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Bill > S3569


NJ S3569

NJ S3569
Prohibits pharmacy benefits managers from requiring covered persons to use mail service pharmacies.


summary

Introduced
02/19/2026
In Committee
02/19/2026
Crossed Over
Passed
Dead

Introduced Session

2026-2027 Regular Session

Bill Summary

This bill prohibits pharmacy benefits managers from requiring covered persons to use mail service pharmacies. Specifically, the bill provides that pharmacy benefits managers, in connection with any contract or arrangement with a private health insurer, prescription benefit plan, or the State Health Benefits Program or School Employees' Health Benefits Program, may neither require covered persons to use a mail service pharmacy nor automatically enroll covered persons in a mail service pharmacy program. The bill provides that pharmacy benefits managers may provide benefits to covered persons through mail service pharmacies, provided that the covered persons are given the option to use a mail service pharmacy or a non-mail service pharmacy, and the covered persons consent in writing to the use of the mail service pharmacy. It has come to the attention of the sponsor that certain pharmacy benefits managers in New Jersey automatically enroll covered persons in a mail service pharmacy program without the covered persons' consent. This bill is intended to stop these automatic enrollments and to support the right of covered persons to use a non-mail service pharmacy if they so choose.

AI Summary

This bill prohibits pharmacy benefits managers, which are companies that manage prescription drug benefits for health insurers and other plans, from forcing individuals covered by these plans to use mail-order pharmacies. Specifically, these managers cannot require people to use mail-order pharmacies or automatically sign them up for mail-order programs when dealing with private health insurers, prescription benefit plans, or state employee health programs. While mail-order pharmacies can still be an option, individuals must be given a choice between using a mail-order pharmacy or a local, non-mail-order pharmacy, and they must give their written consent before being enrolled in a mail-order program, addressing concerns that some managers have been automatically enrolling people without their permission.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 02/19/2026)

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