Bill

Bill > S3482


NJ S3482

NJ S3482
Increases resource threshold for certain Medicaid eligibility groups.


summary

Introduced
06/24/2024
In Committee
06/24/2024
Crossed Over
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill increases the resource threshold for certain non-Modified Adjusted Gross Income (MAGI) Medicaid eligibility groups, or those applicants who are over 65 years of age or disabled, such as individuals eligible for nursing homes services; Medicare Shared Savings Programs; the Medically Needy pathway; and home and community-based services. This bill does alter any eligibility requirements regarding the NJ Workability Program, a non-MAGI eligibilty pathway which offers full Medicaid coverage to working disabled individuals whose income or assets would otherwise make them ineligible. Currently, NJ Workability does not limit eligibility based on resources. Generally, in increasing the resource standard under these programs, this bill more closely aligns resource requirements under Medicaid for these populations with individuals under 65 years of age without disabilities, also known as the MAGI eligibility group, who currently do not have a resource test to determine eligibility pursuant to the federal "Affordable Care Act." The current resource standards for the affected eligibility groups varies. For example, an individual applying for the Medicaid Managed Long-Term Services and Supports is required to have resources of less than $2,000, while an individual applying for a Medicare Savings Program can have resources up to $9,090.

AI Summary

This bill increases the resource threshold for certain non-Modified Adjusted Gross Income (MAGI) Medicaid eligibility groups, such as individuals eligible for nursing home services, Medicare Savings Programs, the Medically Needy pathway, and home and community-based services. Specifically, the bill sets a resource standard of $40,000 for one-person households, $60,000 for two-person households, and $20,000 more for each additional household member. The bill does not alter the absence of a resource requirement for the NJ Workability Program, which offers Medicaid coverage to working disabled individuals. The bill also applies the same resource standards to the Qualified Medicare Beneficiary Program, the Specified Low-Income Medicare Beneficiary Program, and the Qualifying Individual Program.

Committee Categories

Health and Social Services

Sponsors (3)

Last Action

Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 06/24/2024)

bill text


bill summary

Loading...

bill summary

Loading...

bill summary

Loading...