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Bill > A3554


NJ A3554

NJ A3554
Removes exception of self-insured health benefits plans from law concerning pharmacy benefits managers.


summary

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

Introduced Session

2026-2027 Regular Session

Bill Summary

This bill removes the exemption that exists under current law of self-insured health benefits plans, governed by the federal Employee Retirement Income Security Act of 1974, from certain laws concerning pharmacy benefits managers. This bill also requires DOBI to report on the implications of a recent US Supreme Court opinion, Rutledge v. Pharmaceutical Care Management Association, ___ U.S. ___ (2020) (slip opinion at 1), on State law governing pharmacy benefits managers.

AI Summary

This bill removes an existing exemption that allowed self-insured health benefits plans, which are plans regulated by the federal law known as ERISA (Employee Retirement Income Security Act of 1974), to be excluded from certain state laws governing pharmacy benefits managers (PBMs). PBMs are entities that manage prescription drug benefits on behalf of employers or other plan sponsors. By removing this exemption, these self-insured plans will now be subject to the same state regulations as other health plans regarding PBMs. Additionally, the bill requires the Department of Banking and Insurance (DOBI) to investigate and report on how a recent U.S. Supreme Court decision, *Rutledge v. Pharmaceutical Care Management Association*, might affect New Jersey's existing laws concerning PBMs.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/13/2026)

bill text


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