A 4799 New Jersey General Assembly · 2026-2027 Regular Session

Requires NJ FamilyCare coverage for healthy food prescriptions for certain enrollees.

This bill requires NJ FamilyCare, New Jersey's public health insurance program, to cover prescriptions for healthy foods for certain enrollees. It defines a food prescription as a written order from a healthcare provider for specific foods to treat diet-related health conditions. The legislation amends existing state laws to establish a program that supports small food retailers and pharmacies in stocking and selling fresh produce and other nutritious items at affordable prices. By covering these food prescriptions, the bill aims to improve access to healthy foods for low-income residents, particularly those in areas with limited grocery options. The changes apply to NJ FamilyCare participants who receive healthcare provider prescriptions for specific healthy foods as part of their treatment plans.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 23, 2026 Last action May 7, 2026
Maddy AI version diff · 1 comparison

What changed between versions

Introduced Reprint · 11 edits
MAJOR
The First Reprint of A4799 substantially restructures the food prescription pilot program by folding it into the existing Healthy Corner Store and Retail Pharmacy Program framework rather than maintaining it as a standalone section. It adds formal definitions, specific eligibility restrictions to NJ FamilyCare enrollees, enumerated covered foods, Medicaid waiver conditionality, and extensive new monitoring, reporting, and program integrity requirements. The bill also drops its original scope of supplementing P.L.1968, c.413.
SCOPE

The bill no longer supplements P.L.1968, c.413 (C.30:4D-1 et seq.), removing that statute from the bill's scope as stated in its title.

DEFINITION

A new definition of 'diet-related medical condition' is added, specifying Type II diabetes, hypertension, or obesity.

ELIGIBILITY

Food prescriptions are now explicitly limited to NJ FamilyCare enrollees (previously the language was broader). The list of covered foods is now specifically enumerated: fresh fruits, fresh vegetables, culturally-appropriate staple foods, nutritional supplements identified by commissioners, and other medically-appropriate grocery items identified by commissioners.

REQUIREMENT

The food prescription benefit is now conditioned on what is allowable under the State's federally-approved Medicaid waiver. Pharmacies filling prescriptions must be approved NJ FamilyCare providers that participate in the Healthy Corner Store and Retail Pharmacy Program (previously the mechanism referenced a separate section 9).

New monitoring requirements added: track number of food prescriptions written and filled, improvements in access to healthy foods, and health outcomes for enrollees receiving food prescriptions.

Annual reporting to the Governor and Legislature is required on: number of enrollees with prescriptions dispensed, health outcomes, State costs, and any reduction in overall Medicaid expenditures including emergency department visits, hospitalizations, and prescription drug utilization.

The Department of Human Services must prioritize partnerships with local farmers and food suppliers when filling food prescriptions, to the extent practicable.

Stakeholder engagement is required with health care providers, Medicaid managed care organizations, food retailers, retail pharmacies, and community-based organizations. Community-based organizations and community health workers should be engaged to provide educational resources, encourage compliance, and facilitate access to prescribed foods.

ENFORCEMENT

Program integrity safeguards are required, including eligibility verification processes, utilization review, and periodic audits to prevent fraud, waste, and abuse.

TECHNICAL

The standalone three-year pilot program (former section 9) is absorbed into the existing Healthy Corner Store and Retail Pharmacy Program section of P.L.2019, c.15, with corresponding renumbering of subsequent sections (old 10-12 become new 9-11).

The explanatory statement at the end of the bill was removed in the reprint version.

Floor votes

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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
May 7, 2026
Committee
Reported out of Asm. Comm. with Amendments, and Referred to Assembly Aging and Human Services Committee
lower
Mar 23, 2026
Introduced
Introduced, Referred to Assembly Children, Families and Food Security Committee
lower
3 primary · 1 co-sponsor

Sponsors