A 3591 — Requires NJ FamilyCare reimbursement for pediatric medication management services provided for certain children by licensed pharmacist.

Summary

Medication management svcs-req reimbursement for certain children

Bill Text

• Introduced View text Current html January 08, 2026

AI-generated reading aid from the bill's amendatory text — verify against the official bill.

This bill amends 3 section(s) of the New Jersey statutes: N.J.S.A. 30:4D-6; N.J.S.A. 45:14-48; N.J.S.A. 45:14-64.

• N.J.S.A. 30:4D-6

  and → ; and (28) (a) Comprehensive medication management services for a medically complex pediatric patient when provided by a licensed clinical pharmacist, which services shall include: (i) comprehensive reviews, conducted on a schedule to be determined in collaboration with the patient's team of healthcare providers, of the patient's prescription medications, over-the-counter medications, vitamins, and nutritional supplements; (ii) development and implementation of patient-specific medication action plans; (iii) ongoing monitoring of the patient's adherence to the patient-specific medication action plan; (iv) follow-up consultations and services as needed to ensure the efficacy and safety of the patient-specific medication action plan; and (v) any other comprehensive medication management services deemed necessary by the division and the Board of Pharmacy for the appropriate care of a medically complex pediatric patient. (b) The division and the Board of Pharmacy shall designate the educational, training, and credentialing requirements that licensed clinical pharmacists shall satisfy in order to be authorized to provide comprehensive medication management services under this paragraph. (c) Notwithstanding the provisions of P.L.2003, c.280 (C.45:14-40 et seq.), a licensed clinical pharmacist who satisfies the requirements of this paragraph shall not be required to enter into a written agreement with a licensed physician in order to provide comprehensive medication management services for a medically complex pediatric patient. (d) The division shall enter into value-based reimbursement contracts with licensed clinical pharmacists for the provision of comprehensive medication management services for medically complex pediatric patients; (e) The division shall establish a quality assurance program in order to monitor and evaluate the outcomes and efficacy of the comprehensive medication management services provided for medically complex pediatric patients, and ensure that the services provided align with the division's value-based payment strategies. (f) As used in this paragraph: "Board of Pharmacy" means the New Jersey State Board of Pharmacy of the Division of Consumer Affairs in the Department of Law and Public Safety. "Clinical pharmacist" means a licensed pharmacist who has completed a clinical residency or a Board of Pharmacy Specialties certification to acquire expertise in the therapeutic use of medications to ensure optimal patient health outcomes. Clinical pharmacists work as part of a patient's healthcare professional team to provide medication therapy evaluations and recommendations to patients and healthcare professionals. "Comprehensive medication management services" means a standard of care that ensures that a patient's medications, including prescription and nonprescription medications, vitamins, or nutritional supplements, are individually assessed to determine whether each medication is: appropriate for the patient, effective for the patient's medical condition, safe given the patient's comorbidities and other medications being taken, and able to be taken by the patient as intended. Comprehensive medication management services are provided by a clinical pharmacist as part of a patient's healthcare professional team. "Division" means the Division of Medical Assistance and Health Services in the Department of Human Services

  amended

• N.J.S.A. 45:14-48

  and → ; and (16) (a) Together with the Division of Medical Assistance and Health Services in the Department of Human Services, the establishment of educational, training, and credentialing requirements for pharmacists to engage in comprehensive medication management services for medically complex pediatric patients who are enrolled in the NJ FamilyCare program; (b) As used in this paragraph: "Clinical pharmacist" means a licensed pharmacist who has completed a clinical residency to acquire expertise in the therapeutic use of medications to ensure optimal patient health outcomes. Clinical pharmacists work as part of a patient's healthcare professional team to provide medication therapy evaluations and recommendations to patients and healthcare professionals. "Comprehensive medication management services" means a standard of care that ensures that a patient's medications, including prescription and nonprescription medications, vitamins, or nutritional supplements, are individually assessed to determine whether each medication is: appropriate for the patient, effective for the patient's medical condition, safe given the patient's comorbidities and other medications being taken, and able to be taken by the patient as intended. Comprehensive medication management services are provided by a clinical pharmacist as part of a patient's healthcare professional team. "NJ FamilyCare" means the program established pursuant to P.L.2005, c.156 (C.30:4J-8 et al.), which includes the State's Medicaid Program and the Children's Health Insurance Program

  amended

• N.J.S.A. 45:14-64

  : a. ; and b. a clinical pharmacist authorized to provide comprehensive medication management to a medically complex pediatric patient, pursuant to the provisions of P.L. , c. (C. ) (pending before the Legislature as this bill)

  amended

Action History

1. October 05, 2026

   REP REF AHU

2. January 13, 2026

   INT 1RA REF AHE

Sponsors

• Carol A. Murphy · Primary
• Louis D. Greenwald · Primary
• Shanique Speight · Primary
• Margie Donlon · Cosponsor
• Luanne M. Peterpaul Esq. · Cosponsor

Votes

Subjects