Bill

Bill > S2325


NJ S2325

NJ S2325
Revises eligibility criteria for adult medical day care services.


summary

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

Introduced Session

2026-2027 Regular Session

Bill Summary

This bill revises the eligibility criteria for adult medical day care services. Under the bill, a Medicaid enrollee is to be deemed eligible to receive adult medical day care services if the individual: (1) requires assistance or supervision with at least one activity of daily living; (2) possesses a letter or prescription from a physician recommending the individual receive adult medical day care services; and (3) furnishes an up-to-date copy of the individual's medical history and a current report of a physical examination of the individual completed by a physician. The bill defines "activity of daily living" to mean a function or task that is completed for self-care. "Activity of daily living" is to include, but is not to be limited to: dressing, bathing, toilet use, transfer, locomotion, bed mobility, and eating. "Adult medical day care" means a community-based group program designed to meet the needs of functionally or cognitively impaired adults through an individual plan of care structured to provide a variety of health, social, and related support services in a protective setting during any part of a day but less than 24 hours. Adult medical day care allows individuals with a functional impairment to remain in a community setting, rather than being institutionalized, and is the preferred method of providing services to this population. It is the sponsor's belief that the current eligibility criteria for adult medical day care services are too onerous, and prevent people who would benefit from adult medical day care services from receiving those services while remaining in their own communities. It is the sponsor's intent to ease the eligibility criteria for adult medical day care services in order to expand the population benefitting from those services.

AI Summary

This bill revises the eligibility requirements for adult medical day care services, which are community-based programs offering health, social, and support services to functionally or cognitively impaired adults for less than 24 hours a day, allowing them to remain in their communities. To qualify for these services under Medicaid, an individual must now need help with at least one "activity of daily living," defined as a self-care task like dressing, bathing, or eating, and must provide a doctor's recommendation for adult medical day care along with an updated medical history and a recent physical examination report. The bill aims to make these criteria less restrictive to ensure more individuals who could benefit from these services can access them.

Committee Categories

Health and Social Services

Sponsors (2)

Last Action

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

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