A 4179 New Jersey General Assembly · 2026-2027 Regular Session

Establishes requirements for incentive-based value payment system for home health agencies and health care service firms.

This bill establishes a mandatory incentive-based payment system for home health agencies and healthcare service firms that serve NJ FamilyCare recipients enrolled in Fully Integrated Dual Eligible Special Needs Plans. It requires these providers to meet specific performance targets across nine key health outcomes - including reduced hospitalizations, improved patient mobility, medication reconciliation, and fewer adverse events - to earn additional payments. The system measures performance using standardized metrics from the "Outcome and Assessment Information Set," with payments distributed by managed care organizations based on achieved results. Agencies must also implement protocols for care coordination, discharge follow-up, and patient education as part of participation.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2026
Committee Review
Floor Vote
Governor
Introduced Feb 19, 2026 Last action Feb 19, 2026
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Total actions
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Feb 19, 2026
Introduced
Introduced, Referred to Assembly Health Committee
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Carol Murphy
Carol Murphy
DDemocratic
NJ
7