Requires NJ FamilyCare coverage for healthy food prescriptions for certain enrollees.
What changed between versions
The bill no longer supplements P.L.1968, c.413 (C.30:4D-1 et seq.), removing that statute from the bill's scope as stated in its title.
A new definition of 'diet-related medical condition' is added, specifying Type II diabetes, hypertension, or obesity.
Food prescriptions are now explicitly limited to NJ FamilyCare enrollees (previously the language was broader). The list of covered foods is now specifically enumerated: fresh fruits, fresh vegetables, culturally-appropriate staple foods, nutritional supplements identified by commissioners, and other medically-appropriate grocery items identified by commissioners.
The food prescription benefit is now conditioned on what is allowable under the State's federally-approved Medicaid waiver. Pharmacies filling prescriptions must be approved NJ FamilyCare providers that participate in the Healthy Corner Store and Retail Pharmacy Program (previously the mechanism referenced a separate section 9).
New monitoring requirements added: track number of food prescriptions written and filled, improvements in access to healthy foods, and health outcomes for enrollees receiving food prescriptions.
Annual reporting to the Governor and Legislature is required on: number of enrollees with prescriptions dispensed, health outcomes, State costs, and any reduction in overall Medicaid expenditures including emergency department visits, hospitalizations, and prescription drug utilization.
The Department of Human Services must prioritize partnerships with local farmers and food suppliers when filling food prescriptions, to the extent practicable.
Stakeholder engagement is required with health care providers, Medicaid managed care organizations, food retailers, retail pharmacies, and community-based organizations. Community-based organizations and community health workers should be engaged to provide educational resources, encourage compliance, and facilitate access to prescribed foods.
Program integrity safeguards are required, including eligibility verification processes, utilization review, and periodic audits to prevent fraud, waste, and abuse.
The standalone three-year pilot program (former section 9) is absorbed into the existing Healthy Corner Store and Retail Pharmacy Program section of P.L.2019, c.15, with corresponding renumbering of subsequent sections (old 10-12 become new 9-11).
The explanatory statement at the end of the bill was removed in the reprint version.