Docket Room
A 4694·NJ·house

Requires prescription drug coverage for serious mental illness without prior authorization or utilization management, including step therapy.

In CommitteeFiled Mar 16, 2026
Sponsor: Pintor Marin, Eliana
Latest Action

Introduced First Reading Assembly Referred to AHE

Mar 16, 2026

Summary

The bill forces health insurers in New Jersey to provide prescription drug benefits for serious mental illnesses without using prior‑authorization, step‑therapy, or other utilization controls. It applies to any carrier that offers medical or hospital expense plans, and it adds reporting requirements to ensure these rules are applied fairly. The goal is to make needed medications more quickly accessible to people with conditions like schizophrenia, major depression, bipolar disorder, and PTSD.

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