New Jersey A 1796: Allows members of PERS Prosecutors Part to establish purchased PERS credit in the Part at additional cost.

Bill Text

A1796 

ASSEMBLY, No. 1796 

STATE OF NEW JERSEY

222nd LEGISLATURE

� 

PRE-FILED FOR INTRODUCTION IN THE 2026 SESSION

Sponsored by:

Assemblyman ANTHONY S. VERRELLI

District 15 (Hunterdon and Mercer)

Assemblyman LOUIS D. GREENWALD

District 6 (Burlington and Camden)

Co-Sponsored by:

Assemblywomen Reynolds-Jackson, Dunn and Speight

SYNOPSIS

���� Increases Medicaid reimbursement for in-person 
partial care and intensive outpatient behavioral health and substance use 
disorder treatment services, and associated transportation services, for 
adults.

CURRENT VERSION OF TEXT 

���� Introduced Pending Technical Review by Legislative 
Counsel.

��

An Act concerning Medicaid reimbursement for 
certain behavioral health and addiction 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.�� a.� As used in this 
section:

���� �Adult� means an individual 
aged 21 years and older.

����� �Intensive Outpatient Services� means comprehensive, 
individualized, structured, non-residential treatment sessions for an adult 
with severe mental illness or substance use disorder provided at a licensed 
outpatient facility for a minimum of nine hours per week.

���� �Partial care services� means 
comprehensive, individualized, structured, non-residential behavioral health 
care and support services for an adult with severe mental illness or substance 
use disorder provided at a licensed outpatient 
facility for a minimum of two hours per week and a maximum of 25 hours per week 
in order to facilitate community integration and prevent hospitalization and 
relapse.� Partial care services may include, but are not limited to: 
psychiatric care, individual and group counseling, case management, and 
prevocational services. 

���� b.��� The reimbursement rates for in-person partial care and intensive 
outpatient 
services within the Medicaid program, established pursuant to 
P.L.1968, c.413 (C.30:4D-1 et seq.), whether such services are provided in the 
Medicaid fee-for-service delivery system or through the Medicaid managed care 
delivery system, shall be no less than the applicable established State 
Medicaid rate as of the effective date of this act, increased by 35 percent.� Rates increased under this subsection shall include, 
but shall not be limited to:� per diem and hourly reimbursement rates for 
partial care and intensive outpatient services, as well as services provided 
during partial care and intensive outpatient treatment, such as intake 
evaluation, individual counseling, and group counseling.

���� c.���� The aggregate 
reimbursement rate for transportation services and mileage to or from a partial 
care or intensive outpatient services 
provider within the Medicaid program, established pursuant to P.L.1968, c.413 
(C.30:4D-1 et seq.), whether such services are provided in the Medicaid 
fee-for-service delivery system or through the Medicaid managed care delivery 
system, shall be no less than $10 for each one-way trip.

����� d.�� The Medicaid 
reimbursement rates established pursuant to this act shall apply to services 
provided to an adult Medicaid beneficiary on or after the effective date of 
this act.

���� 2.��� 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.

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

���� 4.��� This act shall take 
effect on the first day of the fourth month next following the date of 
enactment, but the Commissioner of Human Services may take such anticipatory 
administrative action in advance thereof as may be necessary for the 
implementation of this act.

STATEMENT

����� This bill increases Medicaid reimbursement rates for in-person 
partial care behavioral health and substance use disorder (SUD) treatment 
services and intensive outpatient services by 35 percent, when such services 
are provided to an adult Medicaid enrollee on an in-person basis.� The bill 
also provides that the aggregate Medicaid reimbursement rate for transportation 
services and mileage to or from a partial care services provider and intensive 
outpatient services is to be no less than $10 for each one-way trip, an 
increase of $3 from the current $7 rate, which is composed of $4.50 for 
transportation services and $2.50 for mileage.� These rate increases will apply 
to services provided through the fee-for-service or managed care delivery 
system on or after the effective date of this bill.�