Requires Medicaid reimbursement rates for certain primary and mental health care services match reimbursement rates under Medicare.
This bill (A4265) requires New Jersey's Medicaid program to set reimbursement rates for certain primary care and mental health services at no less than 100% of the corresponding Medicare rates, effective July 1, 2023, and annually thereafter. It directly affects Medicaid providers - including family physicians, nurse practitioners, midwives, and mental health specialists like clinical social workers and psychiatrists - who serve Medicaid patients. The law mandates that Medicaid rates for these services cannot be lower than Medicare rates, but does not require rate decreases from prior years. It also requires the state to submit a report within one year on implementation impacts, including changes in access and quality of care for Medicaid beneficiaries.
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
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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
2 primary · 1 co-sponsor
Sponsors
Role
Legislator
Party
State
District
P
Marisa Sweeney
DDemocratic
P
Shanique Speight
DDemocratic
Co
Gerry Scharfenberger
RRepublican
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