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NJ A2010

NJ A2010
Establishes certain guidelines for health insurance carriers concerning step therapy protocols.


summary

Introduced
01/11/2022
In Committee
01/11/2022
Crossed Over
Passed
Dead
01/08/2024

Introduced Session

2022-2023 Regular Session

Bill Summary

Establishes certain guidelines for health insurance carriers concerning step therapy protocols.

AI Summary

This bill establishes certain guidelines for health insurance carriers concerning step therapy protocols. It requires that clinical review criteria used to establish step therapy protocols be based on evidence-based clinical practice guidelines developed by independent experts. The bill also provides a process for covered persons to request an exception to a step therapy protocol if certain conditions are met, such as if the required drug is likely to cause harm or is expected to be ineffective. Carriers are required to report annually to the Commissioner of Banking and Insurance on various aspects of their step therapy protocols and exception requests.

Committee Categories

Health and Social Services

Sponsors (34)

Last Action

Introduced, Referred to Assembly Health Committee (on 01/11/2022)

bill text


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