Bill Text: NJ A3820 | 2012-2013 | Regular Session | Introduced

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Bill Title: Requires Commissioner of Banking and Insurance to develop standard prior authorization form for prescription drug benefits for use by network providers.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2013-06-06 - Reported out of Assembly Committee, 2nd Reading [A3820 Detail]

Download: New_Jersey-2012-A3820-Introduced.html

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ASSEMBLY, No. 3820

STATE OF NEW JERSEY

215th LEGISLATURE

 

INTRODUCED FEBRUARY 11, 2013

 

 

Sponsored by:

Assemblyman  JOHN S. WISNIEWSKI

District 19 (Middlesex)

 

 

 

 

SYNOPSIS

     Requires Commissioner of Banking and Insurance to develop standard prior authorization form for prescription drug benefits for use by network providers.

 

CURRENT VERSION OF TEXT

     As introduced.

  

An Act concerning prior authorization of prescription drug benefits and supplementing P.L.2005, c.352 (C.17B:30-48 et al.).

 

     Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

     1.  The Commissioner of Banking and Insurance shall develop a standard prior authorization request form to be utilized by all network providers for the purpose of submitting requests for utilization review determinations for coverage of prescription drug benefits.  A payer shall make the standard prior authorization request form available to, and shall accept it from, network providers in paper and electronic form.

 

     2.  This act shall take effect immediately. 

 

 

STATEMENT

 

     This bill requires the Commissioner of Banking and Insurance to develop a standard prior authorization request form to be utilized by all network providers for the purpose of submitting requests for utilization review determinations for coverage of prescription drug benefits.  A payer must make the standard prior authorization request form available to, and must accept it from, network providers in paper and electronic form.