S 2478 requires New Jersey's Department of Human Services to create two dedicated websites promoting enrollment in Medicaid and NJ FamilyCare programs. One website will be in English, listing health navigators and community centers that assist with health insurance enrollment, including the languages spoken at each location. A second website will provide identical content entirely in Spanish with a Spanish-language domain name to improve access for Spanish-speaking residents. This bill directly affects New Jersey residents, particularly those with limited English proficiency, by making health care enrollment resources more accessible and culturally responsive.
This bill requires New Jersey private health insurers, SHBP, SEHBP, Medicaid, and NJ FamilyCare to cover medically necessary wigs. Insurers must pay for wigs prescribed by a dermatologist, oncologist, or physician as part of rehabilitative treatment for a diagnosed illness, condition, or injury. Coverage is limited to one wig every 36 months and must be treated like other durable medical equipment, with no restriction to patients undergoing chemotherapy. It explicitly prohibits insurers from limiting coverage only to cancer patients receiving chemo treatment.
This bill sets a minimum $300 payment rate per basic life support emergency ambulance transport under New Jersey's Medicaid program, increasing from the current $58 rate. It also establishes a minimum $8.94 per loaded mile reimbursement for ground ambulance mileage, with annual adjustments tied to the Medicare rate. The changes apply to all Medicaid-covered emergency transports starting July 1, 2024, affecting ambulance providers serving Medicaid patients. The law requires the state to update Medicaid rules and seek federal approval for these reimbursement changes.
S 167 establishes a two-year pilot program to integrate 24-hour behavioral health services into hospital urgent care facilities across New Jersey. The bill requires participating hospitals (selected by Medicaid managed care organizations) to provide integrated care through licensed behavioral clinicians, telehealth psychiatry, and specific care transition methods like "warm hand-offs" (direct connections to providers) and "supportive contacts" (brief follow-up communications). This program targets individuals experiencing behavioral health crises, aiming to reduce unnecessary emergency room visits and inpatient admissions by stabilizing patients at urgent care facilities. It will be funded through Medicaid using a value-based payment system that covers costs for participating facilities and providers.
New Jersey's S 839 requires health insurers and Medicaid to reimburse telemedicine and telehealth services at the same rate as in-person visits when the services would be covered in person. It ensures providers receive equal payment whether care is delivered remotely or in person, and prohibits insurers from charging higher deductibles, copays, or coinsurance for telehealth visits. The bill also prevents restrictions on where telehealth can occur (as long as care standards are met), allows audio-only calls without video, and mandates coverage for remote patient monitoring. This directly affects healthcare providers, insurers, and Medicaid programs by standardizing telehealth reimbursement across New Jersey.
This bill (S 2901) expands New Jersey Medicaid coverage to include hearing aids and other assistive devices for hearing impairment. It directly affects Medicaid beneficiaries with hearing loss who currently lack coverage for these devices. The bill amends existing Medicaid rules to explicitly add "hearing aids and other assistive devices for the hearing impaired" to the list of covered prosthetic devices under Section 6(b)(6). This change clarifies that such devices will now be reimbursed under the state's Medicaid program without requiring separate legislative action for each case. The bill does not create new funding but adjusts coverage eligibility under current Medicaid rules.
This bill establishes a minimum daily reimbursement rate of $950 for pediatric skilled care nursing facilities (SCNFs) participating in New Jersey's Medicaid and NJ FamilyCare programs. It directly affects facilities providing specialized, long-term care to medically fragile children and youth up to age 21, such as the four currently operating in New Jersey. To qualify for this rate, facilities must comply with state and federal requirements for licensure, patient safety, and care quality. The bill appropriates necessary funds from the General Fund to implement this rate increase and requires the Commissioner of Human Services to seek federal approval for the change.
This bill (S 2672) requires all health insurance plans in New Jersey - including hospital service corporations, medical service corporations, individual policies, group plans, and health maintenance organizations - to cover planned home childbirth costs. It mandates coverage for services provided by healthcare providers (like midwives, nurses, and doctors), doulas, and necessary medical equipment, at the same level as other covered medical services. The law applies to all insurance contracts issued or renewed in New Jersey after its effective date, regardless of whether premiums can be adjusted. This directly affects insurance companies and Medicaid by expanding coverage options for individuals choosing home births.
This bill requires New Jersey's Commissioner of Human Services to apply for federal Medicaid waivers to fund additional medical training slots focused on behavioral health care. If approved, it directs the Commissioner and the Secretary of Higher Education to create a process for medical education programs (both new and existing) to request and use Medicaid funds for these specific training positions. The bill directly affects graduate medical education programs seeking to expand behavioral health training capacity. It creates a concrete mechanism to leverage federal Medicaid funding for this purpose, without changing existing Medicaid rules. The bill takes effect immediately upon passage.
This bill (S 426) would require New Jersey to provide Medicare health care coverage to all state residents - regardless of age, health, or disability status - expanding the federal program beyond its current eligibility rules. It mandates the state to seek federal waivers from CMS to replace existing health programs (like Medicaid) with universal Medicare coverage, with costs adjusted based on existing Medicare/Medicaid payments. The bill also prohibits private insurers from offering duplicate coverage for services already provided through Medicare. This would apply to anyone domiciled in New Jersey for 30 days prior to applying, starting immediately upon enactment.
