summary
Introduced
01/13/2026
01/13/2026
In Committee
01/13/2026
01/13/2026
Crossed Over
Passed
Dead
Introduced Session
2026-2027 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 insurance companies and other health plan administrators, referred to as "carriers," from requiring a process called "prior authorization" before a doctor can prescribe certain medications. Prior authorization is a system where a carrier checks if a prescribed service is medically necessary before approving coverage. Specifically, this bill prevents carriers from using prior authorization when a doctor prescribes an "interchangeable drug" if the original brand-name drug or its generic version is unavailable, ensuring patients can still access necessary medications during shortages.
Committee Categories
Business and Industry
Sponsors (1)
Last Action
Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/13/2026)
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/2026/A2537 |
| BillText | https://pub.njleg.gov/Bills/2026/A3000/2537_I1.HTM |
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