Establishes Medicaid Managed Care Organization Oversight Program.
This bill creates a new Medicaid Managed Care Organization (MCO) Oversight Program within New Jersey's Department of Human Services to monitor health insurance companies (MCOs) that manage Medicaid and NJ FamilyCare services. It requires MCOs to submit quarterly data on providers and beneficiaries, and mandates annual verification that 100% of providers listed in public directories are Medicaid-eligible. The oversight program will independently check 20% of provider contact information and directory accuracy each year to ensure MCOs meet standards for access to care. This directly affects MCOs and aims to improve care access for Medicaid and NJ FamilyCare enrollees, addressing past audit findings about inadequate provider networks.
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
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
1
Key actions
0
Committee
0
Feb 19, 2026
Introduced
Introduced, Referred to Assembly Aging and Human Services Committee
lower
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Shanique Speight
DDemocratic
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