S 3873 New Jersey Senate · 2024-2025 Regular Session

Requires NJ FamilyCare payment for multiple medical encounters per day for enrollee at federally qualified health center.

This bill requires NJ FamilyCare to reimburse for multiple medical visits to different specialty providers at a federally qualified health center (FQHC) on the same day for enrollees. It mandates that referring providers document the medical necessity for each visit and ensures each encounter is with a distinct specialty provider. The bill explicitly states it does not override federal Medicaid rules, aligning with existing state regulations that currently limit FQHC visits to one per day unless multiple conditions or separate return visits occur. This change directly affects NJ FamilyCare enrollees seeking specialized care at FQHCs in underserved areas.
Bill status in committee 1 of 4 stages cleared
Introduction
Nov 2024
Committee Review
Floor Vote
Governor
Introduced Nov 18, 2024 Last action Mar 3, 2025
Floor votes

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Full legislative history

Actions timeline

Total actions
3
Key actions
1
Committee
2
Mar 3, 2025
Committee
Referred to Senate Budget and Appropriations Committee
upper
Mar 3, 2025
Upper · Passed
Reported out of Senate Committee, 2nd Reading
upper
Nov 18, 2024
Introduced
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
upper
2 primary · 0 co-sponsors

Sponsors