summary
Introduced
05/02/2024
05/02/2024
In Committee
05/02/2024
05/02/2024
Crossed Over
Passed
Dead
Introduced Session
2024-2025 Regular Session
Bill Summary
This bill prohibits the use of prior authorization under certain circumstances. "Prior authorization" is defined in the bill as a process used by a carrier to determine the medical necessity of an otherwise covered service. This bill prohibits the use of this process by a carrier for prescribing an interchangeable drug if the brand name drug or generic version is not available. "Carrier" is defined in the bill to mean an insurance company, health service corporation, hospital service corporation, medical service corporation, or health maintenance organization authorized to issue health benefits plans in this State or any entity contracted to administer health benefits in connection with the State Health Benefits Program or School Employees' Health Benefits Program.
AI Summary
This bill prohibits the use of prior authorization by insurance carriers when prescribing an interchangeable drug if the brand name drug or generic version is not available. Prior authorization is a process used by carriers to determine the medical necessity of a covered service. The bill defines "carrier" as an insurance company, health service corporation, hospital service corporation, medical service corporation, or health maintenance organization authorized to issue health benefits plans in New Jersey or any entity contracted to administer health benefits for the State Health Benefits Program or School Employees' Health Benefits Program.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 05/02/2024)
Official Document
bill text
bill summary
Loading...
bill summary
Loading...
bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.njleg.state.nj.us/bill-search/2024/A4232 |
| BillText | https://pub.njleg.gov/Bills/2024/A4500/4232_I1.HTM |
Loading...