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Bill > S1159


NJ S1159

NJ S1159
Requires Commissioner of Banking and Insurance to develop standard prior authorization form for prescription drug benefits for use by network providers.


summary

Introduced
01/09/2024
In Committee
01/09/2024
Crossed Over
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill requires the Commissioner of Banking and Insurance to develop a standard prior authorization request form to be utilized by all network providers for the purpose of submitting requests for utilization review determinations for coverage of prescription drug benefits. A payer must make the standard prior authorization request form available to, and must accept it from, network providers in paper and electronic form.

AI Summary

This bill requires the Commissioner of Banking and Insurance to develop a standard prior authorization request form to be used by all network providers when submitting requests for utilization review determinations for prescription drug benefit coverage. Payers must make the standard form available to and accept it from network providers in both paper and electronic formats.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 01/09/2024)

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