Bill

Bill > A4269


NJ A4269

NJ A4269
Authorizes home care for individuals who are disabled or elderly and requires health insurance coverage therefor.


summary

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

Introduced Session

2026-2027 Regular Session

Bill Summary

This bill authorizes home care for individuals who are disabled or elderly with mobility issues and requires health insurance coverage therefor. Under the bill, a health care professional is to be permitted to provide care or treatment to an individual who is disabled or elderly with mobility issues in the home of the individual if the individual is unable to present for an in-person visit in a health care facility, as documented by a health care professional in the medical record of the individual based upon the good faith clinical judgment of the health care professional, and if the health care professional is able to provide adequate medical care or treatment in the home of the individual who is disabled or elderly with mobility issues in a manner that is consistent with the clinical standards for treatment in the applicable specialty. Further, the bill requires health insurance carriers, including insurance companies, health service corporations, hospital service corporations, medical service corporations, health maintenance organizations authorized to issue health benefits plans in New Jersey, and any entity contracted to administer health benefits in connection with the State Health Benefits Program or School Employees' Health Benefits Program, to cover home care. The bill defines "home care" to mean preventative, primary, specialty, or urgent care or treatment provided by a health care professional to an individual who is disabled or elderly with mobility issues in the home of the individual if the individual is unable to present for an in-person visit in a health care facility, as reasonably documented by a health care professional in the medical record of the individual based upon the good faith clinical judgment of the health care professional, and if the health care professional is able to provide adequate medical care or treatment in the home of the individual in a manner that is consistent with the clinical standards for treatment in the applicable specialty. "Home care" excludes custodial care.

AI Summary

This bill authorizes health care professionals to provide medical care and treatment in the homes of individuals who are disabled or elderly with mobility issues, provided the individual cannot attend an in-person visit at a health care facility and the professional can deliver adequate care consistent with clinical standards; it also mandates that various health insurance carriers, including insurance companies, health service corporations, hospital service corporations, medical service corporations, health maintenance organizations (HMOs), and entities administering the State Health Benefits Program or School Employees' Health Benefits Program, must cover this "home care," which is defined as preventative, primary, specialty, or urgent medical services provided at home when an in-person visit is not feasible, but specifically excludes custodial care.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

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

bill text


bill summary

Loading...

bill summary

Loading...

bill summary

Loading...