Bill Text: NJ S4470 | 2026-2027 | Regular Session | Introduced
Bill Title: Eliminates 16 hour per 24-hour period coverage limit on private duty nursing services for certain Medicaid enrollees who are 21 years of age or older.
Sponsorship: Partisan Bill (Republican 1)
Status: (Introduced) 2026-06-15 - Introduced in the Senate, Referred to Senate Health, Human Services and Senior Citizens Committee [S4470 Detail]
Download: New_Jersey-2026-S4470-Introduced.html
Sponsored by:
Senator ANTHONY M. BUCCO
District 25 (Morris and Passaic)
SYNOPSIS
Eliminates 16 hour per 24-hour period coverage limit on private duty nursing services for certain Medicaid enrollees who are 21 years of age or older.
CURRENT VERSION OF TEXT
As introduced.
An Act concerning private duty nursing services covered under Medicaid and supplementing Title 30 of the Revised Statutes.
Be It Enacted by the Senate and General Assembly of the State of New Jersey:
1. Notwithstanding any rule, regulation, order, or provision of law to the contrary, an individual who is 21 years of age or older and eligible to receive private duty nursing services under the Medicaid managed long-term support services program pursuant to N.J.A.C.10:60-5.1 et seq. or its successor regulation shall be eligible to receive up to 24 hours of private duty nursing services in a 24-hour period, if the severity of the individual's illness requires such services, as determined by the Commissioner of Human Services.
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 shall adopt rules and regulations, pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), to effectuate the purposes of this act.
4. This act shall take effect on the first day of the seventh month next following the date of enactment, but the Commissioner of Human Services may take such anticipatory administrative action in advance thereof as shall be necessary for the implementation of this act.
STATEMENT
This bill eliminates the 16 hour per 24-hour period coverage limit on private duty nursing services for certain Medicaid enrollees who are 21 years of age or older.
Under N.J.A.C.10:60-5.9, private duty nursing services are limited to a maximum of 16 hours per 24-hour period for Medicaid managed long-term support services enrollees. This bill eliminates the 16 hours limit, and provides that an individual who is 21 years of age or older and eligible to receive private duty nursing services under the Medicaid managed long-term support services program is to be eligible to receive up to 24 hours of private duty nursing services in a 24-hour period, if the severity of the individual's illness requires such services, as determined by the Commission of Human Services.
The bill requires the Commissioner of Human Services to apply for such State plan amendments or waivers as may be necessary to implement the provisions of the bill and to secure federal financial participation for State Medicaid expenditures.
