Requires DHS to increase home and community-based services under Medicaid.

This bill (A4585) requires New Jersey's Department of Human Services to expand home and community-based services (HCBS) under Medicaid. It sets specific targets: by 2027, 80% of Medicaid recipients eligible for nursing home care must receive HCBS instead, with 60% of long-term care funding allocated to HCBS; by 2029, this funding target rises to 70%. The bill mandates a five-year strategic plan to reduce reliance on nursing homes, ensure fair wages for caregivers (with inflation adjustments), and coordinate housing and care services. These changes directly affect Medicaid beneficiaries seeking alternatives to institutional care, caregivers, and state agencies managing Medicaid programs.