Establishes Medicaid Managed Care Organization Oversight Program.
This bill establishes a new Medicaid Managed Care Organization (MCO) Oversight Program to improve access and quality of care for Medicaid and NJ FamilyCare enrollees in New Jersey. It requires MCOs (the private insurers contracted to provide health services) to submit quarterly data on providers and beneficiaries, and mandates annual verification that 20% of provider contact information and online directory listings are accurate. MCOs must also confirm all directory providers are Medicaid-eligible and that provider panel sizes comply with state limits. Non-compliant MCOs face fines of at least $50,000 per violation and potential exclusion from the program for up to five years, with annual oversight reports to the Legislature.
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
Floor votes
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Full legislative history
Actions timeline
Total actions
1
Key actions
0
Committee
0
Jan 13, 2026
Introduced
Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee
upper
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Angela McKnight
DDemocratic
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