This bill (S 2980) requires nursing home owners to submit detailed financial and ownership information before transferring ownership or delegating management to third parties. It mandates disclosure of 100% ownership structures, organizational charts, and third-party service providers paying over $200,000 annually, along with resolution of outstanding Medicaid debts. The Department of Health must publicly post applications (with privacy redactions) and allow a 30-day public comment period. These changes aim to increase transparency for prospective buyers and the public while ensuring new owners meet financial and operational standards.
This bill increases New Jersey's monthly personal needs allowance (PNA) for low-income residents in specific facilities - from $50 to $140 - to cover personal expenses like phone calls, meals out, or hobbies. It directly affects individuals receiving medical assistance under Medicaid who live in nursing homes, state psychiatric hospitals, or state developmental centers. The allowance will automatically rise annually starting January 1 after enactment, matching the Social Security cost-of-living adjustment (COLA) percentage. This change ensures the PNA remains aligned with inflation while being disregarded income for Medicaid eligibility calculations. The bill amends existing state laws to implement this increase and adjust future payments.
This bill automatically enrolls New Jersey residents who lose Medicaid due to income changes (but lack employer-based health coverage) into a state health insurance plan through the NJ FamilyCare exchange. It requires the Department of Human Services to share eligibility data with the Department of Banking and Insurance, triggering enrollment in the lowest-cost silver plan (for incomes ≤200% of federal poverty level) or best-value plan (for higher incomes) before Medicaid ends. The bill also mandates that the state publicly post monthly data on NJ FamilyCare renewal processing times, call center wait times, and eligibility termination reasons. These changes directly affect individuals transitioning from Medicaid to private coverage due to income shifts.
S 493 increases the monthly personal needs allowance (PNA) from $50 to $100 for low-income residents in nursing homes, state psychiatric hospitals, and state developmental centers who receive Medicaid or Supplemental Security Income (SSI) benefits. This allowance allows residents to spend money on personal items like phone calls, meals out, clothing, or hobbies - not facility costs. The bill amends two existing statutes (P.L.1985, c.286 and P.L.1973, c.256) to raise the minimum PNA amount and requires adjustments to state payments for SSI recipients. The change doubles the current allowance under New Jersey law, aligning with the state's obligation to supplement federal SSI benefits.
This bill (S 284) requires New Jersey Medicaid to cover self-administered hormonal contraceptives dispensed by pharmacists under a standing order. It directly affects Medicaid beneficiaries who use hormonal contraceptives, expanding access by allowing pharmacists to provide these medications without a separate prescription for each use. The key mechanism is amending Medicaid rules to include contraceptives dispensed under a pre-approved standing order protocol, which streamlines access while maintaining medical oversight. This change aligns with existing Medicaid coverage for other prescription drugs and aims to reduce barriers to contraceptive care.
This bill expands New Jersey Medicaid eligibility to include individuals who were formerly in foster care and are under 21 years old. It removes a previous barrier that required these individuals to meet "dependent child" criteria to qualify for Medicaid benefits. The change directly affects young adults aging out of foster care systems, ensuring they can access comprehensive medical coverage without meeting the standard dependent child requirement. The policy modifies existing Medicaid definitions to explicitly include this group as "qualified applicants" under state law.
This bill (S 2325) revises eligibility criteria for Medicaid-covered adult medical day care services in New Jersey. It makes Medicaid enrollees eligible if they: (1) require assistance with daily self-care tasks like dressing, bathing, or eating; (2) have a physician's recommendation; and (3) provide updated medical history and a recent physical exam report. The bill defines "adult medical day care" as community-based daytime programs (under 24 hours) offering health and social support to functionally or cognitively impaired adults, aiming to help them stay in community settings rather than institutions. These changes apply directly to Medicaid beneficiaries seeking this specific care option.
This bill establishes a voluntary, three-year pilot program in New Jersey to provide Medicaid-covered remote maternal health services for eligible pregnant beneficiaries. It allows access to tele-ultrasound, remote patient monitoring (like digital blood pressure checks), and remote non-stress tests via secure digital tools, with services offered only upon a healthcare provider's referral. Eligibility includes those with high-risk pregnancies (e.g., due to diabetes, age, or previous preterm births), residents in areas lacking obstetric providers, or individuals facing socioeconomic barriers like transportation issues. Participation is strictly voluntary and requires federal reimbursement approval before implementation.
This bill establishes a pilot program in New Jersey's Department of Human Services to improve behavioral health care coordination for emergency department patients. It requires two hospitals in each Regional Health Hub to refer patients with mild-to-moderate behavioral health issues (like anxiety, depression, or substance use not requiring inpatient care) to community-based treatment services. Regional Health Hubs will support hospitals in developing protocols for timely referrals, follow-up, transportation, and connecting patients to services like housing assistance or medication treatment. The program will be covered under Medicaid/NJ FamilyCare once necessary federal waivers are approved, with funding provided through existing Regional Health Hub mechanisms.
This bill requires New Jersey's Medicaid program to cover social adult day care services for seniors aged 60 or older who meet the same clinical, income, and asset requirements as participants in the state's Medicaid long-term care program (MLTSS). It expands current coverage, which only applies to MLTSS enrollees, to all eligible seniors regardless of MLTSS enrollment. Social adult day care is defined as a community-based program providing non-medical support (like meals and supervision) during the day when caregivers are unavailable. The state must seek federal approval for implementation through Medicaid waivers before the coverage becomes active.
