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New Jersey Bill A289 Expands Opioid Initial Prescription Limit to Seven Days

Original title: Requires health care practitioners prescribing opioid medications to limit amount of prescribed medication to seven-day supply, except in certain circumstances.

Last action · January 13, 2026: Introduced, Referred to Assembly Health CommitteeSponsors: Paul Kanitra and 1 other

Introduced
Committee
Floor Vote
Passed
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What This Bill Would Do

Assembly Bill 289 increases the initial prescription limit for opioid medications from a five-day supply to a seven-day supply for acute pain treatment. The measure applies to health care practitioners and physicians, while maintaining exceptions for chronic pain, cancer care, hospice, palliative care, and long-term care facilities.

Why it matters

Patients beginning opioid treatments for acute pain face new prescribing limits, while health care practitioners must adjust their maximum initial dispensing caps and consultation workflows.

Background
  • New Jersey previously established a five-day initial prescription limit for acute pain opioids under prior legislative enactments. context
  • The General Assembly is the lower house of the New Jersey Legislature. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

health care practitioners

Practitioners must limit initial opioid prescriptions to seven days, conduct required patient histories, check prescription monitoring programs, and issue opioid antidotes under specified risk conditions.

Directly affected

patients prescribed opioid medications

Patients face a revised initial prescription cap of seven days for acute pain and are subject to mandatory risk discussions and potential opioid antidote prescriptions.

Directly affected

health insurance carriers

Carriers must structure policy cost-sharing, co-payments, and deductibles for initial opioid prescriptions to be proportional or equivalent to a 30-day supply without extra refill charges.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

Are there exemptions to the seven-day limit?
Yes, exemptions apply to patients receiving active cancer treatment, hospice care, palliative care, long-term care facility residency, or treatment for substance abuse and opioid dependence.
When is a practitioner required to issue a prescription for an opioid antidote?
An antidote must be prescribed if the patient has a history of substance use disorder, receives a daily dose exceeding 90 , or holds a current prescription for a Schedule III or IV benzodiazepine drug.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

1 action
  1. Jan 13, 2026HouseIntroduced
    Introduced, Referred to Assembly Health Committee

Version history

Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

McGuckin, Gregory P.Primary sponsorNo profile match

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift99% confidence

Extension of Acute Opioid Limits

The legislation extends New Jersey's acute pain initial opioid prescription cap from five days to seven days.

Sources

Open source document

njleg.state.nj.us

Analysis Score

0–100
  • Significance75
    How much this matters to a regular citizen
  • Controversy35
    Intensity of disagreement among stakeholders
  • Entertainment5
    Compellingness for a non-policy-wonk reader
  • Buzz40
    Current news / social attention level

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