This New Jersey bill introduces a new fee for employers who have at least 50 employees receiving Medicaid health coverage. The fee amount varies based on company size, charging $325, $525, or $725 per covered employee and their dependents depending on whether the employer has between 50-249, 250-499, or 500 or more Medicaid recipients. Employers with employees who have developmental, intellectual, or permanent physical disabilities are exempt from paying this charge. The revenue generated from these fees is intended to help cover the costs of the 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.
This bill grants the New Jersey Commissioner of Human Services temporary authority to suspend certain optional NJ FamilyCare benefits for individuals who do not receive federally mandated Medicaid coverage. The suspension can only apply to benefits created on or after January 1, 2024, and explicitly excludes essential services such as primary care, pediatric care, gynecological health, and behavioral health. To use this power, the commissioner must provide the Legislature with at least 30 days of advance notice and submit biennial reports detailing how long each benefit was suspended. The law is contingent on continued federal funding for the state's Medicaid and Children's Health Insurance Program and will expire three years after it takes effect.
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 The repealed law mandated that these entities follow immunization recommendations from the New Jersey Department of Health, which previously considered guidance from the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.
This bill would prevent individuals incarcerated in New Jersey state or county facilities from receiving Medicaid, Work First New Jersey, or Supplemental Nutrition Assistance Program (SNAP) benefits. It requires the Department of Human Services to obtain monthly updates on incarcerated individuals from correctional facilities and courts, then compare these lists to benefit enrollment data. If someone is identified as incarcerated, their benefits would be immediately suspended. The bill directly affects people currently held in custody, removing their eligibility for these programs.
This bill revises eligibility requirements for Medicaid-covered adult medical day care services in New Jersey. To qualify, a Medicaid recipient must now need assistance with at least one activity of daily living (like dressing, bathing, or eating), have a physician's recommendation for the service, and provide current medical history and physical exam documentation. The bill defines "adult medical day care" as a community-based program offering health and social support for functionally or cognitively impaired adults during non-24-hour daily sessions. It requires the Human Services Commissioner to implement these changes through necessary state plan amendments. The policy aims to simplify access to community-based care, allowing more eligible individuals to receive services outside institutional settings.
This bill repeals a 2025 law (P.L.2025, c.283) that required health insurers, Medicaid, and other health plans to cover recommended immunizations without cost-sharing. The repealed law mandated that New Jersey’s Department of Health consider the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) recommendations when setting vaccine coverage rules. By repealing this law, the bill removes the requirement for insurers to cover ACIP-recommended vaccines without patient cost-sharing and eliminates the need for the Department of Health to reference ACIP in its recommendations. The repeal directly affects health insurers, Medicaid, and patients seeking covered immunizations.
ACR 118 is a non-binding resolution urging New Jersey's Governor to declare a public health emergency due to the federal "One Big Beautiful Bill Act" (HR1). The resolution claims this federal law includes over $1 trillion in cuts to healthcare and social programs like Medicaid, SNAP, and WIC, which New Jersey relies on to support low-income residents. It also highlights that New Jersey paid approximately $68 billion more in federal taxes than it received in federal aid during the 2024 fiscal year. As a concurrent resolution, it does not create law but formally requests the Governor take action to address these impacts on state residents.
This New Jersey Senate Resolution (SR 54) urges the U.S. Department of Health and Human Services and CMS to reconsider federal rules requiring organ procurement organizations (OPOs) to compete for service areas through bidding and face potential decertification based on performance metrics. The resolution argues these rules could disrupt the national organ donation system by forcing OPOs to bid for their existing geographic areas, increasing administrative burden, and potentially reducing organ transplants - disproportionately impacting racial minorities who already face lower transplant rates. It cites concerns that the rules ignore regional differences in healthcare access and could worsen existing inequities, rather than improving donation rates. As a non-binding resolution, SR 54 does not change policy but formally requests federal agencies delay or revise the CMS rule.
