SENATE, No. 2370

STATE OF NEW JERSEY

212th LEGISLATURE

 

INTRODUCED DECEMBER 4, 2006

 


 

Sponsored by:

Senator LORETTA WEINBERG

District 37 (Bergen)

 

 

 

 

SYNOPSIS

     Requires fee-for-service prescription drug benefits for NJ FamilyCare.

 

CURRENT VERSION OF TEXT

     As introduced.

  


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.