A 2259 New Jersey General Assembly · 2026-2027 Regular Session

Authorizes hospital patient with developmental disabilities to have designated family member, guardian, direct support professional, or other caregiver accompany patient throughout hospital stay.

This bill grants patients with developmental disabilities in New Jersey hospitals the right to have a designated family member, guardian, direct support professional (DSP), or other caregiver accompany them throughout their entire hospital stay. Hospitals must provide an opportunity to make this designation at admission and document it in the medical record, with changes allowed upon 1-hour notice. The right does not apply during active surgery if the caregiver's presence would endanger the patient. It directly affects patients with developmental disabilities, their designated caregivers, and New Jersey hospitals. The bill takes effect immediately upon passage.
Bill status passed 3 of 5 stages cleared
Introduction
Jan 2026
Committee Review
May 2026
General Assembly Passage
Mar 2026
Senate Passage
Governor
Introduced Jan 13, 2026 Last action May 4, 2026
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What changed between versions

Introduced Reprint · 8 edits
MODERATE
The Assembly Health Committee significantly amended this bill, which grants hospital patients with developmental disabilities the right to be accompanied by a designated caregiver. The amendments narrow the original absolute right by allowing hospitals to limit accompaniment based on their own policies for safety, privacy, infection control, and clinical care, add new exceptions (behavioral health units, temporary revocation), cap designations at one person, clarify that designation does not confer decision-making authority, delete the definitions section, and change the effective date from immediate to 365 days after enactment.
Scope change
The bill's scope was narrowed substantially. The original version created a near-absolute right to accompaniment with only one narrow exception (surgery). The amended version subjects the right to hospital policies, adds multiple new exceptions (behavioral health units, temporary revocation for safety/privacy/infection control reasons), limits designations to one person, and delays implementation by one year. The definitions section was also removed.
SCOPE

The original absolute right to be accompanied throughout the hospital stay (with only a surgical exception) was replaced with accompaniment 'in accordance with hospital policies necessary to ensure patient safety, privacy, infection control, and clinical care,' giving hospitals broad discretion to limit the right.

New provision explicitly exempts behavioral health treatment units and other secure clinical areas from the accompaniment right where presence would conflict with federal or state privacy protections, patient safety requirements, or facility security protocols.

REQUIREMENT

New provision allows hospitals to temporarily limit or revoke a designated person's presence when necessary to protect health or safety of patients/staff, maintain privacy or confidentiality, comply with infection control protocols or public health emergency requirements, or ensure safe delivery of clinical care.

New provision requires hospitals to record designations consistent with their existing medical record and patient visitor documentation procedures.

DEFINITION

New provision clarifies that a designation under the act does not confer decision-making authority unless the designated individual is already authorized as a guardian, health care representative, or legally authorized decision-maker under other law.

The entire Section 2 definitions section (defining 'caregiver' and other terms) was deleted from the bill.

ELIGIBILITY

New provision limits patients to designating one caregiver at a time for accompaniment purposes.

TIMELINE

Effective date changed from 'immediately' to '365 days following enactment,' giving a full year for hospitals and the Department of Health to prepare before the law takes effect.

Floor votes

How they voted

This bill passed the General Assembly by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
4
Key actions
1
Committee
1
May 4, 2026
Committee
Received in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
upper
Mar 23, 2026
Lower · Passed
Passed by the Assembly (73-0-0)
lower
Jan 13, 2026
Introduced
Introduced, Referred to Assembly Health Committee
lower
2 primary · 6 co-sponsors

Sponsors