Bill

Bill > A5169


NJ A5169

NJ A5169
Adds language authorizing transfer of General Fund appropriations for certain licensed health care entities to Division of Medical Assistance and Health Services to maximize federal Medicaid payments to certain faculty physicians and non-physician professionals.


summary

Introduced
01/14/2025
In Committee
01/14/2025
Crossed Over
Passed
Dead
01/12/2026

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill supplements the Fiscal Year 2025 Appropriations Act to add language authorizing the transfer of General Fund appropriations for a licensed hospital or health care entity to the Division of Medical Assistance and Health Services in the Department of Human Services, consistent with federal guidelines, in order to maximize federal Medicaid payments to faculty physicians and non-physician professionals who are affiliated with the licensed hospital or health care entity under the Medicaid Access to Physician Services (MAPS) program. Authorization for these transfers will be subject to the approval of the Director of the Division of Budget and Accounting. The MAPS program, which was created to improve beneficiaries' access to primary and specialty care services following the expansion of Medicaid under the federal Affordable Care Act, provides enhanced NJ FamilyCare reimbursement rates for services delivered by physician practices that are affiliated with the State's public medical and dental schools. MAPS program reimbursement rates are similar to those paid by private insurers for the same services.

AI Summary

This bill adds language to the Fiscal Year 2025 Appropriations Act that allows licensed hospitals or health care entities to transfer General Fund appropriations to the Division of Medical Assistance and Health Services, with the goal of maximizing federal Medicaid payments to faculty physicians and non-physician professionals. These transfers would be made in accordance with Centers for Medicare and Medicaid Services (CMS) guidelines and require approval from the Director of the Division of Budget and Accounting. The bill is specifically tied to the Medicaid Access to Physician Services (MAPS) program, which was established to improve access to primary and specialty care services following the Affordable Care Act's Medicaid expansion. By enabling these transfers, the bill seeks to support enhanced reimbursement rates for physician practices affiliated with New Jersey's public medical and dental schools, ensuring these practices receive compensation similar to what private insurers would pay for the same services. The transfer mechanism is designed to help healthcare entities leverage federal funding more effectively while maintaining the quality and accessibility of medical services.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Introduced, Referred to Assembly Aging and Human Services Committee (on 01/14/2025)

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