NJ
New Jersey Assembly Bill A374

New Jersey 2024-2025 Regular Session

New Jersey Assembly Bill A374

Introduced
1/9/24  

Caption

Requires Medicaid coverage of social day care services for senior citizens.

Impact

The bill mandates the Division of Medical Assistance and Health Services to cover social adult day care services for all Medicaid beneficiaries who meet the specified criteria, regardless of their enrollment in the Managed Long Term Services and Supports (MLTSS) program. This change represents a significant shift in current policy, where only MLTSS enrollees are eligible for such services, thus broadening access for a more considerable number of seniors who require these supportive services while avoiding nursing home placements.

Summary

Assembly Bill A374 seeks to expand Medicaid coverage to include social adult day care services specifically for senior citizens aged 60 years and older. The bill's primary focus is on providing a community-based group program that assists seniors with functional impairments by addressing their non-medical needs during the day when their caregivers are unavailable. This initiative aims to enhance the quality of life for seniors while allowing caregivers to fulfill other responsibilities, thereby reducing caregiver strain.

Contention

Notably, A374 outlines that the provisions of the act will remain inoperable until the Commissioner of Human Services receives necessary federal approvals for any Medicaid waivers or State plan amendments. This stipulation may lead to delays in the implementation of the bill's benefits, invoking concerns about the swift execution of social care solutions for seniors. Additionally, there may be debates regarding the financing and long-term fiscal implications on the state's Medicaid budget as the expansions take effect.

Companion Bills

NJ S1826

Same As Requires Medicaid coverage of social day care services for senior citizens.

NJ A5126

Carry Over Requires Medicaid coverage of social day care services for senior citizens.

Previously Filed As

NJ A5126

Requires Medicaid coverage of social day care services for senior citizens.

NJ S1826

Requires Medicaid coverage of social day care services for senior citizens.

NJ A5675

Requires Medicaid coverage for assisted living services for individuals with serious mental illnesses.

NJ A1409

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

NJ S413

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

NJ A4012

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

NJ S761

Requires Medicaid fee-for-service coverage of managed long term services and supports when beneficiary is pending enrollment in managed care organization.

NJ S4555

Requires Medicaid coverage for assisted living services for individuals with serious mental illnesses.

NJ A3794

Extends COVID-19 Medicaid per diem rate, and requires Medicaid coverage without prior authorization, for certain partial care behavioral health and substance use disorder treatment services.

NJ A4113

Codifies and expands Medicaid coverage for certain school-based services.

Similar Bills

NJ A5126

Requires Medicaid coverage of social day care services for senior citizens.

NJ S1826

Requires Medicaid coverage of social day care services for senior citizens.

NJ A3678

Requires DHS to conduct annual Medicaid eligibility redeterminations.

NJ S2118

Requires DHS to conduct annual Medicaid eligibility redeterminations.

NJ A2973

Requires Commissioner of Human Services to ensure coverage of respite care services for eligible Medicaid beneficiaries when primary payer denies coverage of such services for any reason.

NJ A2868

Requires Commissioner of Human Services to ensure coverage of respite care services for eligible Medicaid beneficiaries when primary payer denies coverage of such services for any reason.

NJ A5608

Establishes pilot program to provide Medicaid coverage of remote maternal health services for eligible beneficiaries.

NJ S3334

Establishes pilot program to provide Medicaid coverage of remote maternal health services for eligible beneficiaries.