New Jersey A 2973: Requires Commissioner of Human Services to ensure coverage of respite care services for eligible Medicaid beneficiaries when primary payer denies coverage of such services for any reason.

Bill Text

ASSEMBLY, No. 2973

STATE OF NEW JERSEY
221st LEGISLATURE

PRE-FILED FOR INTRODUCTION IN THE 2024 SESSION

Sponsored by:
Assemblywoman TENNILLE R. MCCOY
District 14 (Mercer and Middlesex)

SYNOPSIS
Requires Commissioner of Human Services to ensure coverage of respite
care services for eligible Medicaid beneficiaries when primary payer denies
coverage of such services for any reason.

CURRENT VERSION OF TEXT
Introduced Pending Technical Review by Legislative Counsel.

A2973 MCCOY
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AN ACT concerning respite care and supplementing Title 30 of the 1
Revised Statutes. 2
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BE IT ENACTED by the Senate and General Assembly of the State 4
of New Jersey: 5
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1. The Commissioner of Human Services shall establish such 7
procedures as are necessary to ensure that coverage for respite care 8
services is provided to a Medicaid beneficiary under the following 9
circumstances: 10
a. the beneficiary’s primary payer for health care services, 11
whether public or private, denies coverage, for any reason, for 12
respite care services; and 13
b. the beneficiary is eligible under Medicaid for coverage of 14
respite care services. 15
The provisions of this section shall not be construed to alter any 16
eligibility requirements for respite care services under Medicaid. 17
As used in this section, “Medicaid” means the Medicaid program 18
established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.). 19
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2. The Commissioner of Human Services, pursuant to the 21
"Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), 22
shall adopt rules and regulations necessary to implement the 23
provisions of this act. 24
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3. This act shall take effect immediately. 26
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STATEMENT 29
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This bill requires the Commissioner of Human Services to ensure 31
coverage of respite care services for eligible Medicaid beneficiaries 32
when a primary payer denies coverage of such services for any 33
reason. As used in the bill, “Medicaid” means the Medicaid 34
program established pursuant to P.L.1968, c.413 (C.30:4D-1 et 35
seq.). 36
Under the bill, the commissioner is required to establish such 37
procedures as are necessary to ensure that coverage for respite care 38
services is provided to a Medicaid beneficiary under the following 39
circumstances: 40
1) the beneficiary’s primary payer for health care services, 41
whether public or private, denies coverage, for any reason, for 42
respite care services; and 43
2) the beneficiary is eligible under Medicaid for coverage of 44
respite care services. 45
The provisions of this bill are not to be construed to alter any 46
eligibility requirements for respite care services under Medicaid. 47