Bill
Bill > S1632
NJ S1632
NJ S1632Prohibits pharmacy benefits managers from requiring covered persons to use mail service pharmacies.
summary
Introduced
02/14/2022
02/14/2022
In Committee
02/14/2022
02/14/2022
Crossed Over
Passed
Dead
01/08/2024
01/08/2024
Introduced Session
2022-2023 Regular Session
Bill Summary
This bill prohibits pharmacy benefits managers from requiring covered persons to use mail service pharmacies. Specifically, the bill provides that pharmacy benefits managers, in connection with any contract or arrangement with a private health insurer, prescription benefit plan, or the State Health Benefits Program or School Employees' Health Benefits Program, may neither require covered persons to use a mail service pharmacy nor automatically enroll covered persons in a mail service pharmacy program. The bill provides that pharmacy benefits managers may provide benefits to covered persons through mail service pharmacies, provided that the covered persons are given the option to use a mail service pharmacy or a non-mail service pharmacy, and the covered persons consent in writing to the use of the mail service pharmacy. It has come to the attention of the sponsor that certain pharmacy benefits managers in New Jersey automatically enroll covered persons in a mail service pharmacy program without the covered persons' consent. This bill is intended to stop these automatic enrollments and to support the right of covered persons to use a non-mail service pharmacy if they so choose.
AI Summary
This bill prohibits pharmacy benefits managers (PBMs) from requiring covered persons to use mail service pharmacies or automatically enrolling them in mail service pharmacy programs. It allows PBMs to provide benefits through mail service pharmacies, but only if the covered person is given the option to use a non-mail service pharmacy and provides written consent to use the mail service pharmacy. The bill aims to stop the practice of PBMs automatically enrolling covered persons in mail service pharmacy programs without their consent, in order to support the right of covered persons to choose to use a non-mail service pharmacy if they prefer.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Introduced in the Senate, Referred to Senate Commerce Committee (on 02/14/2022)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.njleg.state.nj.us/bill-search/2022/S1632 |
| BillText | https://pub.njleg.gov/Bills/2024/S2000/1632_I1.HTM |
| BillText | https://www.njleg.state.nj.us/Bills/2022/S2000/1632_I1.HTM |
| Bill | https://www.njleg.state.nj.us/Bills/2022/S2000/1632_I1.PDF |
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