The bill amends Section 6 of P.L.1968, c.413 (C.30:4D-6) to require NJ FamilyCare to reimburse licensed pharmacists for providing comprehensive medication management (CMM) services specifically for medically complex pediatric patients. These services include comprehensive medication reviews, the development of patient-specific medication action plans, ongoing monitoring of adherence, and follow-up consultations to ensure medication efficacy and safety. The bill also establishes that the Division and the Board of Pharmacy will set educational and credentialing requirements for pharmacists, and allows for value-based reimbursement contracts between the Division and licensed clinical pharmacists.

Additionally, the bill clarifies that licensed clinical pharmacists meeting the specified requirements will not need a written agreement with a physician to provide these services, and it mandates the establishment of a quality assurance program to monitor the outcomes of the medication management services. The bill introduces new definitions related to clinical pharmacists and CMM services, while deleting a provision regarding regulations to protect pharmacy patients' health and safety. Overall, the legislation aims to enhance pharmaceutical care quality for pediatric patients with complex medical needs by leveraging the expertise of clinical pharmacists.

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