New Jersey 2022-2023 Regular Session

New Jersey Senate Bill S949 Compare Versions

Only one version of the bill is available at this time.
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11 SENATE, No. 949 STATE OF NEW JERSEY 220th LEGISLATURE INTRODUCED JANUARY 31, 2022
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33 SENATE, No. 949
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77 STATE OF NEW JERSEY
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99 220th LEGISLATURE
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1313 INTRODUCED JANUARY 31, 2022
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1717 Sponsored by: Senator SHIRLEY K. TURNER District 15 (Hunterdon and Mercer) SYNOPSIS Requires Medicaid cover emergency contraception without requiring prescription or other authorization. CURRENT VERSION OF TEXT As introduced.
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2121 Sponsored by:
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2323 Senator SHIRLEY K. TURNER
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2525 District 15 (Hunterdon and Mercer)
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3535 SYNOPSIS
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3737 Requires Medicaid cover emergency contraception without requiring prescription or other authorization.
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4141 CURRENT VERSION OF TEXT
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4343 As introduced.
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4747 An Act requiring Medicaid coverage of certain pharmaceuticals and supplementing Title 30 of the Revised Statutes. Be It Enacted by the Senate and General Assembly of the State of New Jersey: 1. The Division of Medical Assistance and Health Services in the Department of Human Services shall provide coverage for emergency contraceptives without requiring a prescription or other authorization for the emergency contraception product. The division shall require each Medicaid managed care organization to include as a benefit in the Medicaid managed care contract coverage for emergency contraceptives without requiring a prescription or other authorization for the emergency contraception product. "Authorization" means a fiscal order or any other approval or order from a health care professional. "Medicaid managed care contract" means a contract for the provision of health care services by a managed care organization to individuals eligible for the Medicaid program pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.) or the NJ FamilyCare program pursuant to P.L.2005, c.156 (C.30:4J-8 et al.). 2. The Commissioner of Human Services shall apply for such State plan amendments or waivers as may be necessary to implement the provisions of this act and to secure federal financial participation for State Medicaid expenditures under the federal Medicaid program. 3. The Commissioner of Human Services shall adopt rules and regulations pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), to effectuate the purposes of this act. 4. This act shall take effect immediately, notwithstanding any federal approval. STATEMENT This bill would require that the Medicaid program provide coverage for emergency contraceptives obtained over the counter without requiring a prescription or other authorization. At this time, Medicaid provides coverage for emergency contraceptives if they are obtained with a prescription. Individuals can obtain emergency contraceptives without a prescription, but the individual must pay for these out-of-pocket. This bill would enable individuals greater access to needed contraceptives without the unnecessary visits to a provider to obtain a prescription.
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4949 An Act requiring Medicaid coverage of certain pharmaceuticals and supplementing Title 30 of the Revised Statutes.
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5353 Be It Enacted by the Senate and General Assembly of the State of New Jersey:
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5757 1. The Division of Medical Assistance and Health Services in the Department of Human Services shall provide coverage for emergency contraceptives without requiring a prescription or other authorization for the emergency contraception product. The division shall require each Medicaid managed care organization to include as a benefit in the Medicaid managed care contract coverage for emergency contraceptives without requiring a prescription or other authorization for the emergency contraception product.
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5959 "Authorization" means a fiscal order or any other approval or order from a health care professional.
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6161 "Medicaid managed care contract" means a contract for the provision of health care services by a managed care organization to individuals eligible for the Medicaid program pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.) or the NJ FamilyCare program pursuant to P.L.2005, c.156 (C.30:4J-8 et al.).
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6565 2. The Commissioner of Human Services shall apply for such State plan amendments or waivers as may be necessary to implement the provisions of this act and to secure federal financial participation for State Medicaid expenditures under the federal Medicaid program.
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6969 3. The Commissioner of Human Services shall adopt rules and regulations pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), to effectuate the purposes of this act.
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7373 4. This act shall take effect immediately, notwithstanding any federal approval.
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7979 STATEMENT
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8383 This bill would require that the Medicaid program provide coverage for emergency contraceptives obtained over the counter without requiring a prescription or other authorization.
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8585 At this time, Medicaid provides coverage for emergency contraceptives if they are obtained with a prescription. Individuals can obtain emergency contraceptives without a prescription, but the individual must pay for these out-of-pocket. This bill would enable individuals greater access to needed contraceptives without the unnecessary visits to a provider to obtain a prescription.