A 4790 New Jersey General Assembly · 2026-2027 Regular Session

Makes certain changes to regulation of health care service firms.

This bill expands New Jersey's regulation of health care service firms by requiring employment agencies and other entities that place individuals in personal residences to register as Health Care Service Firms if they provide companion, health care, or personal care services to people with disabilities or those age 60 and older. The law mandates that registered firms obtain accreditation from a recognized body within 12 months and submit annual financial statements to the Division of Consumer Affairs, with larger firms required to undergo external audits every three years or annually if gross income exceeds $10 million. Smaller firms receiving less than $500,000 in Medicaid Personal Care Assistance services must submit annual reports detailing insurance coverages and internal management practices instead of full audits. These provisions apply regardless of whether the firm uses direct employment, online platforms, or other business models to connect service providers with clients.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Mar 2026

Committee Review

Floor Vote

Governor

Introduced Mar 19, 2026 Last action Jun 30, 2026

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What changed between versions

Introduced → Reprint · 3 edits

MINOR

Bill A4790 was restructured in its First Reprint by inserting a new Section 2 that amends existing law (C. 34:8-45.1a) to require the Director of the Division of Consumer Affairs to enter into a memorandum of understanding with an accrediting body for health care service firms, establishing standards for accreditation and audit reporting. A subsection on independent third-party financial review standards was included but marked as deleted by a pending companion bill. The detailed statement describing six specific regulatory changes (thresholds, deadlines, reporting requirements) was replaced with a generic one-sentence summary, suggesting those provisions were removed from this bill or relocated.

Scope change

The bill's focus shifted from multiple specific regulatory adjustments (thresholds, deadlines, reporting requirements) to primarily establishing an accreditation framework through a memorandum of understanding between the Division of Consumer Affairs and an accrediting body for health care service firms.

REQUIREMENT

New Section 2 amends C. 34:8-45.1a to require the Director of the Division of Consumer Affairs to enter into a memorandum of understanding with an accrediting body selected through procurement processes, establishing standards for accreditation and for reporting audit results to the Division.

A proposed subsection b requiring the director to develop standards for independent third-party practitioners reviewing health care service firm financial statements (including minimum qualifications, data points, metrics, and thresholds for adverse findings) was included but marked as deleted by a pending companion bill.

SCOPE

The bill statement was reduced from a detailed list of six specific changes (raising Medicaid audit threshold from $250,000 to $500,000, setting a September 30 audit deadline, revising compensation reporting thresholds, revising report contents, providing corrective action, and permitting out-of-state accountants) to a generic statement that the bill makes various changes to regulation of health care service firms.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Amendments

Jun 11, 2026

Lower · Passed

Assembly Floor Amendment Passed (Quijano)

lower

Jun 1, 2026

Lower · Passed

Reported out of Assembly Committee, 2nd Reading

lower

Mar 19, 2026

Introduced

Introduced, Referred to Assembly Health Infrastructure Committee

lower

3 primary · 3 co-sponsors