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S3569
SENATE, No. 3569
STATE OF NEW JERSEY
222nd LEGISLATURE
�
INTRODUCED FEBRUARY 19, 2026
Sponsored by:
Senator� LINDA R. GREENSTEIN
District 14 (Mercer and Middlesex)
SYNOPSIS
���� Prohibits pharmacy benefits managers from requiring
covered persons to use mail service pharmacies.
CURRENT VERSION OF TEXT
���� As introduced.
��
An Act
concerning pharmacy benefits managers and mail
service pharmacies and supplementing P.L.2015, c.179
(C.17B:27F-1 et seq.).
����
Be It
Enacted
by the Senate and General Assembly of
the State of New Jersey:
���� 1.��� A pharmacy benefits
manager, in connection with any contract or arrangement with a private health
insurer, prescription benefit plan, or the State Health Benefits Program or
School Employees' Health Benefits Program, shall neither require a covered
person to use a mail service pharmacy nor automatically enroll a covered person
in a mail service pharmacy program.� A pharmacy benefits manager may provide
benefits to a covered person through a mail service pharmacy, provided that the
covered person is given the option to use the mail service pharmacy or a
non-mail service pharmacy, and the covered person consents in writing to the
use of the mail service pharmacy.
���� 2.��� This act shall take
effect on January 1, 2027.
STATEMENT
���� This bill prohibits pharmacy
benefits managers from requiring covered persons to use mail service
pharmacies.� Specifically, the bill provides that pharmacy benefits managers, in
connection with any contract or arrangement with a private health insurer,
prescription benefit plan, or the State Health Benefits Program or School
Employees' Health Benefits Program, may neither require covered persons to use
a mail service pharmacy nor automatically enroll covered persons in a mail
service pharmacy program.� The bill provides that pharmacy benefits managers
may provide benefits to covered persons through mail service pharmacies,
provided that the covered persons are given the option to use a mail service
pharmacy or a non-mail service pharmacy, and the covered persons consent in
writing to the use of the mail service pharmacy.
���� It has come to the attention
of the sponsor that certain pharmacy benefits managers in New Jersey
automatically enroll covered persons in a mail service pharmacy program without
the covered persons� consent.� This bill is intended to stop these automatic
enrollments and to support the right of covered persons to use a non-mail
service pharmacy if they so choose.