Establishes minimum NJ FamilyCare reimbursement rate for certain out-of-state hospitals that provide services to NJ FamilyCare pediatric beneficiaries.
This bill sets a minimum payment rate for out-of-state hospitals that serve significant numbers of NJ pediatric Medicaid patients. Specifically, hospitals providing care to 10,000+ unique NJ FamilyCare pediatric beneficiaries annually must receive at least 125% of the Medicaid fee-for-service rate from the state where they are licensed. It directly affects qualifying out-of-state hospitals, ensuring they are compensated fairly for services to NJ's pediatric Medicaid enrollees. The change aims to maintain access to care by preventing underpayment that could reduce hospital participation in the program.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 13, 2026
Last action Jan 13, 2026
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Full legislative history
Actions timeline
Total actions
1
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0
Committee
0
Jan 13, 2026
Introduced
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Nilsa Cruz-Perez
DDemocratic
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