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Bill > A5409
NJ A5409
NJ A5409Requires NJ FamilyCare to reimburse inpatient providers for long-acting injectable antipsychotic drugs at outpatient reimbursement rate.
summary
Introduced
03/06/2025
03/06/2025
In Committee
12/04/2025
12/04/2025
Crossed Over
Passed
Dead
01/12/2026
01/12/2026
Introduced Session
2024-2025 Regular Session
Bill Summary
Requires NJ FamilyCare to reimburse inpatient providers for long-acting injectable antipsychotic drugs at outpatient reimbursement rate.
AI Summary
This bill requires NJ FamilyCare, which is New Jersey's Medicaid and Children's Health Insurance Program, to change how it reimburses inpatient providers for long-acting injectable antipsychotic drugs. Specifically, the bill mandates that reimbursement for these drugs administered in an inpatient setting must be separate from the standard Diagnostic Related Group (DRG) reimbursement system and must be at the same rate as the reimbursement for the same drugs when administered in an outpatient setting. The bill defines long-acting injectable antipsychotic drugs as FDA-approved medications that can treat psychiatric disorders like schizophrenia and bipolar disorder with a single dose lasting up to 24 weeks. Additionally, the bill introduces a provision allowing pharmacists to administer these injectable drugs, provided they are appropriately educated and qualified as determined by the New Jersey State Board of Pharmacy. The bill also directs the Commissioner of Human Services to apply for necessary state plan amendments, adopt implementing regulations, and prepare for the act's implementation, which will take effect four months after enactment.
Committee Categories
Health and Social Services
Sponsors (4)
Last Action
Reported out of Asm. Comm. with Amendments, and Referred to Assembly Health Committee (on 12/04/2025)
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/2024/A5409 |
| Fiscal Note - Fiscal Estimate 1/6/2026; 1R | https://pub.njleg.gov/Bills/2024/A5500/5409_E1.PDF |
| BillText | https://pub.njleg.gov/Bills/2024/A5500/5409_R1.HTM |
| Analysis - Statement AHU 12/4/25 | https://pub.njleg.gov/Bills/2024/A5500/5409_S1.PDF |
| BillText | https://pub.njleg.gov/Bills/2024/A5500/5409_I1.HTM |
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