Asm. Aura Dunn

Maddy summaryThis bill (A1825) establishes guidelines for health insurance plans regarding "step therapy" protocols, which require patients to try lower-cost medications before coverage is provided for a preferred medication selected by their doctor. It requires insurers to base these protocols on clinical guidelines developed by expert panels with conflict-of-interest safeguards, and creates a clear process for patients to request exceptions when step therapy would be harmful or ineffective. Insurers must grant or deny exception requests within 72 hours (24 hours in emergencies), and must report on exception requests and outcomes to the state insurance commissioner. This affects all health insurance carriers in New Jersey, including those offering SHBP, SEHBP, and Medicaid plans, as well as the patients and healthcare providers who use these plans.

Maddy summaryThis bill requires New Jersey's Legislature to formally approve the state's Energy Master Plan (EMP) within six months for it to become binding state policy. The EMP, which outlines goals for energy production, distribution, and conservation, is currently prepared and adopted by an energy committee but would now need legislative approval to take effect. Without this approval, the EMP would not be considered official state policy. This change ensures the Legislature has a direct role in adopting the state's energy strategy, adding a formal step to the existing planning process.

Maddy summaryBill A4163 requires health insurers in New Jersey to cover biomarker testing for diagnosis, treatment, management, or ongoing monitoring of diseases when supported by medical evidence such as FDA approvals, drug labels, or clinical guidelines. The bill applies to all health insurance plans including individual, group, Medicaid, and health maintenance organization contracts. Insurers must provide coverage without causing unnecessary disruption (like multiple biopsies) and must make prior authorization decisions within 24 hours for urgent requests or 72 hours for non-urgent requests. This ensures patients can access precision medical testing that's clinically supported without excessive administrative barriers.

Maddy summaryThis bill allocates $22,431,294 from the 2003 Dam, Lake and Stream Project Revolving Loan Fund and $6,239,630 from the 1992 Dam Restoration and Clean Water Trust Fund - totaling $28,670,924 - to provide loans for dam restoration and inland waters projects. The funds, drawn from unused monies due to project cancellations and repayments, directly support 17 specific projects, including repairs for private dams (like High Crest Lake Dam and Mountain Creek Lake Dam) and lake associations, as well as local government-owned dams. These loans finance restoration costs for dam owners, private lake associations, or local governments working together. The bill specifies that unexpended funds will return to the respective bond funds for future projects.

Maddy summaryThe "Road to Relief Act" creates a $1 million grant program administered by New Jersey's Economic Development Authority (EDA) to reimburse certain commuters, full-time retail business employees, and retail businesses for increased transportation costs caused by public highway projects. It applies to individuals or businesses operating within "impacted construction zones" where highway projects block traffic or restrict access, covering the period from project start to completion. Applicants must document their regular pre-project transportation costs and the increased costs during the project, with grants covering the difference for an equal number of days. The program requires applicants to prove their eligibility and submit detailed expense records, with the Transportation Commissioner notifying the EDA about ongoing highway projects.

Maddy summaryThe "Road to Tax Relief Act" provides tax credits to small businesses (with 50 or fewer full-time employees) and their workers in areas affected by highway construction projects, such as the Interstate 80 repair project in Morris County. Businesses can claim credits against sales tax and income tax based on revenue losses calculated by comparing current sales to average sales from the previous four years. Employees can claim credits against income tax for lost wages resulting from reduced work schedules due to the construction. The credits are refundable and can be transferred to other entities, with the state appropriating funds to cover the costs.

Maddy summaryThis bill allocates $28.67 million in unused funds from New Jersey's 2003 and 1992 bond acts to provide low-interest loans for dam restoration and inland waters projects. The funds specifically support 13 projects under the 2003 bond act (e.g., $3 million for Mountain Creek Lake Dam repairs) and 4 projects under the 1992 bond act (e.g., $2.85 million for Lake Garrison Dam). These loans are available to private dam owners, lake associations, or local governments for repairing aging infrastructure and maintaining water systems. The funding comes from existing bond program savings, cancellations, and loan repayments - no new taxes or spending are required. The bill directs the Department of Environmental Protection to disburse these funds for the listed projects only.

Maddy summaryThe Healthy Smiles Act (A5471) increases NJ FamilyCare's fee-for-service reimbursement rates for pediatric dental services by 20% starting July 1, 2025, and requires managed care organizations to pay providers at least the same rate for identical services. It mandates annual adjustments to these rates based on the Northeast region's Consumer Price Index, beginning one year after implementation. The bill directly affects dental care providers serving NJ FamilyCare children under 21 and aims to improve access to dental care for low-income children, addressing historically low reimbursement rates that have been unchanged since 2007. Non-compliant managed care organizations face daily civil penalties of up to $10,000 for paying below the required rate.

Maddy summaryThis bill would provide property tax rebates to New Jersey veterans with service-connected disabilities. Eligible veterans would receive a rebate equal to their disability percentage of the property taxes paid on their primary residence, with the rebate capped at $5,000 annually. The program is limited to veterans with gross income under $200,000 and does not apply to veterans already exempt from property taxes due to 100% disability ratings. Veterans would need to apply annually for the rebate, and funding would depend on annual legislative appropriations. The bill specifically targets veterans with less than 100% service-connected disability ratings who currently pay property taxes on their primary residence.

Maddy summaryThis bill requires New Jersey's Division of Children's System of Care (DCSOC) to change how family support and respite care services are provided to individuals under 21 with developmental disabilities. It establishes a 12-month authorization period for services (replacing the current 90-day renewal), ensures families receive a dedicated "bank" of respite care hours separate from other support hours, and replaces annual reapplications with an annual reevaluation of service needs. The bill specifically covers three respite care types: agency-hired (worker employed by contracted agency), agency-weekend (weekend services outside home), and self-hired (family hires and pays for care). It prohibits reducing existing respite care hours during the 12-month period.