New Jersey 2026-2027 Regular Session

New Jersey Assembly Bill A4564

Introduced
3/10/26  

Caption

Establishes minimum Medicaid and NJ FamilyCare pediatric special care nursing facility reimbursement rates.

Impact

The implementation of A4564 is expected to significantly impact the funding model for pediatric SCNFs in New Jersey. By mandating a minimum reimbursement rate, the bill aims to ensure that these facilities can provide adequate services to children requiring specialized care. The reimbursement will be contingent upon the facilities' compliance with relevant state and federal laws related to patient safety and quality of care, which helps maintain high standards in healthcare provisions.

Summary

Assembly Bill A4564, introduced in New Jersey, aims to establish minimum reimbursement rates for pediatric skilled care nursing facilities (SCNFs) that participate in the Medicaid and NJ FamilyCare programs. The bill proposes a base rate of no less than $950.00 per day for these facilities, which provide specialized long-term care to medically fragile children and youth aged up to 21 years. This initiative is part of a broader effort to improve financial support for long-term care services for vulnerable populations in the state.

Contention

One notable point of contention surrounding A4564 is the financial implications for the state budget. Critics may express concerns about the sustainability of the proposed reimbursement increases and the potential burden on the General Fund, which would require appropriations necessary to implement the bill. The balance between ensuring quality care for children and maintaining fiscal responsibility is likely to be a focal point in legislative discussions.

Legislative process

As of now, A4564 does not have a documented voting history, indicating that it may be in the early stages of deliberation. The bill was introduced by Assemblywoman Rosaura 'Rosy' Bagolie, who represents District 27, which underscores the importance of local advocacy in advancing healthcare initiatives pertinent to children in New Jersey.

Companion Bills

NJ S3978

Same As Establishes minimum Medicaid and NJ FamilyCare pediatric special care nursing facility reimbursement rates.

Similar Bills

NJ S1391

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

NJ A615

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

NJ S3165

Requires NJ FamilyCare to reimburse inpatient providers for long-acting injectable antipsychotic drugs at outpatient reimbursement rate.

NJ A2120

Requires NJ FamilyCare to reimburse inpatient providers for long-acting injectable antipsychotic drugs at outpatient reimbursement rate.

NJ A537

Establishes minimum Medicaid reimbursement rate for pediatric special care nursing facilities; makes an appropriation.

NJ S3905

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.

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.

NJ S1073

Establishes minimum NJ FamilyCare reimbursement rate for certain out-of-state hospitals that provide services to NJ FamilyCare pediatric beneficiaries.