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Bill

A 3675

Authorizes pharmacists to dispense HIV prophylaxis without individual prescription under certain circumstances; mandates prescription benefits coverage.

2026-2027 Regular Session Introduced by Rosy Bagolie and 4 co-sponsors

New Jersey bill authorizing pharmacists to dispense HIV prevention medication without prescriptions and mandating insurance coverage; superseded by existing law.

Withdrawn Because Approved P.L.2025, c.196.
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Bill Summary · A 3675

Legislative bill overview

Bill A 3675 would have authorized pharmacists in New Jersey to dispense HIV pre-exposure prophylaxis (PrEP) medications without an individual prescription under specified conditions and would mandate that prescription drug insurance plans cover these medications. The bill was withdrawn on January 13, 2026, because similar provisions were already enacted through Public Law 2025, Chapter 196.

Why is this important

This legislation addresses barriers to HIV prevention by increasing access to PrEP through pharmacist dispensing and ensuring insurance coverage. By removing prescription requirements and guaranteeing benefits coverage, the bill would reduce delays and out-of-pocket costs for individuals seeking preventive treatment, potentially expanding public health protection and reducing transmission rates in high-risk populations.

Potential points of contention

  • Pharmacist scope of practice: Expanding pharmacist authority beyond traditional dispensing roles raises questions about clinical judgment, patient screening, and liability for adverse outcomes or drug interactions
  • Insurance mandate costs: Requiring comprehensive PrEP coverage without cost-sharing may increase insurance premiums for all enrollees, potentially raising healthcare expenses broadly
  • Clinical oversight concerns: Removing individual prescription requirements could bypass physician assessment of patient eligibility, contraindications, and monitoring needs for medication adherence and kidney function

Compiled from official sources — confirm details with the bill’s official record.

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