S 3463 New Jersey Senate · 2026-2027 Regular Session

Makes certain changes to regulation of health care service firms.

S 3463 requires businesses that place or refer providers of companion, health care, or personal care services in a person’s home (to individuals with disabilities or age 60+) to register as "Health Care Service Firms" and comply with new regulations, excluding existing home health care and hospice agencies. Key provisions include mandatory accreditation within 12 months of registration, annual financial statements, and tiered audit or reporting requirements based on revenue: firms receiving over $500,000 in Medicaid Personal Care Assistance revenue must submit audits every three years, while those with $10 million+ in annual gross income must audit annually. Smaller firms (under $500,000 in Medicaid revenue and $1-10 million in gross income) must submit third-party reports detailing insurance, litigation, and regulatory actions. The Division of Consumer Affairs will enforce these rules to ensure transparency and quality in the care sector.
Bill status signed all 5 stages cleared
Introduction
Feb 2026
Committee Review
Jun 2026
Senate Passage
Jun 2026
General Assembly Passage
Jun 2026
Signed into Law
Jul 2026
Introduced Feb 12, 2026 Signed Jul 22, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Reprint · 4 edits
MODERATE
The bill doubles the Medicaid personal care assistance audit threshold from $250,000 to $500,000, reducing the number of health care service firms subject to mandatory audits. It also replaces the original Section 2 (a simple rulemaking mandate) with a new framework requiring the Director of Consumer Affairs to enter into a memorandum of understanding with an accrediting body selected through procurement, establishing standards for accreditation and audit reporting. A provision on standards for independent third-party practitioners was included but then deleted by amendment pending before the Legislature.
REQUIREMENT

The threshold for triggering a mandatory audit based on Medicaid Personal Care Assistance services received was raised from $250,000 to $500,000, meaning firms receiving up to $500,000 in such services will no longer be required to submit an audit.

Section 2 was completely rewritten. The original section simply directed the Division of Consumer Affairs to adopt rules and regulations. The new section requires the Director to enter into a memorandum of understanding with an accrediting body chosen through procurement processes, establishing standards for accreditation and for reporting audit results to the Division.

A proposed subsection b that would have required the director to develop standards for independent third-party practitioners reviewing firm financial statements (covering qualifications, data points and metrics, and thresholds for adverse findings) was included in the reprint but then deleted by amendment pending before the Legislature.

SCOPE

The bill's sponsorship was expanded with three additional Assembly members (Freiman, Schnall, DePhillips) and additional co-sponsors (Assemblyman Tully, Assemblywomen Murphy and Brennan), indicating broader legislative support.

Floor votes

How they voted

This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history

Actions timeline

Total actions
11
Key actions
5
Committee
2
Amendments
1
Jun 30, 2026
Upper · Passed
Passed Senate (Passed Both Houses) (40-0)
upper
Jun 30, 2026
Lower · Passed
Passed by the Assembly (79-0-0)
lower
Jun 11, 2026
Lower · Passed
Assembly Floor Amendment Passed (Quijano)
lower
Jun 1, 2026
Lower · Passed
Reported out of Assembly Committee, 2nd Reading
lower
May 28, 2026
Committee
Received in the Assembly, Referred to Assembly Health Infrastructure Committee
lower
May 28, 2026
Upper · Passed
Passed by the Senate (36-0)
upper
Feb 12, 2026
Introduced
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
upper
5 primary · 5 co-sponsors

Sponsors