Clarifies cap on fees imposed, and modifies definition of participating county, under "County Option Hospital Fee Program Act."*

This bill (A3364) clarifies the fee cap for New Jersey's County Option Hospital Fee Program, directly affecting participating counties and hospitals within them. It specifies that county-imposed hospital fees must not exceed "the aggregate amount specified in 42 C.F.R. s.433.68(f)(3) minus one percent of total net patient revenues," removing prior ambiguity about the cap calculation. The bill requires counties to submit fee plans for commissioner review and approval before implementation, ensuring fees align with federal Medicaid rules. It does not change the program's purpose of funding hospitals serving low-income residents or the requirement for county commissioners to adopt ordinances for fee collection.