Amends definition of "participating county" under County Option Hospital Fee Program.

This bill amends the definition of "participating county" for New Jersey's County Option Hospital Fee Program by lowering the required Municipal Revitalization Index Distress score from 35 to 33 for municipalities with over 30,000 residents. This change specifically allows counties like Gloucester to qualify for the program, which supports local hospitals in high-need areas through Medicaid partnerships. The program requires counties to meet population thresholds and distress score criteria to collect local healthcare fees that fund hospital services. These adjustments maintain all other program requirements while expanding eligibility to additional counties facing economic challenges.