Healthcare

This bill, S 2996, eliminates physician collaboration requirements for advanced practice nurses (APNs) in New Jersey, allowing them to practice independently without supervision or joint protocols. It directly affects APNs - registered nurses with specialized training in primary and specialty care - and aims to improve healthcare access, particularly in underserved communities and for populations facing barriers like low income or transportation challenges. The key provision removes statutory restrictions that previously limited APNs' scope of practice, aligning New Jersey with 24 states that grant full practice authority. The bill cites pandemic-era waivers (Executive Order No. 112) that allowed similar independent practice without adverse incidents, and notes APNs could reduce healthcare access disparities by over 38% if restrictions are lifted.

This New Jersey bill establishes the "Privacy Protection Act" to limit how government agencies and healthcare facilities collect and share certain personal information. It prohibits them from requesting details like immigration status, citizenship, social security numbers, or tax IDs unless necessary for specific public services, benefits, or healthcare delivery (with healthcare exceptions for patient safety). The bill requires written consent in the person's preferred language for sharing any collected data, detailing exactly what will be shared, why, and confirming consent is voluntary without retaliation. It also bans selling or sharing vehicle license plate data except under court orders, subpoenas, or with explicit written consent, and mandates government entities to update privacy policies within one year.

This bill requires pediatric healthcare providers in New Jersey to screen children for Lyme disease during well-child visits and symptom-related visits (for fever, rash, fatigue, joint pain, or headache) between April 1 and October 31 each year. It mandates using a standardized checklist developed by the Department of Health to assess tick exposure and symptoms, with providers documenting results and ordering tests or referrals if risks are identified. Additionally, the bill requires physicians to complete one mandatory continuing medical education credit on Lyme prevention, diagnosis, and treatment as part of their license renewal. The law aims to improve early detection of Lyme in children through standardized screening and provider education.

This bill creates "Dementia-Specific Advance Directives" (DSADs), allowing New Jersey adults diagnosed with Alzheimer’s or other neurodegenerative dementia to formally document their future healthcare preferences while they still have decisional capacity. DSADs must be signed, dated, and witnessed (with one non-relative witness) and specify choices about feeding (including "comfort feeding only" - hand-feeding for comfort, not tubes or IVs), hospitalization, life-prolonging treatments, and triggers for comfort care. The state will establish an electronic registry for DSADs, require healthcare facilities to honor them, provide provider training, and publish annual data on DSAD usage. It directly affects individuals with dementia, their families, and all New Jersey healthcare providers, ensuring their documented wishes guide care during advanced stages.