New Jersey Senate Bill S4033

New Jersey 2022-2023 Regular Session

• Introduced: 6/27/23
• Refer: 6/27/23
• Report Pass: 12/14/23
• Refer: 12/14/23

Caption

Establishes minimum Medicaid and NJ FamilyCare reimbursement rate for pediatric special care nursing facilities.

Impact

The introduction of SB 4033 is anticipated to significantly impact healthcare funding for pediatric SCNFs, ensuring they receive adequate financial support to provide necessary care to vulnerable populations. Currently, New Jersey has four approved pediatric SCNFs that are part of these programs. By mandating a minimum reimbursement rate, the bill aims to alleviate financial pressures on these facilities, allowing them to maintain and enhance care quality and infrastructure, ultimately benefiting patients and their families.

Summary

Senate Bill 4033, introduced in the New Jersey legislature, aims to establish a minimum reimbursement rate of $950.00 per day for pediatric special care nursing facilities (SCNFs) participating in the Medicaid and NJ FamilyCare programs. This legislation is crucial as pediatric SCNFs provide specialized long-term care and rehabilitation services for medically fragile children and youths aged up to 21 years. The bill outlines that these facilities must comply with existing state and federal standards regarding licensure, patient safety, and quality of care to qualify for the new reimbursement rate.

Contention

Opposition to SB 4033 may arise surrounding the funding mechanisms needed to support this increase in reimbursement rates as it requires appropriations from the state's General Fund. The balance between guaranteeing sufficient funding for these healthcare services and managing overall state budgetary constraints could become a point of contention among lawmakers. Additionally, there may be concerns about ensuring that all facilities meet compliance measures effectively to safeguard the quality of care provided, which can strain resources further if not adequately addressed.