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Bill > A5161


NJ A5161

NJ A5161
Requires DOBI to establish integrated enrollment platform for State-based health insurance exchange and NJ FamilyCare program.


summary

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

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 New Jersey Department of Banking and Insurance (DOBI) to establish an integrated enrollment platform that connects the State-based health insurance exchange with the NJ FamilyCare program and State Medicaid program. Specifically, the bill mandates that DOBI, in consultation with the Department of Human Services, create a unified system that allows individuals to easily determine their eligibility for various health benefit plans, including those under the New Jersey Individual Health Coverage Program, the New Jersey Small Employer Health Benefits Program, and NJ FamilyCare (which includes Medicaid and the Children's Health Insurance Program). The bill changes previous language to require, rather than just permit, the integration of the exchange with the Medicaid eligibility platform. Additionally, the bill requires the Commissioner of Human Services to submit proposals for any necessary federal plan amendments or waivers to implement this integration. The bill also establishes an advisory committee for the exchange, composed of government officials and six public members with expertise in various health insurance and healthcare-related areas, to provide guidance on exchange operations and implementation.

Committee Categories

Business and Industry

Sponsors (1)

Last Action

Introduced, Referred to Assembly Financial Institutions and Insurance Committee (on 01/14/2025)

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