Healthcare

This bill would prohibit social media platforms from promoting content related to eating disorders - such as diet products, extreme weight loss practices, or harmful eating behaviors - to users under 18. Platforms must conduct quarterly internal audits and annual independent audits to ensure their algorithms or features don’t contribute to eating disorders in children, and fix any issues within 30 days if identified. Small platforms with less than $100 million in annual revenue are exempt from the audit requirements. The bill does not hold platforms liable for user-generated content unless the platform paid to promote it (e.g., via advertisements).

This bill (A4160) creates a new Chief Executive Nurse position within New Jersey's Department of Health (DOH). The role requires a master's degree in nursing or higher plus significant nursing experience, and the appointee must work full-time for the DOH Commissioner. The Chief Executive Nurse will assist the Commissioner on nursing matters, collect data on nursing practices, consult with nurses and healthcare facilities about regulations affecting patient care, and evaluate nursing trends. The position takes effect immediately upon enactment.

This bill creates "Dementia-Specific Advance Directives" (DSADs), allowing New Jersey adults diagnosed with Alzheimer’s or other neurodegenerative dementia to formally document their future healthcare preferences while they still have decisional capacity. DSADs must be signed, dated, and witnessed (with one non-relative witness) and specify choices about feeding (including "comfort feeding only" - hand-feeding for comfort, not tubes or IVs), hospitalization, life-prolonging treatments, and triggers for comfort care. The state will establish an electronic registry for DSADs, require healthcare facilities to honor them, provide provider training, and publish annual data on DSAD usage. It directly affects individuals with dementia, their families, and all New Jersey healthcare providers, ensuring their documented wishes guide care during advanced stages.