New Jersey 2024-2025 Regular Session

New Jersey Assembly Bill A6138

Introduced
12/4/25  

Caption

Establishes direct care ratio requirement for certain providers of services to adults or children with intellectual or developmental disabilities.

Impact

If enacted, the bill will formally establish the direct care ratio requirement, necessitating annual reporting from providers to the Department of Human Services. This will include detailed disclosures on revenues and expenditures related to direct care staff wages, administrative costs, and other relevant financial metrics. By enforcing this requirement, the legislature aims to enhance accountability among service providers, ensuring that they devote a sufficient portion of their budgets to the care of the populations they serve.

Summary

Assembly Bill A6138 introduces a new requirement for providers delivering services to adults and children with intellectual or developmental disabilities in New Jersey. Specifically, the bill mandates that at least 70% of a provider's revenue from both state and federal sources must be allocated towards direct care of residents. This legislative measure aims to ensure that adequate funds are directed towards supporting essential care services, addressing concerns raised about inadequate expenditure on direct care by some providers in the past.

Execution

The bill outlines a framework wherein the Commissioner of Human Services will oversee compliance, including conducting audits on the financial reports submitted by the providers to ensure adherence to the established direct care ratio. Non-compliance will result in financial repercussions, as providers will be required to issue credits to the state in cases where their expenditure on direct care falls short of the mandated percentage.

Contention

Debate surrounding this bill is expected, as it references existing concerns brought forth by stakeholders, including reports from the New Jersey Office of the Ombudsman. Proponents argue that the bill is necessary to safeguard funding for critical direct care services that support individuals with intellectual and developmental disabilities, whereas opponents may contend that it imposes burdensome reporting requirements or concerns about operational flexibility for service providers.

Companion Bills

NJ S4997

Same As Establishes direct care ratio requirement for certain providers of services to adults or children with intellectual or developmental disabilities.

Previously Filed As

NJ A4009

"Fair Funding for Vulnerable Residents Act"; establishes direct care ratio requirement for certain providers of services to adults or children with intellectual or developmental disabilities.

NJ S3369

"Fair Funding for Vulnerable Residents Act"; establishes direct care ratio requirement for certain providers of services to adults or children with intellectual or developmental disabilities.

NJ A4008

Establishes "Justice for Vulnerable Residents Act"; creates Justice Center for the Protection of Individuals with Intellectual or Developmental Disabilities.

NJ S3638

Establishes "Justice for Vulnerable Residents Act"; creates Justice Center for the Protection of Individuals with Intellectual or Developmental Disabilities.

NJ S4046

Establishes New Jersey Justice Center for the Protection of Individuals with Intellectual and Developmental Disabilities.

NJ A4808

Establishes New Jersey Justice Center for the Protection of Individuals with Intellectual and Developmental Disabilities.

NJ HB1344

Increasing access to respite care for those with intellectual or developmental disabilities and their caregivers.

NJ SF683

Intellectual and developmental disabilities legislative commission establishment and appropriation

NJ S1128

Requires Director of Division of Developmental Disabilities to align rates for self-directed employees with maximum service provider rates.

NJ SB01051

An Act Increasing Compensation For And Addressing Disparities Affecting Direct Service Providers Caring For The Intellectually And Developmentally Disabled.

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