Requires NJ FamilyCare payment for multiple medical encounters per day for enrollee at federally qualified health center.
This bill requires NJ FamilyCare to reimburse for multiple medical visits with different specialty providers at a federally qualified health center (FQHC) on the same day. It directly affects NJ FamilyCare enrollees who need same-day specialist care at FQHCs, which serve medically underserved communities. The key provision mandates that the referring provider must document medical necessity for each visit, and each encounter must involve a different specialty provider. The bill explicitly states it cannot override federal Medicaid rules or existing state reimbursement policies. It aims to align NJ FamilyCare payment practices with current regulatory exceptions for multiple same-day visits under specific documented circumstances.
Bill status
in committee
1 of 4 stages cleared
Introduction
Sep 2024
Committee Review
Floor Vote
Governor
Introduced Sep 23, 2024
Last action Dec 16, 2024
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
1
Dec 16, 2024
Committee
Reported and Referred to Assembly Appropriations Committee
lower
Sep 23, 2024
Introduced
Introduced in the Assembly, Referred to Assembly Health Committee
lower
3 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Avi Schnall
DDemocratic
P
Lou Greenwald
DDemocratic
P
Shanique Speight
DDemocratic
Co
Carol Murphy
DDemocratic
Co
Chris Tully
DDemocratic
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