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Bill > A4503


NJ A4503

NJ A4503
Expands requirements for health insurers and Medicaid program to cover prescriptions for contraceptives to 12 months.*


summary

Introduced
09/27/2018
In Committee
06/13/2019
Crossed Over
Passed
Dead
01/08/2020

Introduced Session

2018-2019 Regular Session

Bill Summary

This bill amends P.L.2005, c.251, the statute requiring health insurers that provide coverage for outpatient prescription drugs to cover prescription female contraceptives, to increase the requirement for coverage of dispensing contraceptives from up to six months to up to 12 months. Current law, pursuant to P.L.2017, c.241, requires health insurers that provide coverage for outpatient prescription drugs to cover dispensing of prescription female contraceptives for up to six months. This bill would increase that requirement to 12 months. Under the bill, the coverage provided shall include prescriptions for dispensing contraceptives for: (1) a three-month period for the first dispensing of the contraceptive; and (2) a 12-month period for any subsequent dispensing of the same contraceptive, regardless of whether coverage under that policy or contract was in effect at the time of the first dispensing. These amendments apply to hospital, medical, and health service corporations, commercial, individual, small employer and group health insurers, health maintenance organizations, prepaid prescription service organizations, and the State Health Benefits Program.

AI Summary

This bill amends existing New Jersey law to increase the requirement for health insurers and the Medicaid program to cover prescriptions for contraceptives from up to 6 months to up to 12 months at one time. The bill applies to various types of health insurers, including hospital, medical, and health service corporations, commercial and group health insurers, health maintenance organizations, and the State Health Benefits Program. The bill also requires the Medicaid program to cover 12-month supplies of contraceptives. Religious employers may request an exclusion from the contraceptive coverage requirement if it conflicts with their religious beliefs.

Committee Categories

Budget and Finance, Business and Industry

Sponsors (1)

Last Action

Reported out of Asm. Comm. with Amendments, and Referred to Assembly Appropriations Committee (on 06/13/2019)

bill text


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