New Jersey A434 prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions due to changes in health.
New Jersey A434 ensures that the State Health Benefits Program, School Employees’ Health Benefits Program, and Medicaid do not deny coverage for maintenance medications for chronic conditions when there is a change in health benefits plans or pharmacy benefits managers. This prohibition applies if the individual was taking the medication before the change and if the new plan or manager covers that class of drugs. The act takes effect on the first day of the seventh month following enactment and applies to contracts issued or renewed on or after the effective date.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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