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NJ S4657

NJ S4657
Modifies reimbursement for certain premium charges under School Employees' Health Benefits Program.


summary

Introduced
06/23/2025
In Committee
06/23/2025
Crossed Over
Passed
Dead
06/26/2025

Introduced Session

2024-2025 Regular Session

Bill Summary

This bill modifies reimbursements paid under the School Employees' Health Benefits Program (SEHBP) for premium charges under Part B and Part D of the federal Medicare program. Medicare Part B is part of Traditional Medicare, which provides hospital insurance (Part A) and medical insurance (Part B), or coverage for outpatient medical services, to beneficiaries. Medicare Part D adds optional prescription drug benefits coverage to Traditional Medicare. The bill eliminates reimbursements for income-related monthly adjustment amounts (IRMAA), or income-based surcharges, assessed to federal Medicare beneficiaries beyond Medicare Part B and Part D premiums whose reported income meets certain criteria. By law, the State pays all or a portion of reimbursement costs for Medicare premiums for qualified retirees who receive healthcare coverage in retirement from the SEHBP. The Governor's Fiscal Year 2026 budget recommendations include enactment of legislation to eliminate income-related monthly adjustment amount (IRMAA) reimbursements for premium charges under Part B and Part D of the federal Medicare program under the SEHBP. The Department of the Treasury estimates that this bill will increase revenue for Fiscal Year 2026 by $35 million.

AI Summary

This bill modifies reimbursement provisions for Medicare premiums under the School Employees' Health Benefits Program (SEHBP) by eliminating reimbursement for income-related monthly adjustment amounts (IRMAA) for qualified retirees starting January 1, 2025. Currently, the state pays Medicare Part B and Part D premium charges for eligible retirees who have 25 or more years of service credit or who are on disability pensions. The new provision specifically excludes reimbursing the additional income-based surcharges that some higher-income Medicare beneficiaries are required to pay on top of standard Medicare Part B and Part D premiums. This change applies to retirees from various educational institutions, including board of education employees, county college employees, and members of specific pension funds. The bill is part of the Governor's Fiscal Year 2026 budget recommendations and is estimated to increase state revenue by $35 million. By removing IRMAA reimbursements, the state will reduce its healthcare spending for retired school employees while maintaining coverage for standard Medicare premiums.

Committee Categories

Budget and Finance

Sponsors (1)

Last Action

Withdrawn from Consideration (on 06/26/2025)

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