New Jersey Senate Bill S3705

New Jersey 2024-2025 Regular Session

• Introduced: 9/30/24
• Refer: 9/30/24

Caption

Increases cap on personal care assistant services from 40 hours to 91 hours per week for Medicaid beneficiary determined clinically eligible for nursing facility level of care.

Impact

The bill's sponsor, Senator Joseph F. Vitale, expresses that the current limitation of 40 hours is inadequate for many beneficiaries, leading some to move to more expensive long-term care facilities during a time when the state is looking to reduce such costs. By enabling additional PCA hours, it is believed that seniors could remain in their households longer, which would promote their independence and dignity. The proposal highlights the need for appropriate care that complements family support without overburdening caregivers.

Summary

Senate Bill S3705 aims to significantly increase the cap on personal care assistant (PCA) services provided under the Medicaid program for individuals who are clinically eligible for nursing facility level of care. The bill proposes raising the limit from the current 40 hours per week to 91 hours. This change is intended to provide better support for seniors and other vulnerable populations who are struggling to maintain their independence while managing their medical needs at home.

Contention

One notable point of contention surrounding S3705 may include the balance between state-funded healthcare and the financial implications of expanding Medicaid services. While the bill is framed as a necessary enhancement of support for at-home care, critics may raise concerns about sustainability in funding these additional hours and the potential administrative challenges in implementing the new assessment tool for service determination. Additionally, there may be implications in reaching an agreement with federal authorities on Medicaid expenditures and state-funded programs.