STATE OF NEW JERSEY
222nd LEGISLATURE
PRE-FILED FOR INTRODUCTION IN THE 2026 SESSION
Sponsored by:
Senator VIN GOPAL
District 11 (Monmouth)
SYNOPSIS
Requires health insurance carriers to reimburse health care providers for vaccines at rate no less than CDC cost per dose rate.
CURRENT VERSION OF TEXT
Introduced Pending Technical Review by Legislative Counsel.
An Act concerning reimbursement for health care providers and supplementing P.L.1997, c.192 (C.26:2S-1 et seq.).
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. A carrier shall reimburse a health care provider that provides a vaccine at a rate that is no less than the vaccine’s Centers for Disease Control and Prevention cost per dose rate pursuant to the Centers for Disease Control and Prevention vaccine price list. The Centers for Disease Control and Prevention cost per dose rate shall be the rate in effect on the date the vaccine was provided by the health care provider.
2. This act shall take effect on the first day of the 13th month next following enactment and shall apply to contracts entered into or renewed after that date.
STATEMENT
This bill requires health insurance carriers (including insurance companies, health, hospital, and medical service corporations, and health maintenance organizations) to reimburse a health care provider that provides a vaccine at a rate that is no less than the vaccine’s Centers for Disease Control and Prevention (CDC) cost per dose rate pursuant to the CDC vaccine price list. The CDC cost per dose rate is to be the rate in effect on the date the vaccine was provided.
The CDC vaccine price list provides the CDC and private sector cost per dose contract prices for vaccines.