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A2224
ASSEMBLY, No. 2224
STATE OF NEW JERSEY
222nd LEGISLATURE
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PRE-FILED FOR INTRODUCTION IN THE 2026 SESSION
Sponsored by:
Assemblywoman SHANIQUE SPEIGHT
District 29 (Essex and Hudson)
Co-Sponsored by:
Assemblywomen Drulis, Park and Haider
SYNOPSIS
���� Requires Medicaid cover emergency contraception
without requiring prescription or other authorization.
CURRENT VERSION OF TEXT
���� Introduced Pending Technical Review by Legislative
Counsel.
��
An Act
requiring
Medicaid coverage of certain pharmaceuticals and supplementing Title 30 of the
Revised Statutes.
�
����
Be It
Enacted
by the Senate and General Assembly of
the State of New Jersey:
���� 1.��� The Division of Medical
Assistance and Health Services in the Department of Human Services shall provide
coverage for emergency contraceptives without requiring a prescription or other
authorization for the emergency contraception product.� The division shall
require each Medicaid managed care organization to include as a benefit in the
Medicaid managed care contract coverage for emergency contraceptives without
requiring a prescription or other authorization for the emergency contraception
product.
���� �Authorization� means a fiscal
order or any other approval or order from a health care professional.
���� �Medicaid managed care
contract� means a contract for the provision of health care services by a
managed care organization to individuals eligible for the Medicaid program
pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.) or the NJ FamilyCare program
pursuant to P.L.2005, c.156 (C.30:4J-8 et al.).
���� 2.��� The Commissioner of
Human Services shall apply for such State plan amendments or waivers as may be
necessary to implement the provisions of this act and to secure federal
financial participation for State Medicaid expenditures under the federal
Medicaid program.
���� 3.��� The Commissioner of
Human Services shall adopt rules and regulations pursuant to the
"Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.),
to effectuate the purposes of this act.
���� 4.��� This act shall take
effect immediately, notwithstanding any federal approval.
STATEMENT
���� This bill would require that
the Medicaid program provide coverage for emergency contraceptives obtained
over the counter without requiring a prescription or other authorization.
���� At this time, Medicaid
provides coverage for emergency contraceptives if they are obtained with a
prescription. Individuals can obtain emergency contraceptives without a
prescription, but the individual must pay for these out-of-pocket.� This bill
would enable individuals greater access to needed contraceptives without the
unnecessary visits to a provider to obtain a prescription.�