New Jersey 2022-2023 Regular Session

New Jersey Assembly Bill A5832

Introduced
12/4/23  

Caption

Establishes minimum base NJ FamilyCare per diem reimbursement rate of $1,100 for special care nursing facility with neurologically impaired young adult unit.

Impact

Once enacted, A5832 will significantly affect how special care nursing facilities operate and their financial viability. By establishing a guaranteed minimum reimbursement rate, the bill seeks to alleviate some financial pressures that these specialized facilities face, especially in an environment where costs for patient care are on the rise. It is expected to enhance the quality of care provided to young adults with neurological impairments and may lead to an increase in the number of such facilities able to operate effectively.

Summary

Assembly Bill A5832 aims to establish a minimum base reimbursement rate of $1,100 per day for special care nursing facilities that provide services to neurologically impaired young adults under the NJ FamilyCare program. The bill is intended to ensure that these facilities receive adequate funding to support the specialized care required for these patients. It mandates that reimbursement will be contingent upon facilities meeting state and federal licensure and quality care regulations, thereby reinforcing the standards necessary for acceptance into the program.

Contention

Notable points of contention around A5832 likely revolve around the implications of such funding changes on the overall budget for NJ FamilyCare, as increased reimbursements might require reallocating funds from other areas within the healthcare system. Critics may argue that while the bill addresses the needs of a specific patient population, it could strain resources needed for broader healthcare initiatives or affect other essential services within the state. Additionally, the specifications concerning compliance with existing regulations may pose challenges for facilities in meeting operational standards, leading to concerns about the bill's practicality.

Companion Bills

NJ S4193

Same As Establishes minimum base NJ FamilyCare per diem reimbursement rate of $1,100 for special care nursing facility with neurologically impaired young adult unit.

Previously Filed As

NJ A4564

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

NJ S3978

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

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 A537

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

NJ S1073

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

NJ S1399

Permits clinical laboratories to provide certain patients discounts without affecting NJ FamilyCare reimbursement rates or violating NJ Familycare rebate prohibitions.

NJ A2479

Permits clinical laboratories to provide certain patients discounts without affecting NJ FamilyCare reimbursement rates or violating NJ FamilyCare rebate prohibitions.

NJ A2229

"Healthy Smiles Act"; increases NJ FamilyCare fee-for-service reimbursement rates for pediatric dental services; requires NJ FamilyCare managed care rates for identical services be no less than fee-for-service rates.

NJ S3011

"Healthy Smiles Act"; increases NJ FamilyCare fee-for-service reimbursement rates for pediatric dental services; requires NJ FamilyCare managed care rates for identical services be no less than fee-for-service rates.

Similar Bills

NJ S3011

"Healthy Smiles Act"; increases NJ FamilyCare fee-for-service reimbursement rates for pediatric dental services; requires NJ FamilyCare managed care rates for identical services be no less than fee-for-service rates.

NJ A2229

"Healthy Smiles Act"; increases NJ FamilyCare fee-for-service reimbursement rates for pediatric dental services; requires NJ FamilyCare managed care rates for identical services be no less than fee-for-service rates.

NJ A2120

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

NJ S3165

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

NJ A4564

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

NJ A3592

Requires NJ FamilyCare payment for multiple medical encounters per day for enrollee at federally qualified health center.

NJ S3769

Requires NJ FamilyCare payment for multiple medical encounters per day for enrollee at federally qualified health center.

NJ S1391

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