"Healthy Smiles Act"; increases NJ FamilyCare fee-for-service reimbursement rates for pediatric dental services; requires NJ FamilyCare managed care rates for identical services be no less than fee-for-service rates.
The "Healthy Smiles Act" increases NJ FamilyCare's fee-for-service reimbursement rates for pediatric dental services by 20% starting July 1, 2025 (or 60 days after enactment), with annual adjustments based on regional inflation. It also requires managed care organizations to pay providers at least the same rate for identical services as the fee-for-service rate. This directly affects children under 21 enrolled in NJ FamilyCare (covering 20% of New Jersey’s population) and dental providers participating in the program. The goal is to improve access to dental care by addressing historically low reimbursement rates that have limited provider participation.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2026
Committee Review
Floor Vote
Governor
Introduced Jan 13, 2026
Last action Jan 13, 2026
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Full legislative history
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Total actions
1
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0
Committee
0
Jan 13, 2026
Introduced
Introduced, Referred to Assembly Children, Families and Food Security Committee
lower
3 primary · 3 co-sponsors
Sponsors
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