Expands Medicare health care coverage to all New Jersey residents.

This bill (S 426) would require New Jersey to provide Medicare health care coverage to all state residents - regardless of age, health, or disability status - expanding the federal program beyond its current eligibility rules. It mandates the state to seek federal waivers from CMS to replace existing health programs (like Medicaid) with universal Medicare coverage, with costs adjusted based on existing Medicare/Medicaid payments. The bill also prohibits private insurers from offering duplicate coverage for services already provided through Medicare. This would apply to anyone domiciled in New Jersey for 30 days prior to applying, starting immediately upon enactment.