Bill > S2573

Introduced Session

This bill increases the hourly limit of reimbursable personal care assistant services under the NJ WorkAbility Program from 40 hours per calendar workweek to 112 hours per calendar workweek. The NJ WorkAbility Program provides full State Medicaid health coverage to individuals with disabilities who are working and whose earnings would otherwise make them ineligible for Medicaid. The regulations (N.J.A.C.10:72-9 et seq.) governing the Program provide that all services available through the NJ WorkAbility Program must be provided through existing Medicaid contracts held by the Division of Medical Assistance and Health Services (DMAHS) in the Department of Human Services. Currently, the reimbursement of personal care assistant services under such contracts is limited to 40 hours per calendar work week. Individuals must meet the following guidelines in order to be eligible for the NJ WorkAbility Program: 1) be between the ages of 16 and 64; 2) work part time, full time, or be self-employed and have proof of employment; 3) have a permanent disability as determined by the United States Social Security Administration or the Disability Review Team in DMAHS; and 4) have an earned income below 250 percent, and an unearned income below 100 percent, of the federal poverty level. An individual participating in the program must pay a $25 monthly premium in order to receive full Medicaid coverage.

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Vin Gopal (D)*, 

Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee (on 01/13/2026)

Official Document