
11/14/2016 A Introduced, Referred to Assembly Human Services Committee
Date Motion Yea Nay Other
Detail 11/14/2016 Assembly Human Services Committee: Reported Favorably 6 0 0