A 4244 New Jersey General Assembly · 2026-2027 Regular Session

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
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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
Photo of Shanique Speight
Shanique Speight
DDemocratic
NJ
29