Bill
Bill > A4178
NJ A4178
NJ A4178Requires that certain medical education programs give priority to certain applicants.
summary
Introduced
02/19/2026
02/19/2026
In Committee
02/19/2026
02/19/2026
Crossed Over
Passed
Dead
Introduced Session
2026-2027 Regular Session
Bill Summary
This bill provides that a teaching hospital licensed pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) that accepts State funding for graduate medical education programs is to grant priority consideration to an otherwise competitive applicant who is a resident or who is enrolled and in good academic standing at an accredited medical school in the State when considering applicants for placement in a residency or fellowship at that hospital. Failure to grant such priority consideration would result in the reallocation by the State of 20 percent of the hospital's Medicaid funding for graduate medical education programs. The bill further provides that any teaching hospital licensed pursuant to P.L.1971, c.136 (C.26:2H-l et seq.) that accepts State funding for graduate medical education programs is to grant priority consideration for third and fourth year student clerkships at the hospital to medical students who are enrolled and in good academic standing at an accredited State-supported medical school. Failure to grant such priority consideration would result in the reallocation by the State of 20 percent of the hospital's Medicaid funding for graduate medical education programs. The bill also provides that a teaching hospital licensed pursuant to P.L.1971, c.136 (C.26:2H-l et seq.) that accepts State funding for graduate medical education programs is to grant priority consideration to any written request made by the administration of an accredited State-supported medical school for placements in third and fourth year student clerkships at that hospital for students of that medical school. Following receipt of such a request, a teaching hospital is to either, reduce, within one academic year, the number of third and fourth year clerkships provided to students enrolled in medical schools outside of the State, as necessary to fulfill the request, or 20 percent of the hospital's Medicaid funding for graduate medical education programs would be reallocated to a teaching hospital that fulfills the request by the administration of an accredited State-supported medical school for placements for its students in third and fourth year student clerkships. The bill authorizes the Commissioner of Human Services to apply for such State plan amendments or waivers as are necessary to secure federal financial participation for State Medicaid expenditures under the federal Medicaid program. The Commissioner of Human Services, in consultation with the Commissioner of Health, is to prescribe such procedures and forms, and take such other actions, as the commissioners determine necessary to effectuate the provisions of this act.
AI Summary
This bill mandates that teaching hospitals in New Jersey that receive state funding for graduate medical education programs, which are supervised training periods for doctors after medical school, must prioritize certain applicants. Specifically, for residency and fellowship positions, these hospitals must give preference to applicants who are residents of New Jersey or are currently enrolled and doing well in an accredited medical school within the state. For third and fourth-year medical student clerkships, which are supervised practical training experiences, priority must be given to students from accredited, state-supported medical schools in New Jersey, such as Cooper Medical School of Rowan University, Rutgers New Jersey Medical School, and Rutgers Robert Wood Johnson Medical School. If a hospital fails to comply with these priority requirements, it risks losing 20% of its Medicaid funding designated for graduate medical education programs. The bill also allows for state-supported medical schools to make written requests for clerkship placements for their students, and hospitals must either reduce out-of-state student placements to accommodate these requests or face the same 20% Medicaid funding reallocation. The Commissioner of Human Services is authorized to seek federal approval for necessary changes to the Medicaid program to support these provisions, and both the Commissioners of Human Services and Health will establish the procedures to implement this law.
Committee Categories
Health and Social Services
Sponsors (1)
Last Action
Introduced, Referred to Assembly Health Committee (on 02/19/2026)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://www.njleg.state.nj.us/bill-search/2026/A4178 |
| BillText | https://pub.njleg.gov/Bills/2026/A4500/4178_I1.HTM |
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