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Bill > S3934


NJ S3934

NJ S3934
Codifies Medicaid coverage for eligible pregnant women for 365-day period beginning on last day of pregnancy.


summary

Introduced
12/09/2024
In Committee
03/17/2025
Crossed Over
02/25/2025
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill codifies Medicaid coverage for eligible pregnant women for a 365-day period beginning on the last day of a woman's pregnancy. The Division of Medical Assistance and Health Services in the Department of Human Services has been mandated to provide this benefit, via budget language included in the State's Annual Appropriations Act, since FY 2022. Moreover, the division has included this policy in the NJ FamilyCare 1115 Comprehensive Demonstration, which governs the operations of significant components of New Jersey' s Medicaid program. The current demonstration is effective through June 30, 2028. The State's efforts regarding Medicaid coverage for pregnant individuals are aligned with changes at the federal level. For example, a provision in the "American Rescue Plan Act of 2021" gave states a new option to extend Medicaid postpartum coverage to 12 months, instead of 60 days, via a state plan amendment for the purposes of improving maternal health and coverage stability, and addressing racial disparities in maternal health. This new option took effect on April 1, 2022 and was originally available for five years; however, the option was made permanent by the "Consolidated Appropriations Act 2023." This bill also clarifies that the State's existing coverage of Medicaid services for pregnant individuals is extended to those individuals whose income does not exceed the highest income eligibility level established for pregnant women under the State Medicaid plan.

AI Summary

This bill codifies and extends Medicaid coverage for eligible pregnant women in New Jersey from 60 days to 365 days (one year) after the end of their pregnancy, regardless of any changes in family income during that period. The legislation formalizes a policy that was previously established through budget language and a state Medicaid demonstration project. It aligns with recent federal changes, such as those in the American Rescue Plan Act of 2021 and the Consolidated Appropriations Act of 2023, which encouraged states to extend postpartum Medicaid coverage. The bill specifically clarifies that pregnant women whose income does not exceed the highest income eligibility level established for pregnant women under the state Medicaid plan will be eligible for this extended coverage. This change aims to provide more comprehensive and stable healthcare coverage for new mothers, potentially addressing maternal health disparities and ensuring continued access to medical services during a critical period of post-pregnancy health.

Committee Categories

Education, Health and Social Services

Sponsors (6)

Last Action

Reported and Referred to Assembly Children, Families and Food Security Committee (on 03/17/2025)

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