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S 4533 New Jersey Senate · 2026-2027 Regular Session

Establishes fee on certain employers that employ individuals who receive health benefits coverage through State Medicaid program.

This New Jersey bill requires employers with at least 50 employees who receive Medicaid benefits to pay an annual fee to the state. The fee amount varies based on the size of the employer's Medicaid-covered workforce, ranging from $325 to $725 per employee and dependent. Employers must report the number of covered individuals by December 31, after which the state notifies them of their payment liability by March 1. The legislation includes an exemption for employees with developmental, intellectual, or permanent physical disabilities. Revenue generated from these fees is intended to help cover the costs of the state's Medicaid program.
Issues: ✗ Budget & TaxesOpposes Budget & TaxesBill imposes a new fee on employers, increasing the tax burden on businesses and potentially reducing resources for Medicaid coverage.95% confidence ✗ HealthcareOpposes HealthcareBill imposes fees on employers with Medicaid-covered workers, effectively increasing costs for healthcare access and potentially reducing coverage.85% confidence ✗ Labor & EmploymentOpposes Labor & EmploymentBill imposes a new fee on employers based on Medicaid-covered employees, effectively increasing labor costs and potentially restricting hiring or benefits.85% confidence
Bill status in committee 1 of 4 stages cleared
Introduction
Jun 2026
Committee Review
Floor Vote
Governor
Introduced Jun 26, 2026 Last action Jun 30, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced → Reprint · 3 edits
MINOR
The First Reprint of S4533 adds two new substantive provisions to the employer Medicaid fee bill: an anti-discrimination clause prohibiting employers from using an employee's or applicant's Medicaid status in employment decisions, and a data confidentiality clause protecting individually identifiable Medicaid information from public disclosure. The rest of the diff consists of formatting changes and removal of the standard STATEMENT section that is typically dropped after initial introduction.
REQUIREMENT

New subsection 1k prohibits employers from relying on, using, or considering whether a job applicant or employee receives State Medicaid coverage as a basis for denying them employment, maintaining employment, or advancing in position. The right is enforceable under the New Jersey Law Against Discrimination (C.10:6-1 et seq.).

ENFORCEMENT

New subsection 1l makes individually identifiable information about employees or dependents receiving State Medicaid coverage confidential and privileged. It bars the commissioner, the Director of the Division of Revenue and Enterprise Services, and any employee from disclosing, using for personal advantage, or examining such data except for official duties. The information is also exempt from disclosure under the Open Public Records Act (C.47:1A-1 et seq.).

TECHNICAL

The STATEMENT section summarizing the bill's provisions was removed, which is standard practice when a bill moves from introduction to reprint after committee action.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
3
Key actions
0
Committee
0
Jun 26, 2026
Introduced
Introduced in the Senate, Referred to Senate Budget and Appropriations Committee
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Joe Vitale
Joe Vitale
DDemocratic
NJ
19