Healthcare (Medicaid) in New Jersey

in committee · New Jersey · Senate Mar 19, 2026

S 4003: Requires Medicaid coverage for continuous glucose monitors and related supplies for individuals diagnosed with diabetes who meet certain coverage eligibility criteria.

This bill requires New Jersey Medicaid to cover continuous glucose monitors and related supplies for individuals diagnosed with diabetes who meet specific eligibility criteria. The legislation amends existing Medicaid statutes to include these medical devices and necessary supplies as authorized services under the program. Directly affected individuals are Medicaid recipients with diabetes who would gain access to these monitoring tools through their state health insurance coverage. The bill operates within federal Medicaid guidelines and does not alter eligibility requirements for the program itself.

Topics ✓ Healthcare

Sub-Topics Insurance Medicaid

in committee · New Jersey · Senate May 11, 2026

S 3992: Increases cap on personal care assistant services from 40 hours to 91 hours per week for Medicaid beneficiary determined clinically eligible for nursing facility level of care.

This bill increases the weekly limit on personal care assistant services for Medicaid recipients who are clinically eligible for nursing facility care from 40 hours to 91 hours. The change applies to individuals receiving health-related assistance with daily living tasks in their homes or other settings under nurse supervision. To implement the increase, the Department of Human Services must update its assessment tools and seek necessary federal approval to cover the additional costs. The legislation takes effect immediately and aims to allow more people to remain in their communities rather than moving to institutional care.

Topics ✓ Budget & Taxes ✓ Healthcare

Sub-Topics Healthcare Workforce Long-Term Care Medicaid

in committee · New Jersey · Senate Mar 12, 2026

S 3894: Revises requirements for assessing nursing home health, safety, and operations and for taking action against low-performing nursing homes.

This bill establishes new minimum standards for New Jersey nursing homes, requiring the Department of Health to assess facilities based on resident physical and mental well-being, operational metrics, and safety indicators. It creates a tiered enforcement system where nursing homes receiving low federal ratings or failing to meet state standards face escalating consequences, starting with warnings and potentially progressing to restrictions on admitting new residents, payment reductions, or revocation of Medicaid participation. The law also mandates annual reviews of these standards and enforcement measures to ensure they remain effective in evaluating and improving nursing home care quality.

Topics ✓ Healthcare

Sub-Topics Long-Term Care Medicaid

in committee · New Jersey · Senate Mar 5, 2026

S 3724: Authorizes Chief Administrator of MVC to waive fee for non-driver identification card if applicant submits proof of enrollment in public assistance or social service program.

This bill allows the New Jersey Motor Vehicle Commission to waive fees for non-driver identification cards when applicants provide proof of enrollment in public assistance or social service programs. The law defines eligible programs to include state and local assistance such as SNAP, Work First New Jersey, and Medicaid. Applicants must submit documentation of their enrollment at the time of application to qualify for the fee waiver. The amendment modifies existing statutes to expand fee waiver eligibility beyond the current provision for homeless individuals.

Topics ✓ Healthcare ✓ Immigration

Sub-Topics Medicaid Driver Licenses & IDs

in committee · New Jersey · General Assembly Feb 19, 2026

A 4410: Prohibits incarcerated individuals from receiving Medicaid, Work First New Jersey, or Supplemental Nutrition Assistance Program benefits.

This bill would prevent individuals incarcerated in New Jersey state or county facilities from receiving Medicaid, Work First New Jersey, or Supplemental Nutrition Assistance Program (SNAP) benefits. It requires the Department of Human Services to obtain monthly updates on incarcerated individuals from correctional facilities and courts, then compare these lists to benefit enrollment data. If someone is identified as incarcerated, their benefits would be immediately suspended. The bill directly affects people currently held in custody, removing their eligibility for these programs.

Topics ✗ Criminal Justice ✗ Healthcare

Sub-Topics Medicaid

in committee · New Jersey · General Assembly Jan 13, 2026

A 579: Increases personal needs allowance to $50 for recipients of Medicaid and Supplemental Security Income who are veterans or spouses of veterans and provides for annual cost-of-living increase in allowance.

This bill increases the monthly personal needs allowance from $35 to $50 for New Jersey Medicaid and Supplemental Security Income (SSI) recipients who are veterans or spouses of veterans. It also requires annual cost-of-living adjustments to this $50 amount, tied to the same percentage as Social Security’s annual adjustment. The allowance is intended to cover personal items like clothing, grooming supplies, and newspapers that facilities do not provide. This directly affects veterans and their spouses receiving these benefits, particularly those living in nursing homes, developmental centers, or psychiatric hospitals. The change will take effect after federal approval of related Medicaid plan amendments.

Topics ✓ Healthcare ✓ Veterans

Sub-Topics Medicaid Mental Health Veteran Benefits

in committee · New Jersey · General Assembly Feb 19, 2026

A 4342: Establishes program for certain individuals to become certified homemaker-home health aides and provide services to certain Medicaid and Medicaid-Medicare dually eligible enrollees under increased reimbursement rates.

This bill establishes a program in New Jersey allowing family members or approved third parties to become certified homemaker-home health aides (CHHAs) for seniors aged 65+ enrolled in Medicaid, Medicare, or NJ FamilyCare who qualify for CHHA services. The home care agency must cover all certification costs (training, testing), and individuals cannot be required to repay these expenses. Certified services provided under this program will be reimbursed at a minimum rate of $30 per hour. The Division of Medical Assistance and Health Services must implement the program within six months of the bill's effective date, with services delivered under a registered nurse's direction.

Topics ✓ Healthcare

Sub-Topics Healthcare Workforce Long-Term Care Medicaid

in committee · New Jersey · General Assembly May 7, 2026

A 4485: Establishes minimum Medicaid reimbursement rate for structured day program services provided to beneficiary eligible for brain injury services.

This bill establishes a minimum Medicaid reimbursement rate for structured day program services provided to New Jersey Medicaid beneficiaries with brain injuries. It requires that these rates match the average reimbursement for Day Habilitation Services Tiers D and E (currently $9.89 per 15 minutes) as used for developmental disability services. The policy directly affects approved brain injury service providers who deliver these programs to Medicaid beneficiaries. This amendment expands existing law, which previously only set minimum rates for community residential services, to now include structured day program services.

Topics ✓ Healthcare

Sub-Topics Medicaid

in committee · New Jersey · General Assembly Jan 13, 2026

A 1363: Requires DHS to take action to raise public awareness of privacy laws that prevent disclosure of health care enrollment information to immigration authorities.

This New Jersey bill (A-1363) requires the Department of Human Services to create a public awareness campaign explaining existing privacy laws that prevent health care enrollment information (from Medicaid or NJ FamilyCare) from being shared with immigration authorities. It directly affects immigrant populations in New Jersey who may avoid health care due to unfounded fears of deportation. The campaign must use linguistically and culturally sensitive materials in English and Spanish, distributed through health facilities, community centers, libraries, and other local organizations, and coordinate with existing Medicaid outreach efforts. The department must also create a dedicated, Spanish-accessible webpage on its website summarizing these privacy protections and linking to relevant federal resources.

Topics ✓ Healthcare ✓ Immigration ✓ Technology

Sub-Topics Medicaid Enforcement

in committee · New Jersey · Senate Feb 19, 2026

S 3570: Requires availability of electronic fund transfers by health insurance carriers to reimburse covered persons.

This bill requires New Jersey health insurance companies to offer electronic fund transfers (EFT) as a standard option for reimbursing covered persons (policyholders) for medical expenses. It mandates that insurers must notify policyholders about any fees for using EFT and provide clear instructions on their website for selecting this payment method. Insurers who fail to comply may face fines from the Department of Banking and Insurance and must reimburse policyholders for any fees they incurred due to non-compliance. The law applies to all standard health insurance plans (excluding Medicare, Medicaid, workers' compensation, and similar coverage) for claims submitted after the effective date.

Topics ✓ Healthcare

Sub-Topics Insurance Medicaid Medicare

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