This bill aims to eliminate the requirement for pre-approval or precertification of medical tests, procedures, and prescription drugs covered under health benefits or prescription drug benefits plans in New Jersey. It specifically prohibits health insurers, third-party administrators, pharmacy benefits managers, and both the State Health Benefits Program and the School Employees Health Benefits Program from conditioning payment for these services on any pre-approval or precertification if they are prescribed by a licensed healthcare provider and are covered under the respective health benefits plan.

The intent behind this legislation is to alleviate the bureaucratic hurdles that patients face when seeking necessary medical care, particularly in urgent situations. The sponsor highlights the growing complaints from patients who experience delays in receiving treatment due to the cumbersome pre-approval processes imposed by insurance companies. By removing these requirements, the bill seeks to empower healthcare providers to make decisions regarding patient care without interference from insurance companies, ultimately ensuring that patients receive timely access to the medical services and medications they need.