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NJ S413

NJ S413
Expands requirement of health insurers and Medicaid program to cover prescriptions for contraceptives for up to 12 months.


summary

Introduced
01/14/2020
In Committee
01/06/2022
Crossed Over
01/10/2022
Passed
01/10/2022
Dead
Signed/Enacted/Adopted
01/13/2022

Introduced Session

2020-2021 Regular Session

Bill Summary

This bill amends P.L.2005, c.251, the statute requiring health insurers that provide coverage for outpatient prescription drugs to cover prescription female contraceptives, to increase the requirement for coverage of dispensing contraceptives from up to six months to up to 12 months. Current law, pursuant to P.L.2017, c.241, requires health insurers that provide coverage for outpatient prescription drugs to cover dispensing of prescription female contraceptives for up to six months. This bill would increase that requirement to 12 months. Under the bill, the coverage provided shall include prescriptions for dispensing contraceptives for: (1) a three-month period for the first dispensing of the contraceptive; and (2) a 12-month period for any subsequent dispensing of the same contraceptive, regardless of whether coverage under that policy or contract was in effect at the time of the first dispensing. These amendments apply to hospital, medical, and health service corporations, commercial, individual, small employer and group health insurers, health maintenance organizations, prepaid prescription service organizations, and the State Health Benefits Program.

AI Summary

This bill expands the requirement for health insurers and the Medicaid program in New Jersey to cover prescriptions for contraceptives for up to 12 months at a time, increasing the previous requirement of up to 6 months. The bill applies to hospital, medical, and health service corporations, commercial and group health insurers, health maintenance organizations, and the State Medicaid program. The bill aims to improve access to contraceptive coverage and reduce barriers to obtaining a 12-month supply of contraceptives.

Committee Categories

Budget and Finance, Business and Industry

Sponsors (9)

Last Action

Passed Senate (Passed Both Houses) (30-9) (on 01/10/2022)

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