STATE OF NEW JERSEY
212th LEGISLATURE
PRE-FILED FOR INTRODUCTION IN THE 2006 SESSION
Sponsored by:
Assemblyman NEIL M. COHEN
District 20 (Union)
Assemblyman GORDON M. JOHNSON
District 37 (Bergen)
Assemblyman JEFF VAN DREW
District 1 (Cape May, Atlantic and Cumberland)
Co-Sponsored by:
Assemblyman Diegnan, Assemblywoman Quigley, Assemblymen Cryan, Vas, Assemblywoman Cruz-Perez and Assemblyman Prieto
SYNOPSIS
Requires fee-for-service prescription drug benefits for NJ FamilyCare.
CURRENT VERSION OF TEXT
Introduced Pending Technical Review by Legislative Counsel
An Act concerning prescription drug benefits under NJ FamilyCare and supplementing P.L.2000, c.71 (C.30:4J-1 et seq.).
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. a. Prescription drug benefits under P.L.1997, c.272 (C:30:4I-1 et seq.) and P.L.2000, c.71 (C.30:4J-1 et seq.), hereinafter NJ FamilyCare, shall be provided on a fee-for-service basis based upon reimbursement formulas established by the Commissioner of Human Services and shall not be included in a managed care plan offered under NJ FamilyCare.
b. Commencing on any day during the second full month after the enactment of this act, the Commissioner of Human Services shall forward on a monthly basis to each insurance company, health, hospital or medical service corporation, or health maintenance organization that offers a managed care plan to persons enrolled in NJ FamilyCare, the following information with respect to prescription drug usage during the preceding month for each person who is enrolled in that plan: the name of each drug prescribed for that person, the prescribed dosage, the dosage dispensed, and the name and federal Drug Enforcement Administration registration number of the prescriber who prescribed the drug.
2. This act shall take effect on the 60th day after enactment.
STATEMENT
This bill requires that prescription drug benefits for persons enrolled in NJ FamilyCare shall be provided on a fee-for-service basis, based on reimbursement formulas established by the Commissioner of Human Services, and prohibits the inclusion of such benefits in a managed care plan offered in this State under NJ FamilyCare.
The bill also provides that, commencing on any day during the second full month after enactment of this bill, the Commissioner of Human Services shall forward on a monthly basis to each insurer that offers a managed care plan to participants in NJ FamilyCare, the following information with respect to prescription drug usage during the preceding month for each person enrolled in that plan: the name of each drug prescribed for that person, the prescribed dosage, the dosage dispensed, and the name and federal Drug Enforcement Administration registration number of the prescriber who prescribed the drug.