New Jersey 2026-2027 Regular Session

New Jersey Assembly Bill A5231

Caption

Establishes "New Jersey Right to Try for Individualized Treatments Act."

Summary

This bill establishes the “New Jersey Right to Try for Individualized Treatments Act,” creating a pathway for certain patients with life-threatening or severely debilitating illnesses to seek highly personalized investigational treatments. The bill is aimed at therapies that are unique to an individual patient and produced exclusively for that patient based on genetic profile, including individualized gene therapies, antisense oligonucleotides, and neoantigen vaccines. Under the bill, a patient may request such treatment from an eligible facility or a manufacturer operating within that facility if the patient has exhausted FDA-approved options, has a recommendation from a New Jersey-licensed physician, and gives informed written consent. The consent form must explain approved alternatives, risks, likely outcomes, possible worsening of symptoms or hastened death, insurance and hospice implications, and the patient’s responsibility for costs. The bill also allows facilities or manufacturers to provide the treatment without compensation and to require the patient to pay manufacturing-related costs.

Impact

The bill would supplement Title 26 of the Revised Statutes by creating a new state framework for access to individualized investigational drugs, biological products, and devices. It would also limit liability for health care facilities and providers acting consistently with the act, except in cases of gross negligence, recklessness, or willful misconduct, and it would prohibit state or local officials from blocking treatment by making such interference a disorderly persons offense. In addition, the bill clarifies that insurers and government medical assistance programs may, but are not required to, cover the cost of these treatments, and it protects heirs from liability for unpaid treatment debt if the patient dies as a result of the treatment.

Sentiment

Based on the bill text, the measure appears strongly supportive of patient access and medical innovation, especially for patients facing terminal or severe illness with few remaining options. The framing emphasizes autonomy, informed consent, and expanded treatment access, while also attempting to reduce legal barriers for providers and manufacturers willing to offer these therapies. No committee transcript or vote record is available, so there is no recorded legislative debate or voting sentiment to assess beyond the bill’s pro-access structure.

Contention

The main points of contention likely involve patient safety, regulatory oversight, cost, and liability. Critics could question whether individualized investigational treatments should be made available outside traditional approval pathways, especially given the bill’s allowance for treatment with limited compensation rules and broad immunity for providers absent gross negligence or willful misconduct. Another likely concern is the provision making state or local interference a disorderly persons offense, which could be viewed as unusually aggressive. Supporters, by contrast, would likely focus on compassionate access for patients with life-threatening conditions, physician oversight, and informed consent protections.

Companion Bills

No companion bills found.

Similar Bills

MI HB4789

Health: other; individualized investigational treatment for certain patients suffering from a life-threatening or severely debilitating illness; provide for. Amends title & secs. 1, 2, 3, 4, 5, 6 & 7 of 2014 PA 345 (MCL 333.26451 et seq.) & adds sec. 2a.

IA HF802

A bill for an act relating to the right to try Act.(Formerly HF 320.)

IA SF233

A bill for an act relating to the right to try Act. (Formerly SF 56.) Effective date: 07/01/2025.

AR SB136

To Create The Right To Try Individualized Investigational Treatment Act; And To Ensure That Patients Have Access To Individualized Investigational Treatment.

TX HB975

Relating to the right to try cutting-edge treatments for patients with life-threatening or severely debilitating illnesses.

NM SB33

RIGHT TO TRY INDIVIDUALIZED TREATMENTS ACT

IA SF56

A bill for an act relating to the right to try Act.(See SF 233.)

IA HF320

A bill for an act relating to the right to try Act.(See HF 802.)