Bill Text: NJ A5281 | 2016-2017 | Regular Session | Introduced


Bill Title: Requires Medicaid cover emergency contraception without requiring prescription or other authorization.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2017-12-07 - Introduced, Referred to Assembly Health and Senior Services Committee [A5281 Detail]

Download: New_Jersey-2016-A5281-Introduced.html

ASSEMBLY, No. 5281

STATE OF NEW JERSEY

217th LEGISLATURE

 

INTRODUCED DECEMBER 7, 2017

 


 

Sponsored by:

Assemblywoman  VALERIE VAINIERI HUTTLE

District 37 (Bergen)

 

 

 

 

SYNOPSIS

     Requires Medicaid cover emergency contraception without requiring prescription or other authorization.

 

CURRENT VERSION OF TEXT

     As introduced.

  


An Act requiring Medicaid coverage of certain pharmaceuticals and supplementing Title 30 of the Revised Statutes.  

 

     Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

     1.    The Division of Medical Assistance and Health Services in the Department of Human Services shall provide coverage for emergency contraceptives without requiring a prescription or other authorization for the emergency contraception product. The division shall require each Medicaid managed care organization to include as a benefit in the Medicaid managed care contract coverage for emergency contraceptives without requiring a prescription or other authorization for the emergency contraception product.

     "Authorization" means a fiscal order or any other approval or order from a health care professional.

     "Medicaid managed care contract" means a contract for the provision of health care services by a managed care organization to individuals eligible for the Medicaid program pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.) or the NJ FamilyCare program pursuant to P.L.2005, c.156 (C.30:4J-8 et al.).

 

     2.    The Commissioner of Human Services shall apply for such State plan amendments or waivers as may be necessary to implement the provisions of this act and to secure federal financial participation for State Medicaid expenditures under the federal Medicaid program.

 

     3.    The Commissioner of Human Services shall adopt rules and regulations pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), to effectuate the purposes of this act.

 

     4.    This act shall take effect immediately, notwithstanding any federal approval.

 

 

STATEMENT

 

     This bill would require that the Medicaid program provide coverage for emergency contraceptives obtained over the counter without requiring a prescription or other authorization.

     At this time, Medicaid provides coverage for emergency contraceptives if they are obtained with a prescription. Individuals can obtain emergency contraceptives without a prescription, but the individual must pay for these out-of-pocket.  This bill would enable individuals greater access to needed contraceptives without the unnecessary visits to a provider to obtain a prescription.

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