Healthcare (Medicaid)

in committee · New Jersey · General Assembly Mar 10, 2026

A 4564: Establishes minimum Medicaid and NJ FamilyCare pediatric special care nursing facility reimbursement rates.

This bill establishes a minimum daily reimbursement rate of $950 for pediatric special care nursing facilities that participate in New Jersey's Medicaid and NJ FamilyCare programs. The funding applies specifically to facilities providing specialized long-term care and rehabilitation services to children and youth up to age 21 who require nursing care beyond conventional facilities. To qualify for this rate, facilities must comply with state and federal laws regarding licensure, patient safety, and quality of care. The bill also authorizes the Department of Human Services to implement necessary rules and seek federal approvals to ensure the funding can be used.

Topics ✓ HealthcareSupports HealthcareBill establishes minimum reimbursement rates for pediatric special care nursing facilities, increasing funding and protecting access to specialized healthcare services for children.95% confidence

Sub-Topics Children's Health Long-Term Care Medicaid

Track

in committee · New Jersey · Senate Mar 5, 2026

S 3802: Requires Medicaid reimbursement rates for certain primary and mental health care services match reimbursement rates under Medicare.

This bill requires New Jersey Medicaid to pay primary care and mental health services at rates equal to or higher than Medicare rates, starting July 1, 2026. It directly affects healthcare providers who deliver these services to Medicaid patients, including physicians, nurse practitioners, physician assistants, midwives, and mental health professionals such as psychologists and licensed clinical social workers. The law ensures reimbursement rates do not decrease from the previous year and applies to both fee-for-service and managed care Medicaid programs. Additionally, the state's human services commissioner must submit an annual report on how these rate changes impact access and quality of care for Medicaid beneficiaries.

Topics ✓ HealthcareSupports HealthcareBill requires Medicaid reimbursement rates for primary and mental health services to match or exceed Medicare rates, increasing funding and protecting healthcare providers.95% confidence

Sub-Topics Medicaid Medicare Mental Health

Track

in committee · New Jersey · Senate Mar 19, 2026

S 3978: Establishes minimum Medicaid and NJ FamilyCare pediatric special care nursing facility reimbursement rates.

This bill sets a minimum daily reimbursement rate of $950 for pediatric skilled care nursing facilities that participate in New Jersey's Medicaid and NJ FamilyCare programs. It applies specifically to facilities providing specialized long-term care for children and youth up to age 21 who require nursing services beyond conventional care. The reimbursement floor is conditional on facilities meeting all state and federal requirements for licensure, patient safety, and quality of care. The legislation also includes funding from the General Fund to cover the increased costs and requires the Department of Human Services to submit necessary federal approvals for the program changes.

Topics ✓ Budget & TaxesSupports Budget & TaxesBill establishes minimum reimbursement rates for pediatric nursing facilities under Medicaid/NJ FamilyCare, increasing funding for essential public health services and protecting vulnerable children's care access.85% confidence ✓ HealthcareSupports HealthcareBill establishes minimum reimbursement rates for pediatric nursing facilities, ensuring adequate funding for specialized long-term care services for children under Medicaid and NJ FamilyCare programs.95% confidence

Sub-Topics State Budget Children's Health Long-Term Care Medicaid

Track

in committee · New Jersey · General Assembly Mar 10, 2026

A 4598: Expands Medicaid coverage regarding assistive devices for hearing impaired under certain circumstances.

This bill expands Medicaid coverage in New Jersey to include assistive devices for individuals who are hearing impaired, subject to certain federal and state requirements. The legislation modifies existing Medicaid statutes to allow the state to provide coverage for hearing aids and related assistive technology under specific circumstances. The bill directly affects Medicaid recipients who have hearing impairments and their healthcare providers who prescribe these devices. It does not specify the exact types of devices covered or the eligibility criteria beyond referencing federal Social Security Act Title XIX limitations.

Topics ✓ HealthcareSupports HealthcareBill expands Medicaid coverage for hearing aids and assistive devices, directly increasing healthcare access and funding for hearing-impaired individuals.95% confidence

Sub-Topics Medicaid

Track

in committee · New Jersey · General Assembly Mar 16, 2026

A 4706: Mandates health insurance coverage for supervisory billing for behavioral health services.

This bill requires health insurance carriers in New Jersey to cover and reimburse for services provided by mental health professionals who hold provisional licenses and work under the supervision of a fully licensed professional. It specifically prohibits insurance companies from denying claims solely because the provider is provisionally licensed, ensuring that individuals can access care from these supervised professionals. The law applies to major insurance programs including the State Health Benefits Program, School Employees' Health Benefits Program, and State Medicaid program.

Topics ✓ HealthcareSupports HealthcareBill mandates insurance coverage for behavioral health services by provisional licensees, expanding access to mental health care and protecting patient rights to receive supervised professional services.95% confidence

Sub-Topics Insurance Medicaid Mental Health

Track

in committee · New Jersey · Senate Mar 19, 2026

S 3965: Repeals law that revises coverage for certain immunizations and reference to Advisory Committee on Immunization Practices.

This bill in New Jersey repeals a 2025 law that required health insurers and the Medicaid program to cover certain immunizations without cost sharing. The repealed law mandated that these entities follow immunization recommendations from the New Jersey Department of Health, which previously considered guidance from the federal Advisory Committee on Immunization Practices and other medical organizations. By removing this law, the bill eliminates the requirement for insurers to cover immunizations based on state department recommendations and restores references to the federal Advisory Committee on Immunization Practices in related statutes. The change directly affects health insurance providers, Medicaid, and individuals who rely on these coverage provisions for vaccine expenses.

Topics ✗ HealthcareOpposes HealthcareBill repeals law requiring insurers to cover immunizations without cost sharing, restricting health coverage and limiting patient access to vaccines95% confidence

Sub-Topics Insurance Medicaid

Track

in committee · New Jersey · General Assembly Mar 19, 2026

A 4748: Requires Medicaid coverage for ovulation enhancing drugs and medical services related to administering such drugs for certain beneficiaries experiencing infertility.

This bill requires New Jersey Medicaid to cover ovulation-enhancing drugs and related medical services for certain beneficiaries experiencing infertility. The legislation amends existing Medicaid statutes to explicitly include these fertility treatments under covered medical assistance, subject to federal law and state regulations. It directly affects Medicaid recipients in New Jersey who are seeking fertility treatments through medication administration. The bill does not specify which infertility diagnoses qualify or set limits on the number of treatments covered, leaving those details to be determined by the state Department of Health.

Topics ✓ HealthcareSupports HealthcareBill expands Medicaid coverage to include fertility treatments, improving patient access to reproductive healthcare services.95% confidence

Sub-Topics Medicaid

Track

in committee · New Jersey · Senate Mar 19, 2026

S 4000: Excludes certain income earned from health promotion or disease prevention work from income eligibility determination under NJ FamilyCare, WFNJ, and NJ SNAP.

This bill changes how New Jersey calculates income eligibility for three assistance programs: NJ FamilyCare (Medicaid), Work First New Jersey, and NJ SNAP. It allows individuals who work as community outreach workers for health promotion or disease prevention programs to exclude their first $5,000 of annual earnings from these income calculations. Community outreach workers are defined as temporary employees of non-profit organizations or health departments who connect community members with health and social services. The bill requires state officials to seek necessary federal approvals to implement these changes and take effect immediately upon passage.

Topics ✓ HealthcareSupports HealthcareBill excludes income from health promotion work from eligibility calculations, encouraging participation in public health programs and strengthening healthcare access.90% confidence ✓ Labor & EmploymentSupports Labor & EmploymentBill excludes income from health promotion work from eligibility calculations, effectively increasing net income for community outreach workers and supporting employment in public health sectors.75% confidence

Sub-Topics Medicaid Public Health

Track

in committee · New Jersey · Senate Mar 10, 2026

S 3825: Establishes "New Jersey Community Health Worker Program" in DOH and certain training programs for community health workers.

This bill creates the New Jersey Community Health Worker Program within the Department of Health to improve access to care in underserved communities. It establishes standardized training and certification for community health workers through colleges and integrates their services into Medicaid reimbursement. The program will begin in Newark and expand statewide within five years, overseen by a director and a nine-member advisory board representing various health and community sectors.

Topics ✓ HealthcareSupports HealthcareBill establishes community health worker program to improve access to care in underserved communities, integrates services into Medicaid reimbursement, and provides standardized training.95% confidence

Sub-Topics Medicaid

Track

in committee · New Jersey · General Assembly Mar 10, 2026

A 4600: Establishes minimum Medicaid reimbursement rate of $200 for basic life support emergency ambulance transportation services.

This bill sets a minimum reimbursement rate of $200 for basic life support emergency ambulance transportation services covered by New Jersey's Medicaid program. It applies to both fee-for-service and managed care delivery systems and requires the state's Human Services Commissioner to create necessary rules and secure federal approval for the change. The legislation takes effect immediately and codifies an existing reimbursement level to ensure continued financial support for ambulance providers serving patients with urgent medical needs.

Topics ✓ HealthcareSupports HealthcareBill establishes minimum reimbursement rate for emergency ambulance services under Medicaid, ensuring continued financial support for providers and maintaining access to critical emergency care.90% confidence

Sub-Topics Medicaid

Track