New Jersey 2024-2025 Regular Session

New Jersey Senate Bill S464

Introduced
1/9/24  
Introduced
1/13/26  
Refer
1/9/24  

Caption

Requires Director of Division of Taxation to include sales of properties in age-restricted developments by third parties in table of equalized valuations.

Impact

The bill is expected to significantly impact state laws surrounding the operations of pharmacy benefit managers by adding stricter compliance regulations. By requiring timely payment and transparency in the pricing mechanisms used by PBMs, this bill seeks to mitigate the barriers that pharmacies face when submitting claims. Additionally, it enhances the rights of consumers by ensuring that they receive timely information regarding their claims. Overall, this legislative effort is oriented towards fostering a more reliable healthcare environment for patients and pharmacies alike.

Summary

Bill S464 seeks to improve the transparency and accountability of pharmacy benefit managers (PBMs) in the state of New Jersey. Key provisions require PBMs to ensure that all pharmacy claims are either paid or reimbursed within 14 calendar days of receipt, or that pharmacies receive written notification if claims are contested or denied. Furthermore, this legislation mandates annual audits of PBMs by the Department of Banking and Insurance to enforce compliance with these new requirements. Through these measures, the bill aims to enhance consumer confidence in the prescription drug reimbursement process.

Sentiment

The sentiment surrounding S464 is largely positive among advocates who see it as a necessary reform in the often opaque operations of pharmacy benefit managers. Supporters argue that the bill provides much-needed consumer protections and promotes fair practices within the pharmaceutical industry. Critics, however, express concerns regarding the potential costs of implementing these requirements on pharmacies, especially smaller entities, which may face challenges in accommodating new regulatory standards.

Contention

One notable point of contention regarding S464 is its potential impact on the operational flexibility of pharmacy benefit managers. While proponents argue that the bill will promote fairness and accountability, opponents indicate that the increased compliance burdens may inadvertently lead to higher costs for pharmacies and, ultimately, consumers. The debate highlights the tension between ensuring profitability and efficiency for PBMs while maintaining stringent regulatory standards aimed at protecting the consumer welfare.

Companion Bills

NJ A1040

Same As Requires Director of Division of Taxation to include sales of properties in age-restricted developments by third parties in table of equalized valuations.

NJ S851

Carry Over Requires Director of Division of Taxation to include sales of properties in age-restricted developments by third parties in table of equalized valuations.

NJ A1637

Carry Over Requires Director of Division of Taxation to include sales of properties in age-restricted developments by third parties in table of equalized valuations.

Previously Filed As

NJ S79

Requires Director of Division of Taxation to include sales of properties in age-restricted developments by third parties in table of equalized valuations.

NJ A263

Requires Director of Division of Taxation to include sales of properties in age-restricted developments by third parties in table of equalized valuations.

NJ S56

Includes value of certain properties exempt from taxation in valuation used to calculate State school aid.

NJ A149

Includes value of certain properties exempt from taxation in valuation used to calculate State school aid in SDA districts.

NJ S1128

Requires Director of Division of Developmental Disabilities to align rates for self-directed employees with maximum service provider rates.

NJ A1489

Requires five-year average of equalized property valuation be used in calculation of local share under State school funding formula.

NJ S1773

Requires school report card to include information about placement of graduates, including apprenticeships.

NJ S323

Requires Director of Division of Taxation to conduct study on impact of State business income taxation on business out-migration, formation, and employment for previous and upcoming tax years.

NJ S957

Requires Director of Division of Taxation to study impact of State business income taxes on business out-migration, business formation, and employment.

NJ S1258

Provides additional State school aid to school districts experiencing enrollment increases due to conversion of age-restricted housing developments to non-restricted developments.

Similar Bills

KS HB2551

Enacting the Kansas pharmacy services administrative organization act.

MS HB1125

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

MS HB558

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

AR SB593

To Amend The Arkansas Pharmacy Benefits Manager Licensure Act; And To Create The Pharmacy Services Administrative Organization Act.

NJ S2345

"Patient and Provider Protection Act."

AR SB475

To Establish The Pharmacy Services Administrative Organization Act; And To Regulate Pharmacy Services Administrative Organizations.

MS HB1119

Pharmacy benefit managers; revise provisions related to.

MS SB2677

Pharmacy Benefit Prompt Pay Act; define requirements for pharmacy benefit managers and pharmacy services administrative organizations.