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Bill > S3463


NJ S3463

NJ S3463
Makes certain changes to regulation of health care service firms.


summary

Introduced
02/12/2026
In Committee
02/12/2026
Crossed Over
Passed
Dead

Introduced Session

2026-2027 Regular Session

Bill Summary

This bill makes various changes to the regulation of health care service firms. The bill: 1) raises the annual Medicaid reimbursement threshold for personal care assistance services that would trigger an audit for health care service firms from $250,000 to $500,000; 2) requires the health care service firms to submit the audit no later than September 30th of the calendar year in which it is due; 3) revises the compensation threshold for reporting requirements for health care service firms from between $1 million and $10 million, to less than $10 million; 4) revises the information that is to be contained in the health care service firm's report; 5) provides for corrective action in certain cases; and 6) permits audits to be performed by out-of-State accountants.

AI Summary

This bill amends regulations for health care service firms, which are entities that employ, place, or refer individuals to provide companion, health care, or personal care services to individuals with disabilities or those aged 60 or older in their homes. Key changes include doubling the annual Medicaid reimbursement threshold for personal care assistance services that triggers an audit for these firms from $250,000 to $500,000, and requiring that such audits be submitted by September 30th of the year they are due. The bill also revises reporting requirements for firms with gross income under $10 million, changing the previous threshold of between $1 million and $10 million, and expands the information that must be included in these reports to cover insurance, litigation, regulatory actions, independent contractors, and significant transactions or liabilities. Furthermore, the bill introduces provisions for corrective actions if a firm's financial viability is questioned based on its report, and allows audits to be conducted by accountants licensed in any U.S. jurisdiction, not just New Jersey.

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 02/12/2026)

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