The bill amends New Jersey law to require the NJ FamilyCare program to reimburse licensed clinical pharmacists for providing comprehensive medication management (CMM) services to medically complex pediatric patients. These services include thorough medication reviews, the creation of patient-specific medication action plans, ongoing adherence monitoring, and follow-up consultations to ensure medication safety and efficacy. The legislation also mandates the Division of Medical Assistance and Health Services to enter into value-based reimbursement contracts with licensed clinical pharmacists and to establish a quality assurance program to monitor the outcomes of these services.

Additionally, the bill modifies the New Jersey Pharmacy Practice Act by exempting licensed clinical pharmacists from needing a written agreement with a physician to provide CMM services, thereby streamlining care delivery. It also clarifies that the regulations governing collaborative drug therapy management do not apply to CMM services provided by these pharmacists. The bill introduces definitions for key terms, outlines educational and credentialing requirements for pharmacists, and emphasizes the importance of patient health and safety while ensuring that no additional charges are imposed on medical assistance recipients for covered services. Overall, the bill aims to enhance medication management and improve the quality of care for pediatric patients with complex medical needs.

Statutes affected:
Introduced: 30:4D-6, 45:14-48, 45:14-64