Bill > S1073

Introduced Session

This bill amends existing statutory law, which codifies and establishes certain network adequacy standards for pediatric primary and specialty care in the Medicaid program, to establish a minimum NJ FamilyCare reimbursement rate for certain out-of-state hospitals that provide services to NJ FamilyCare pediatric beneficiaries. Specifically, under the bill, an out-of-state hospital, licensed under the laws and regulations of the state in which the hospital is located, that provides care to 10,000 or more unique NJ Family Care pediatric beneficiaries within its hospital system annually, is to receive a reimbursement rate under NJ FamilyCare that is at least 125 percent of the Medicaid fee-for-service reimbursement rate provided in the state where the hospital is licensed.

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Nilsa Cruz-Perez (D)*, 

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

Official Document