Makes various revisions to law pertaining to electronic medical records and recording certain minor patients' demographic information.

S 4278 updates New Jersey law regarding how healthcare providers collect and record patient demographic information, particularly focusing on race, ethnicity, sexual orientation, and gender identity. The bill requires hospitals and clinical laboratories to implement cultural competency training for staff who collect this information, with specific guidelines for collecting it sensitively and respectfully. It prohibits healthcare providers from collecting sexual orientation or gender identity data for patients under 18 unless a parent or guardian voluntarily provides it, and even then, the information can only be used for medical diagnosis and treatment. The law also requires electronic medical records systems to be configured so healthcare providers can save patient demographic information without recording gender identity and sexual orientation for minor patients. The Department of Health is responsible for enforcing these requirements, with penalties for non-compliance including civil fines of up to $1,000 per day for vendors.