New Jersey A 4858: Establishes tax credits and financial grant related to construction and operation of advanced nuclear energy facilities.

Bill Text

A4858 

ASSEMBLY, No. 4858 

STATE OF NEW JERSEY

222nd LEGISLATURE

� 

INTRODUCED MAY 4, 2026

Sponsored by:

Assemblywoman� HEATHER SIMMONS

District 3 (Cumberland, Gloucester and Salem)

Assemblyman� ALEX SAUICKIE

District 12 (Burlington, Middlesex, Monmouth and Ocean)

SYNOPSIS

���� �Self-Directed Care Access Act�; requires DHS to 
establish common intake system and application process for Medicaid 
self-directed care programs. 

CURRENT VERSION OF TEXT 

���� As introduced.

�� 

An Act concerning Medicaid home and community-based 
services and supplementing Title 30 of the Revised Statutes.

���� Be It 
Enacted by the Senate and General Assembly of 
the State of New Jersey:

���� 1.��� This act shall be known 
and may be cited as the �Self-Directed Care Access Act.�

���� 2.��� As used in this act:

���� �Applicant� means a Medicaid 
enrollee who has a pending application to receive home and community-based 
services through a State Medicaid waiver program that provides participants 
with home and community-based services.

���� �Self-directed employee� means 
a person who is recruited and offered employment directly by a Medicaid 
enrollee who is eligible to receive services funded by the Division of 
Developmental Disabilities or the Division of Medical Assistance and Health 
Services in the Department of Human Services, or the Medicaid enrollee�s authorized 
representative, to perform approved services, for which the self-directed 
employee is qualified.

���� 3.��� Contingent upon the 
receipt of any necessary federal approvals and to the extent permitted under 
federal and State law, the Department of Human Services shall establish an 
online portal through which an individual who currently participates in a 
Medicaid waiver program that offers home and community-based services, or an 
applicant for such a Medicaid waiver program, may apply in order to self-direct 
the services accessed through the applicable Medicaid waiver program.

���� 4.��� a.� The online portal 
established pursuant to section 3 of this act shall enable an individual who 
currently participates in a Medicaid waiver program that offers home and 
community-based services, or an applicant for such a Medicaid waiver program, 
to undergo an initial screening assessment to determine whether the individual 
or applicant may qualify to self-direct the services accessed through the 
applicable Medicaid waiver program.

���� b.��� Based upon the 
information provided pursuant to subsection a. of this section, the individual 
or the applicant shall be automatically referred to any appropriate Medicaid 
waiver programs for which the applicant is eligible and that also enable participants 
to self-direct the home and community-based services accessed through the 
Medicaid waiver program. 

���� 5.��� The Department of Human 
Services, to the extent feasible under federal law and regulations, shall 
provide for:

���� a.���� a single, standardized 
application for all Medicaid waiver programs that offer home and 
community-based services for participants and that also enable participants to 
self-direct the home and community-based services accessed through the Medicaid 
waiver program; and 

���� b.��� standardized 
documentation, across all applicable Medicaid waiver programs that offer home 
and community-based services, that a program participant shall submit to the 
department prior to hiring a self-directed employee to provide services for the 
program participant. 

���� 6.��� The Commissioner of 
Human Services shall apply for such State plan amendments or waivers as may be 
necessary to implement the provisions of this act and to secure federal 
financial participation for State Medicaid expenditures under the federal 
Medicaid program.

���� 7.��� The Commissioner of 
Human Services shall, in accordance with the "Administrative Procedure 
Act," P.L.1968, c.410 (C.52:14B-1 et seq.), adopt rules and regulations as 
necessary to implement this act.

���� 8.��� This act shall take 
effect twelve months following the date of enactment.

STATEMENT

���� This bill, the �Self-Directed 
Care Access Act,� requires the Department of Human Services (department), 
contingent on the receipt of any necessary federal approvals, to establish a 
single online portal through which individuals who currently participate in a 
Medicaid waiver program that offers home and community-based services, or an 
applicant for such a Medicaid waiver program, may apply in order to self-direct 
the services accessed through the applicable Medicaid waiver program. 

���� The online portal will enable 
an individual who currently participates in a Medicaid home and community-based 
waiver program, or an applicant for such a waiver program, to undergo an 
initial screening assessment to determine whether the individual or applicant 
may qualify to self-direct the services accessed through the applicable waiver 
program.� Based on the information provided during