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Bill > S291


NJ S291

NJ S291
Reduces copayments and coinsurance for asthma inhalers covered by certain health benefits plans.


summary

Introduced
01/13/2026
In Committee
01/13/2026
Crossed Over
Passed
Dead

Introduced Session

2026-2027 Regular Session

Bill Summary

This bill reduces the out-of-pocket contribution for any covered person prescribed an asthma inhaler across State-regulated health insurance providers. Current law limits copayments or coinsurance for a 30-day supply of prescription asthma inhalers to $50. Under the bill, copayments or coinsurance for a 30-day supply of prescription asthma inhalers are reduced to $35. This coverage standard applies to individual or group hospital service corporations, medical service corporations, and health service corporations as well as individual and group health insurance policies and health maintenance organizations. Additionally, the bill extends this coverage standard to individual and small employer health benefits plans and requires that the State Health Benefits Commission and the School Employee's Health Benefits Commission ensure that their contracts comply with this coverage standard.

AI Summary

This bill lowers the maximum out-of-pocket cost for a 30-day supply of prescription asthma inhalers from $50 to $35 for individuals covered by state-regulated health insurance plans, including those offered by hospital service corporations, medical service corporations, health service corporations, individual and group health insurance policies, health maintenance organizations (HMOs), and individual and small employer health benefits plans. The bill also mandates that the State Health Benefits Commission and the School Employee's Health Benefits Commission ensure their contracts comply with this new $35 limit, with exceptions for high-deductible health plans and catastrophic plans as permitted by federal law.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 01/13/2026)

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