New Jersey S3712 prohibits SHBP, SEHBP, and Medicaid from denying coverage for maintenance medications for chronic conditions due to changes in.
New Jersey S3712 ensures that the State Health Benefits Program, School Employees’ Health Benefits Program, and Medicaid cannot deny coverage for maintenance medications for chronic conditions if the denial is solely due to a change in the health benefits plan or pharmacy benefits manager. This protection applies if the covered person was taking the medication before the change and if the new plan or manager covers that class of drugs.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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