Bill

Bill > A4342


NJ A4342

NJ A4342
Establishes program for certain individuals to become certified homemaker-home health aides and provide services to certain Medicaid and Medicaid-Medicare dually eligible enrollees under increased reimbursement rates.


summary

Introduced
02/19/2026
In Committee
02/19/2026
Crossed Over
Passed
Dead

Introduced Session

2026-2027 Regular Session

Bill Summary

This bill requires the Division of Medical Assistance and Health Services (DMAHS) in the Department of Human Services (DHS) to establish a program under which a family member of an enrollee in Medicare, Medicaid, or NJ FamilyCare, or a third-party individual approved by the enrollee or the enrollee's guardian, may be certified as a certified homemaker-home health aide (CHHA) and, under the direction of a registered professional nurse, provide CHHA services to the enrollee through a home care services agency, which services will be subject to an enhanced reimbursement rate. The program established under the bill will apply to enrollees who are 65 years of age or older and qualify for CHHA services under Medicaid or NJ FamilyCare. The DMAHS will be required to develop an assessment tool that will allow the DMAHS to readily identify enrollees who meet these eligibility criteria. Under the program, the family member or approved third-party individual will be required to complete all the training, testing, and other qualification criteria as are required under State and federal law for certification as a CHHA. The home care services agency that will employ the family member or approved third-party individual will be required to pay all costs for the family member or approved third-party individual to become certified as a CHHA. In no case will the family member or approved third-party individual be required to repay or reimburse the agency for the costs of becoming a CHHA. The tasks delegated by a registered professional nurse to a family member or approved third-party individual who becomes certified as a CHHA under the bill are to be consistent with the tasks that may be generally delegated to CHHAs pursuant to the rules of the New Jersey Board of Nursing. CHHA services provided by a family member of a Medicare, Medicaid, or NJ FamilyCare enrollee or an approved third-party individual under the bill will be reimbursed at a rate of no less than $30 per hour. The DMAHS will be required to establish the program within six months after the effective date of the bill. The DHS will be required to apply for State plan amendments and waivers as are necessary to implement the provisions of the bill and to secure federal financial participation for State Medicaid expenditures under the federal Medicaid program.

AI Summary

This bill requires the Division of Medical Assistance and Health Services (DMAHS) to create a program within six months that allows a family member of someone enrolled in Medicare, Medicaid, or NJ FamilyCare, or a third-party individual approved by the enrollee or their guardian, to become a certified homemaker-home health aide (CHHA). These certified individuals, working under a registered nurse, can then provide CHHA services to eligible enrollees who are 65 or older and qualify for these services through Medicaid or NJ FamilyCare. The program mandates that these individuals complete all necessary training and testing to become certified, with the employing home care agency covering all certification costs, which the family member or third-party individual will not have to repay. The tasks they perform will be consistent with those generally allowed for CHHAs by the New Jersey Board of Nursing. Importantly, these services will be reimbursed at a rate of at least $30 per hour, and the DMAHS will develop a tool to easily identify eligible enrollees. The Department of Human Services will also seek necessary federal approvals to fund these services through the Medicaid program.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Introduced, Referred to Assembly Aging and Human Services Committee (on 02/19/2026)

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