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Senate Commerce Committee Statement to Senate, No. 1192 (May 13, 2024)

Summary

Senate Commerce Committee statement to Senate, No. 1192, with committee amendments, State of New Jersey, dated May 13, 2024. The committee reports favorably and with committee amendments Senate Bill No. 1192, which as amended requires health insurance carriers and the State Medicaid and NJ FamilyCare programs to provide coverage for a prescription drug prescribed for serious mental illness. The statement says the coverage is to be provided without the imposition of any prior authorization or other utilization management requirements, including a step therapy protocol. It states that the committee amended the bill to stipulate that the definition of “serious mental illness” includes major depressive disorders with peripartum onset and post-traumatic stress disorder.

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“Senate Commerce Committee Statement to Senate, No. 1192 (May 13, 2024).” Archived at Pandemic Darlings, https://pandemicdarlings.com/source-documents/2024-05-13-scm-s1192-s1-6eaf08eb7f/, SHA-256 b231c0c93a5851c2128bef1b501224e003e9744fd01c1252b5385c4a3237818d.

Full text

     SENATE COMMERCE COMMITTEE

                    STATEMENT TO

                  SENATE, No. 1192
                   with committee amendments



 STATE OF NEW JERSEY
                      DATED: MAY 13, 2024

    The Senate Commerce Committee reports favorably and with
committee amendments Senate Bill No. 1192.
   As amended, this bill requires health insurance carriers and the
State Medicaid and NJ FamilyCare programs to provide coverage
for a prescription drug prescribed for serious mental illness to
covered persons without the imposition of any prior authorization or
other utilization management requirements, including, but not
limited to, a step therapy protocol.
   Under the bill, “carrier" is defined to mean an insurance
company, health service corporation, hospital service corporation,
medical service corporation, or health maintenance organization
authorized to issue health benefits plans in this State or any entity
contracted to administer health benefits in connection with the State
Health Benefits Program or School Employees' Health Benefits
Program.
   The bill defines “serious mental illness” to mean the following
psychiatric illnesses, as defined in the most current version of the
Diagnostic and Statistical Manual of Mental Disorders:
   (1) bipolar disorders including hypomanic, manic, depressive,
and mixed;
   (2) depression in childhood and adolescence;
   (3) major depressive disorders, whether a single episode or
recurrent, including, but not limited to, any major depressive disorder
with peripartum onset;
   (4) obsessive compulsive disorders;
   (5) paranoid and other psychotic disorders;
   (6) schizo-affective disorders including bipolar and depressive;
   (7) schizophrenia; and
   (8) post-traumatic stress disorder.
    This bill was pre-filed for introduction in the 2024-2025 session
pending technical review. As reported, the bill includes the changes
required by technical review, which has been performed.

COMMITTEE AMENDMENTS:
    The committee amended the bill to stipulate that the definition of
“serious mental illness” includes major depressive disorders with
peripartum onset and post-traumatic stress disorder.

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