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Bill > A5409


NJ A5409

NJ A5409
Requires NJ FamilyCare to reimburse inpatient providers for long-acting injectable antipsychotic drugs at outpatient reimbursement rate.


summary

Introduced
03/06/2025
In Committee
12/04/2025
Crossed Over
Passed
Dead
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)

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