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Bill > S3985
NJ S3985
NJ S3985Requires DOBI to establish integrated enrollment platform for State-based health insurance exchange and NJ FamilyCare program.
summary
Introduced
12/19/2024
12/19/2024
In Committee
12/19/2024
12/19/2024
Crossed Over
Passed
Dead
01/12/2026
01/12/2026
Introduced Session
2024-2025 Regular Session
Bill Summary
This bill requires the Department of Banking and Insurance (DOBI) to establish an integrated platform for the State-based health insurance exchange and the NJ FamilyCare program. Under current law, the Commissioner of Human Services is required to submit a proposal for available federal funding to integrate the Medicaid eligibility platform with the State-based exchange, but is not required to complete the integration. Under the bill, DOBI, in consultation with the Department of Human Services, will be required to integrate the State-based exchange with the State Medicaid program's eligibility platform to create an integrated platform that allows for individuals to determine their eligibility for health benefits plans under the New Jersey Individual Health Coverage Program, the New Jersey Small Employer Health Benefits Program, and the NJ FamilyCare program, which includes the State Medicaid Program and the Children's Health Insurance Program. The Commissioner of Human Services, in consultation with the Commissioner of Banking and Insurance, will be required to submit a proposal for such State plan amendments or waivers as may be necessary to implement the provisions of this bill.
AI Summary
This bill requires the Department of Banking and Insurance (DOBI) to establish an integrated enrollment platform for New Jersey's health insurance exchange and NJ FamilyCare program. Specifically, the bill mandates that DOBI, in consultation with the Department of Human Services, must integrate the State-based health insurance exchange with the State Medicaid program's eligibility platform. This integrated platform will allow individuals to determine their eligibility for health benefit plans across multiple programs, including the New Jersey Individual Health Coverage Program, the New Jersey Small Employer Health Benefits Program, and NJ FamilyCare (which includes the State Medicaid Program and Children's Health Insurance Program). The bill changes previous language that merely allowed for such integration to now requiring it, and mandates that the Commissioner of Human Services submit proposals for necessary state plan amendments or federal waivers to implement this integration. Additionally, the bill requires DOBI to establish an advisory committee with nine members, including representatives from key state departments and six public members with expertise in health insurance and healthcare-related fields. The goal is to create a more streamlined and accessible health insurance enrollment process for New Jersey residents.
Committee Categories
Business and Industry
Sponsors (2)
Last Action
Introduced in the Senate, Referred to Senate Commerce Committee (on 12/19/2024)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.njleg.state.nj.us/bill-search/2024/S3985 |
| BillText | https://pub.njleg.gov/Bills/2024/S4000/3985_I1.HTM |
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