New JerseyA4852221st Legislature (2026-2027)HouseWALLET

Revises certain requirements for prescription of Schedule II controlled dangerous substances via telemedicine and telehealth without in-person examination or review.*

Sponsored By: Vin Gopal (Democratic), Andrea Katz (Democratic), Vincent M. Kearney (Democratic), Raj Mukherji (Democratic), Marisa Sweeney (Democratic), Chris Tully (Democratic), Joseph F. Vitale (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

4 provisions identified: 2 benefits, 1 costs, 1 mixed.

Fewer prescription visits for qualifying patients

Beginning July 8, 2026, qualifying New Jersey patients can get Schedule II prescriptions without the required in-person exam or review. Eligible patients include those in active cancer treatment, licensed hospice care, palliative care, or long-term care facilities. The exception also covers evaluation, consultation, or treatment related to P.L.2019, chapter 59. It also covers medicines prescribed to treat a substance use disorder. Providers must use live, two-way audio and video.

Remote stimulant prescriptions for kids

Beginning July 8, 2026, New Jersey allows patients under 18 to get Schedule II stimulants without an in-person exam or review. The provider must first get written consent from the child's parent or guardian to waive those visits. Treatment must use live, two-way audio and video.

Patients need video for controlled prescriptions

Beginning July 8, 2026, remote Schedule II prescriptions in New Jersey require live, two-way audio and video during treatment. Audio-only calls do not meet this requirement. The technology's use must follow state and federal law and applicable care standards.

Remote stimulant starts require adult follow-ups

Beginning July 8, 2026, New Jersey adults can have their first exam for a Schedule II stimulant remotely or in person. A remote first exam requires an in-person visit within 30 days. While the prescription continues, a visit or contact is required every three months. This must include an in-person visit at least once a year. Remote treatment must use live, two-way audio and video.

Sponsors & Cosponsors

Sponsors

  • Vin Gopal

    Democratic • Senate

  • Andrea Katz

    Democratic • House

  • Vincent M. Kearney

    Democratic • House

  • Raj Mukherji

    Democratic • Senate

  • Marisa Sweeney

    Democratic • House

  • Chris Tully

    Democratic • House

  • Joseph F. Vitale

    Democratic • Senate

Cosponsors

  • Margie Donlon M.D.

    Democratic • House

  • Robert J. Karabinchak

    Democratic • House

Roll Call Votes

All Roll Calls

Yes: 114 • No: 4

Senate vote • 6/30/2026

3RDG FINAL PASSAGE

Yes: 38 • No: 2

House vote • 6/30/2026

3RDG FINAL PASSAGE

Yes: 76 • No: 2 • Other: 1

Actions Timeline

  1. Governor: APP

    7/8/2026Governor
  2. Approved by Governor — P.L.2026, c.40.

    7/8/2026Governor
  3. Passed Senate, PBH — (38-2)

    6/30/2026Senate
  4. Substituted for S4194/4210 (SCS)

    6/30/2026Senate
  5. Received in Senate, SWR, 2nd Reading in Senate

    6/30/2026Senate
  6. Passed Assembly — (76-2-1)

    6/30/2026House
  7. REP/ACS, 2nd Reading in Assembly

    6/23/2026House
  8. TRANS Assembly State and Local Government Committee

    6/23/2026House
  9. Introduced, 1st Reading in Assembly, Referred to Assembly Health Committee

    5/4/2026House

Bill Text

  • Version AL2026

    9/17/2026

  • Assembly State and Local Government (6/23/26 ACS)

    7/1/2026

  • Assembly State and Local Government Substitute (6/23/26 ACS)

    6/24/2026

  • As Introduced

    5/8/2026

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