Clarifies cap on fees imposed, and modifies definition of participating county, under "County Option Hospital Fee Program Act."*

This bill clarifies the maximum fee a participating county can impose on hospitals under New Jersey's County Option Hospital Fee Program. It specifies that fees cannot exceed the federal cap (42 C.F.R. §433.68(f)(3)) minus one percent of a hospital's total net patient revenues, replacing previous ambiguous language about a "cap as determined." The bill directly affects hospitals in counties participating in the program, which use these fees to support services for low-income residents through Medicaid. It removes confusion about fee limits while maintaining the commissioner's role in reviewing and approving fee plans. The changes ensure fees comply with federal Medicaid requirements without altering the program's core purpose.