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Bill > S2943


NJ S2943

NJ S2943
Requires DOBI to establish integrated enrollment platform for State-based health insurance exchange and NJ FamilyCare program.


summary

Introduced
01/13/2026
In Committee
01/13/2026
Crossed Over
Passed
Dead

Introduced Session

2026-2027 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 mandates the Department of Banking and Insurance (DOBI) to create a unified platform that connects the State-based health insurance exchange with the NJ FamilyCare program, which includes the State Medicaid Program and the Children's Health Insurance Program. This integration aims to simplify the process for individuals to determine their eligibility for various health benefit plans offered in New Jersey, including those under the New Jersey Individual Health Coverage Program and the New Jersey Small Employer Health Benefits Program. Previously, the Commissioner of Human Services was tasked with proposing federal funding for integrating the Medicaid eligibility system with the exchange but was not required to complete the integration. Under this new bill, DOBI, in collaboration with the Department of Human Services, will be responsible for this integration and operation. Furthermore, the Commissioner of Human Services, working with the Commissioner of Banking and Insurance, must submit proposals for any necessary state plan amendments or waivers to implement these changes and secure federal funding.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Introduced in the Senate, Referred to Senate Commerce Committee (on 01/13/2026)

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