ASSEMBLY FINANCIAL INSTITUTIONS AND INSURANCE
COMMITTEE
STATEMENT TO
ASSEMBLY, No. 4275
STATE OF NEW JERSEY
DATED: OCTOBER 24, 2024
The Assembly Financial Institutions and Insurance Committee
reports favorably Assembly Bill No. 4275.
This bill would prohibit contracts which are issued or purchased
pursuant to the State Health Benefits Program, School Employees’
Health Benefits Program, and Medicaid Program from denying
coverage for a maintenance medication prescribed by a covered
person's physician for the covered person's chronic condition because
of a change in the covered person’s pharmaceutical benefits that
results solely from a change in the health benefits plan or the
pharmacy benefits manager for that plan.
The prohibition applies only if the covered person was taking the
medication prior to the date of the change in the covered person's
health benefits plan or the pharmacy benefits manager for that plan,
and if the covered person's new health benefits plan, or health benefits
plan under the new pharmacy benefits manager, as applicable,
provides coverage for that class of drugs.