Expands Medicare health care coverage to all New Jersey residents.

S 304 would expand Medicare coverage to all New Jersey residents, regardless of age, health, or disability, by requiring the state to seek a federal waiver to replace current health programs like Medicaid with a unified New Jersey Medicare program. The bill mandates that the state apply to CMS for necessary waivers, with CMS adjusting costs and premiums based on existing Medicare and Medicaid payments. It also prohibits private insurers from offering duplicate coverage for services already provided by Medicare to ensure full participation in the new system. This would provide comprehensive health coverage to all New Jersey residents meeting the 30-day domicile requirement, including those currently uninsured or facing restrictive private insurance plans.