S.3123

Prohibits pre-approval or precertification of medical tests, procedures and prescription drugs covered under health benefits or prescription drug benefits plans.

Introduced·1/13/26
Introduced Text

New Jersey S3123 prohibits health insurers and related entities from requiring pre-approval or precertification for medical tests, procedures, and.

New Jersey S3123 prohibits health insurers, third-party administrators, pharmacy benefits managers, and state health benefit programs from requiring pre-approval or precertification for medical tests, procedures, or prescription drugs. This bill aims to ensure that patients do not face unnecessary delays in receiving necessary medical care. The legislation applies to health benefits plans and prescription drug benefits plans issued or purchased after the effective date of the act.

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  • Core Provisions
  • Implementation
  • Impact
  • Legal Framework
  • Critical Issues

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Where it stands

Current
Commerce Committee
Next
Committee decision

Sponsors

DD
2
2
RR
Democratic CaucusRepublican Caucus

History

Jan 13

Senate

Introduced in the Senate, Referred to Senate Commerce Committee