New JerseyA4163220th Legislature (2024-2025)HouseWALLET

Requires health insurers to provide coverage for biomarker precision medical testing.*

Sponsored By: Vin Gopal (Democratic), Shama A. Haider (Democratic), Gary S. Schaer (Democratic), Troy Singleton (Democratic), Sumter, Shavonda E.

Signed by Governor

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Bill Overview

Analyzed Economic Effects

1 provisions identified: 1 benefits, 0 costs, 0 mixed.

New Jersey patients get biomarker test coverage

New Jersey requires covered health plans and Medicaid to cover biomarker tests, which check genes, proteins, or other biological markers. Testing must help diagnose, treat, manage, or monitor a disease or condition; screening people without symptoms is excluded. Coverage requires support from FDA test or drug indications, FDA drug-label warnings, Medicare coverage decisions, or nationally recognized clinical guidelines. Private plans keep their usual medical review and copays, deductibles, and coinsurance; Medicaid charges no cost-sharing for these tests. Plans must avoid unnecessary repeat biopsies or samples while allowing repeats needed for care. Reviews must follow state guidelines and deadlines, and patients and treating providers must get clear, accessible instructions for appealing denials. Medicaid testing contractors must provide the same scope, duration, and frequency of testing as Medicaid itself. The law takes effect July 22, 2025, and applies to covered policies and contracts delivered, issued, executed, or renewed from that date, including those approved for issuance or renewal. For certain plans, coverage depends on the insurer having reserved the right to change premiums.

Sponsors & Cosponsors

Sponsors

  • Vin Gopal

    Democratic • Senate

  • Shama A. Haider

    Democratic • House

  • Gary S. Schaer

    Democratic • House

  • Troy Singleton

    Democratic • Senate

  • Sumter, Shavonda E.

    Affiliation unavailable

Cosponsors

  • Robert Auth

    Republican • House

  • John V. Azzariti Jr. M.D.

    Republican • House

  • Rosaura Bagolie

    Democratic • House

  • Al Barlas

    Republican • House

  • James Beach

    Democratic • Senate

  • Jon M. Bramnick

    Republican • Senate

  • Anthony M. Bucco

    Republican • Senate

  • Renee C. Burgess

    Democratic • Senate

  • Clinton Calabrese

    Democratic • House

  • Robert D. Clifton

    Republican • House

  • Nilsa I. Cruz-Perez

    Democratic • Senate

  • Christopher P. DePhillips

    Republican • House

  • John DiMaio

    Republican • House

  • Patrick J. Diegnan Jr.

    Democratic • Senate

  • Margie Donlon M.D.

    Democratic • House

  • Mitchelle Drulis

    Democratic • House

  • Aura K. Dunn

    Republican • House

  • Victoria A. Flynn

    Republican • House

  • Linda R. Greenstein

    Democratic • Senate

  • Hall, Garnet R.

    Affiliation unavailable

  • Dan Hutchison

    Democratic • House

  • Michael Inganamort

    Republican • House

  • Gordon M. Johnson

    Democratic • Senate

  • Robert J. Karabinchak

    Democratic • House

  • Yvonne Lopez

    Democratic • House

  • Matsikoudis, Michele

    Affiliation unavailable

  • Antwan L. McClellan

    Republican • House

  • Angela V. McKnight

    Democratic • Senate

  • Carmen Theresa Morales

    Democratic • House

  • Mu�oz, Nancy F.

    Affiliation unavailable

  • Declan J. O'Scanlon Jr.

    Republican • Senate

  • Ellen J. Park

    Democratic • House

  • Joseph Pennacchio

    Republican • Senate

  • Luanne M. Peterpaul Esq.

    Democratic • House

  • Eliana Pintor Marin

    Democratic • House

  • Ramirez, Jessica

    Affiliation unavailable

  • Verlina Reynolds-Jackson

    Democratic • House

  • Gabriel Rodriguez

    Democratic • House

  • William B. Sampson IV

    Democratic • House

  • Alexander Schnall

    Democratic • House

  • Erik K. Simonsen

    Republican • House

  • Robert W. Singer

    Republican • Senate

  • William W. Spearman

    Democratic • House

  • Shanique Speight

    Democratic • House

  • Sterley S. Stanley

    Democratic • House

  • Lisa Swain

    Democratic • House

  • Chris Tully

    Democratic • House

  • Anthony S. Verrelli

    Democratic • House

  • Benjie E. Wimberly

    Democratic • Senate

  • Andrew Zwicker

    Democratic • Senate

Roll Call Votes

All Roll Calls

Yes: 233 • No: 0

Senate vote • 3/24/2025

AMEND

Yes: 39 • No: 0

Senate vote • 3/24/2025

3RDG FINAL PASSAGE

Yes: 39 • No: 0

House vote • 3/24/2025

3RDG FINAL PASSAGE

Yes: 78 • No: 0

House vote • 3/24/2025

CONCUR IN SA

Yes: 77 • No: 0

Actions Timeline

  1. Approved by Governor — P.L.2025, c.49.

    4/23/2025Governor
  2. Passed Assembly, PBH — (77-0-0)

    3/24/2025House
  3. Received in Assembly, 2RAC

    3/24/2025House
  4. Passed Senate — (39-0)

    3/24/2025Senate
  5. Substituted for S3098 (2R)

    3/24/2025Senate
  6. SA, 2nd Reading in Senate — (39-0) (Gopal)

    3/24/2025Senate
  7. Received in Senate, SWR, 2nd Reading in Senate

    3/24/2025Senate
  8. Passed Assembly — (78-0-0)

    3/24/2025House
  9. Reported, 2nd Reading in Assembly

    12/16/2024House
  10. REP/ACA, Referred to Assembly Appropriations Committee

    10/24/2024House
  11. Introduced, 1st Reading in Assembly, Referred to Assembly Financial Institutions and Insurance Committee

    4/8/2024House

Bill Text

  • Version PL2025

    6/5/2025

  • Version AL2025

    5/13/2025

  • Assembly Financial Institutions and Insurance (10/24/24 1R)

    3/25/2025

  • Senate 3/24/25 1R

    3/25/2025

  • Senate 3/24/25 2R

    3/25/2025

  • Assembly Appropriations Substitute (12/16/24 1R)

    12/17/2024

  • 12/13/24; 1R

    12/13/2024

  • Assembly Financial Institutions and Insurance Substitute (10/24/24)

    10/25/2024

  • As Introduced

    9/24/2024

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