Bill
Bill > A615
NJ A615
NJ A615Establishes minimum Medicaid and NJ FamilyCare reimbursement rate for pediatric special care nursing facilities.
summary
Introduced
01/13/2026
01/13/2026
In Committee
01/13/2026
01/13/2026
Crossed Over
Passed
Dead
Introduced Session
2026-2027 Regular Session
Bill Summary
This bill requires the Division of Medical Assistance and Health Services (DMAHS) within the Department of Human Services to establish a minimum Medicaid and NJ FamilyCare reimbursement rate of $950.00 per day for pediatric special care nursing facilities (SCNFs). Pediatric SCNFs provide specialized, long-term care and rehabilitation to medically fragile children and youth, up to 21 years of age. The bill, however, conditions the provision of this minimum reimbursement rate upon a facility's compliance with applicable State and federal laws and regulations concerning licensure, patient safety, and quality of care. The bill additionally appropriates from the General Fund to the Department of Human Services such sums as are necessary to implement this reimbursement rate increase. New Jersey currently has four pediatric SCNFs that participate in the State Medicaid program and the NJ FamilyCare program: the Pediatric Long Term Care Center at Children's Specialized Hospital (Mountainside and Toms River), the Phoenix Center for Rehabilitation and Pediatrics (Haskell), and the Voorhees Pediatric Facility (Voorhees).
AI Summary
This bill mandates that the Division of Medical Assistance and Health Services (DMAHS), a part of the Department of Human Services, must establish a minimum daily reimbursement rate of $950.00 for pediatric special care nursing facilities (SCNFs) that provide specialized, long-term care and rehabilitation for medically fragile children and youth up to 21 years old, under both the New Jersey Medicaid and NJ FamilyCare programs. However, this increased rate is contingent upon the facility adhering to all relevant state and federal regulations regarding licensure, patient safety, and the quality of care provided. The bill also allocates necessary funds from the General Fund to the Department of Human Services to cover the costs associated with implementing this higher reimbursement rate, and requires the Commissioner of Human Services to seek any necessary state plan amendments or waivers to ensure federal funding for these expenditures.
Sponsors (5)
Bob Auth (R)*,
Gary Schaer (D)*,
Shanique Speight (D)*,
Vicky Flynn (R),
Verlina Reynolds-Jackson (D),
Last Action
Introduced, Referred to Assembly Health Infrastructure Committee (on 01/13/2026)
Official Document
bill text
bill summary
Loading...
bill summary
Loading...
bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.njleg.state.nj.us/bill-search/2026/A615 |
| BillText | https://pub.njleg.gov/Bills/2026/A1000/615_I1.HTM |
Loading...