Conaway, Benson & Wisniewski Bill Requiring Health Insurance Coverage of Pain Medication Approved by Assembly
(TRENTON) – Legislation sponsored by Assembly Democrats Herb Conaway, Jr., M.D. (D-Burlington), Daniel Benson (D-Mercer/Middlesex) and John Wisniewski (D-Middlesex) that would ease access to prescription pain medication for patients who need it, by requiring certain health insurance providers to cover prescription pain medication was approved Monday by the Assembly.
The bill (A-1832) addresses the shortcomings of “step therapy” or “fail first” policies. Step therapy is the health insurance industry practice of having patients try less-expensive alternative medications before insurance companies will pay for the pain treatment initially prescribed by a doctor.
“The purpose of step therapy is to control costs and minimize risks, but for some patients, this method does not work,” said Conaway. “To deny coverage for pain medication that has been prescribed by a doctor as the most effective way to alleviate a patient’s pain is cruel. This bill puts the patient’s well-being first and ensures they are able to get the medication they need when they need it.”