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Bill > A453
NJ A453
NJ A453Reduces copayments and coinsurance for asthma inhalers covered by certain health benefits plans.
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 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 reduces 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), individual and small employer health benefits plans, and plans managed by the State Health Benefits Commission and the School Employee's Health Benefits Commission. This change aims to make asthma inhalers more affordable for patients by lowering copayments and coinsurance, which are the amounts a patient pays for a covered healthcare service after they've met their deductible. The bill also clarifies that these new cost limits apply to various types of health plans, with some exceptions for high-deductible health plans used for medical or health savings accounts and catastrophic plans, to the extent permitted by federal law.
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/A453 |
| BillText | https://pub.njleg.gov/Bills/2026/A0500/453_I1.HTM |
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