S 2738 New Jersey Senate · 2024-2025 Regular Session

Establishes minimum NJ FamilyCare reimbursement rate for certain out-of-state hospitals that provide services to NJ FamilyCare pediatric beneficiaries.

This bill establishes a minimum reimbursement rate of 125% of the Medicaid fee-for-service rate for out-of-state hospitals that provide services to 10,000 or more unique NJ FamilyCare pediatric beneficiaries annually. It directly affects hospitals in other states that serve a significant number of New Jersey's pediatric Medicaid patients. The key provision requires these hospitals to be reimbursed at a rate 25% higher than the standard Medicaid rate in the state where the hospital is licensed. This policy change aims to ensure adequate reimbursement for out-of-state hospitals providing pediatric care to NJ FamilyCare beneficiaries.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2024
Committee Review
Floor Vote
Governor
Introduced Feb 15, 2024 Last action Feb 15, 2024
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Feb 15, 2024
Introduced
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Nilsa Cruz-Perez
Nilsa Cruz-Perez
DDemocratic
NJ
5