Bill Text: NJ A4738 | 2022-2023 | Regular Session | Amended

---

Bill Title: Revises eligibility criteria for adult medical day care services.

Spectrum: Partisan Bill (Democrat 6-0)

Status: (Introduced - Dead) 2023-03-09 - Reported out of Asm. Comm. with Amendments, and Referred to Assembly Appropriations Committee [A4738 Detail]

Download: New_Jersey-2022-A4738-Amended.html

---

[First Reprint]

ASSEMBLY, No. 4738

STATE OF NEW JERSEY

220th LEGISLATURE

 

INTRODUCED OCTOBER 11, 2022

 

 

Sponsored by:

Assemblyman  JOHN F. MCKEON

District 27 (Essex and Morris)

Assemblywoman  CAROL A. MURPHY

District 7 (Burlington)

Assemblyman  ROY FREIMAN

District 16 (Hunterdon, Mercer, Middlesex and Somerset)

 

Co-Sponsored by:

Assemblyman Stanley and Assemblywoman Speight

 

 

 

 

SYNOPSIS

     Revises eligibility criteria for adult medical day care services.

 

CURRENT VERSION OF TEXT

     As reported by the Assembly Health Committee on March 9, 2023, with amendments.

  

An Act concerning adult medical day care 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:

      "Activity of daily living" means a function or task that is completed for self-care.  "Activity of daily living" includes, but is not limited to:  dressing, bathing, toilet use, transfer, locomotion, bed mobility, and eating.

      "Adult medical day care" means a community-based group program designed to meet the needs of functionally or cognitively impaired adults through an individual plan of care structured to provide a variety of health, social, and related support services in a protective setting during any part of a day but less than 24 hours.

      b.   A Medicaid enrollee shall be deemed eligible to receive adult medical day care services if the individual ¹has a cognitive or memory deficit, or if the individual¹:

      (1)  requires assistance or supervision with an activity of daily living;

      (2)  possesses a letter or prescription from a physician recommending adult medical day care services; and

      (3)  furnishes an up-to-date copy of the individual's medical history and a current report of a physical examination of the individual completed by a physician.  ¹The physician's report shall include a report of a scientifically validated neuropsychological exam, such as the mini-mental status exam, or the equivalent thereto.

      c. The New Jersey Office of the State Comptroller's Medicaid Fraud Division shall periodically conduct audits of adult medical day care services received pursuant to subsection b. of this section, in a manner and at such times as determined by the Medicaid Fraud Division.¹

 

     2.    The Commissioner of Human Services shall apply for such State plan amendments or waivers as shall be necessary to implement the provisions of this act.

 

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

 

     4.  This act shall take effect immediately.