The bill amends New Jersey law to enhance health insurance coverage for contraceptive services, specifically requiring insurers to cover both prescription and over-the-counter female contraceptives without any cost-sharing or medical management restrictions. It mandates that coverage includes therapeutic equivalents of prescription contraceptives and recognizes medical necessity for over-the-counter contraceptives automatically. Additionally, point-of-sale coverage for these contraceptives must be provided without cost-sharing, ensuring that individuals can access these essential health services without financial barriers.

Moreover, the bill clarifies that family planning services under the State Medicaid program must include coverage for over-the-counter contraceptives and self-administered hormonal contraceptives without requiring a prescription. The Commissioner of Human Services is responsible for applying for any necessary state plan amendments or waivers to implement these provisions and secure federal funding. The act will take effect 90 days after enactment and will apply to policies and contracts issued or renewed thereafter.

Statutes affected:
Introduced: 17:48-6, 17:48A-7, 17:48E-35.29, 17B:27-46.1, 17B:26-2.1, 26:2J-4.30, 17B:27A-7.12, 17B:27A-19.15, 30:4D-6