S.4206

Requires pharmacy benefits managers to make certain disclosures to health benefits plan sponsors.

Introduced·5/11/26
Introduced Text

New Jersey S4206 mandates pharmacy benefits managers to disclose specific information to health benefits plan sponsors and allows for annual audits.

New Jersey S4206 requires pharmacy benefits managers to provide detailed reports to health benefits plan sponsors at least every six months. These reports must include information on drug spending, the net price per course of treatment, and the total amount of out-of-pocket spending by beneficiaries. The bill also mandates that pharmacy benefits managers allow for an annual audit at the request of the plan sponsor to ensure compliance with contract terms and the accuracy of reported information.

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

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Where it stands

Current
Commerce Committee
Next
Committee decision

Sponsors

D
1
0
Democratic CaucusRepublican Caucus

History

May 11

Senate

Introduced in the Senate, Referred to Senate Commerce Committee