STATE OF NEW JERSEY
221st LEGISLATURE
PRE-FILED FOR INTRODUCTION IN THE 2024 SESSION
Sponsored by:
Assemblyman GARY S. SCHAER
District 36 (Bergen and Passaic)
Assemblyman ROBERT AUTH
District 39 (Bergen)
Assemblywoman SHANIQUE SPEIGHT
District 29 (Essex and Hudson)
Senator JOSEPH A. LAGANA
District 38 (Bergen)
Senator ANGELA V. MCKNIGHT
District 31 (Hudson)
Co-Sponsored by:
Assemblywoman Reynolds-Jackson, Assemblyman Atkins, Assemblywomen Flynn, Murphy, Senators Diegnan, Wimberly and Timberlake
SYNOPSIS
Establishes minimum Medicaid and NJ FamilyCare reimbursement rate for pediatric special care nursing facilities.
CURRENT VERSION OF TEXT
As reported by the Assembly Aging and Human Services Committee with technical review.
An Act concerning Medicaid and NJ FamilyCare reimbursement rates for certain long-term care facilities, supplementing Title 30 of the Revised Statutes, and making an appropriation.
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. a. The Division of Medical Assistance and Health Services within the Department of Human Services shall reimburse a pediatric skilled care nursing facility that participates in the New Jersey Medicaid program, established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.), or the New Jersey FamilyCare Program, established pursuant to P.L.2005, c.156 (C.30:4J-8 et al.), at a base reimbursement rate of no less than $950.00 per day.
b. A pediatric skilled care nursing facility shall only be eligible to receive the minimum Medicaid and NJ FamilyCare reimbursement rate, established pursuant to this section, if the facility also is in compliance with applicable State and federal laws and regulations concerning licensure, patient safety, and quality of care.
c. As used in this section:
“Pediatric skilled care nursing facility” means a nursing facility that has been approved by the Department of Health and the Department of Human Services to provide care to New Jersey Medicaid and NJ FamilyCare enrollees, up to 21 years of age, who require specialized nursing facility services beyond the scope of a conventional nursing facility.
d. The Commissioner of Human Services shall adopt such rules and regulations, pursuant to the “Administrative Procedure Act,” P.L.1968, c.410 (C.52:14B-1 et seq.), as may be necessary to implement the provisions of this section.
2. The Commissioner of Human Services shall apply for such State plan amendments or waivers as shall be necessary to implement the provisions of this act and to ensure federal financial participation for State expenditures under the federal Medicaid program and the Children’s Health Insurance Program.
3. There are appropriated from the General Fund to the Department of Human Services such sums as shall be necessary to effectuate the provisions of this act.
4. This act shall take effect on the first day of the second month next following the date of enactment, except the Commissioner of Human Services may take any advance administrative action as shall be necessary for the implementation of this act.