ASSEMBLY, No. 433

 

STATE OF NEW JERSEY

 

210th LEGISLATURE

 

PRE-FILED FOR INTRODUCTION IN THE 2002 SESSION

 

 

Sponsored by:

Assemblyman ROBERT J. SMITH

District 4 (Camden and Gloucester)

 

Co-Sponsored by:

Assemblywoman Greenstein

 

 

 

 

SYNOPSIS

    Prohibits managed care carriers providing prescription drug coverage from requiring covered persons to purchase prescription drugs that are in form of double-dose tablets or pills.

 

CURRENT VERSION OF TEXT

    Introduced Pending Technical Review by Legislative Counsel.

 


An Act concerning prescription drug coverage provided by managed care plans and supplementing P.L.1997, c.192 (C.26:2S-1 et seq.).

 

    Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

    1. a. Notwithstanding the provisions of any law to the contrary, a carrier that offers a managed care plan which provides prescription drug coverage shall not require a covered person to purchase a prescription drug that is in the form of a double-dose tablet or pill that has to be cut in half by the patient or other individual in order for the patient to receive the daily dose of medication prescribed by the patient's physician or other prescriber.

    b. A carrier that violates the provisions of subsection a. of this section shall be liable to a penalty in accordance with the provisions of section 16 of the "Health Care Quality Act," P.L.1997, c.192 (C.26:2S-16).

 

    2. This act shall take effect immediately.

 

 

STATEMENT

 

    This bill would prohibit a health insurance carrier that provides a managed care health benefits plan which provides prescription drug coverage from requiring covered persons to purchase prescription drugs that are in the form of double-dose tablets or pills that have to be cut in half by the patient or other individual in order for the patient to receive the daily dose of medication prescribed by the patient's physician or other prescriber.

    A carrier that violates the provisions of this bill would be subject to a penalty in accordance with the provisions of section 16 of the "Health Care Quality Act," N.J.S.A.26:2S-16 (i.e., a fine of not less than $250 and not greater than $10,000 for each day that the carrier is in violation).