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A2209
ASSEMBLY, No. 2209
STATE OF NEW JERSEY
222nd LEGISLATURE
�
PRE-FILED FOR INTRODUCTION IN THE 2026 SESSION
Sponsored by:
Assemblywoman SHANIQUE SPEIGHT
District 29 (Essex and Hudson)
Assemblywoman ANNETTE QUIJANO
District 20 (Union)
Co-Sponsored by:
Assemblywoman Reynolds-Jackson
SYNOPSIS
���� Establishes commission to study impact of certain
Medicaid reimbursement rate change on nursing homes.
CURRENT VERSION OF TEXT
���� Introduced Pending Technical Review by Legislative
Counsel.
��
An Act
establishing a commission to study the effects of
P.L.2017, c.239 (C.30:4D-7n through 7o) on nursing homes in the State.
����
Be It
Enacted
by the Senate and General Assembly of
the State of New Jersey:
���� 1.��� a.� There is established
a study commission to be known as the �Impact of Medicaid Personal Care
Services Reimbursement Change on Nursing Homes Study Commission.�� The purpose
of the study commission shall be to analyze the effects of the adjustment to
the Medicaid hourly reimbursement rate for personal care services within the
Medicaid program resulting from the enactment of P.L.2017, c.239 (C.30:4D-7n
and 30:4D-7o), as amended by P.L.2019, c.275, and any corresponding
appropriations, on nursing homes in the State.� Specifically, the commission
shall analyze the effects of the increase in the hourly reimbursement rate on
the operations, ability to comply with any minimum staffing requirements,
employee retention, financial health, resident costs, and related issues on
nursing homes in the State, including whether any nursing homes closed
following the effective date of P.L.2017, c.239 or the enactment of P.L.2019,
c.275, and the reasons therefor. �The commission shall also review the source
of State funds used to support the rate increase, and determine, where
possible, any reduction in funding of other State budget items that may have
resulted from the necessity of funding the rate increase. �To this end, the
commission shall solicit data or information from nursing homes in the State or
other entities, as necessary to carry out its duties hereunder.
���� b.��� The Impact of Medicaid
Personal Care Services Reimbursement Change on Nursing Homes Study Commission
shall consist of nine members as follows:
���� (1)�� the Commissioners of
Human Services and Health, or� their designees;
���� (2)�� five members of the
public with significant operational, financial, or managerial expertise in the
nursing home industry, three of whom shall be representatives of entities
currently operating one or more nursing homes in the State, to be appointed as
follows:
���� (a)�� two members shall be
appointed by the Speaker of the General Assembly;
���� (b)�� two members shall be
appointed by the Minority Leader of the Senate; and
���� (c)�� one member� shall be
appointed by the Governor;
���� (3)�� one member of the public
with expertise in State Medicaid policy and healthcare finance who shall be
appointed by the Minority Leader of the General Assembly; and
���� (4)�� one member of the public
with expertise in State fiscal and budgetary matters, who shall be appointed by
the President of the Senate.
���� c.���� The study commission
shall organize as soon as practicable after the appointment of its members. �Upon
its organization, the study commission shall select a chairperson from among
its members.� The chairperson shall appoint a secretary who need not be a
member of the commission.� The study commission may meet and hold meetings at
the times and places as shall be designated by the chair.� A majority of the
authorized members shall constitute a quorum for the purpose of conducting
official commission business.� Vacancies shall be filled in the same manner as
the original appointments were made.� The members shall serve without
compensation, but shall be eligible for reimbursement for necessary and
reasonable expenses incurred in the performance of their duties on the
commission, within the limits of funds appropriated or otherwise made available
to the study commission for its purposes.
���� d.��� The study commission is
entitled to receive assistance and services from any State, county, or
municipal department, board, commission, or agency, as may be available to it
for its purposes.� The Department of Human Services shall provide staff and
administrative support to the commission.
���� e.���� Not later than 12
months after the initial meeting of the study commission, it shall prepare and
submit a written report to the Governor, and to the Legislature pursuant to
section 2 of P.L.1991, c.164 (C.52:14-19.1), presenting its analysis of the
effect of the enactment of P.L.2017, c.239 (C.30:4D-7n through 30:4D-7o), as
amended by P.L.2019, c.275, on nursing homes in the State, as well as any
recommendations for legislation or other action as the commission deems
appropriate.� The study commission shall expire on the first day of the third
month next following submission of its written report to the Governor and the
Legislature, as required by this subsection.
���� 2.��� This act shall take
effect immediately upon enactment and
shall expire on the first day of
the third month next following submission of the study commission�s report.
STATEMENT
���� T
he bill establishes the �Impact of Medicaid Personal
Care Services Reimbursement Change on Nursing Homes Study Commission,� to
analyze the effects of the adjustment to the Medicaid hourly reimbursement rate
for personal care services within the Medicaid program, resulting from the
enactment of P.L.2017, c.239 (C.30:4D-7n and 30:4D-7o), as well as the
revisions to that law adopted pursuant to P.L.2019, c.275 and any corresponding
appropriations, on nursing homes in the State.� Specifically, the commission is
to analyze the effects of the increase in the hourly reimbursement rate on the
operations, ability to comply with any minimum staffing requirements, employee
retention, financial health, resident costs, and related issues on nursing
homes in the State, including whether any nursing homes closed following the
effective date of P.L.2017, c.239 or the enactment of P.L.2019, c.275 and the
reasons for any closures. The bill requires that the commission solicit data or
information from nursing homes in the State or other entities, as is necessary
to carry out its duties.
����� The study commission is to consist of nine members as
follows: the Commissioners of Human Services and Health, or their
commissioner�s designee; one member of the public with expertise in State
Medicaid policy and healthcare finance, who will be appointed by the Minority
Leader of the General Assembly; one member of the public with expertise in
State fiscal and budgetary matters, who will be appointed by the President of
the Senate; and five members of the public with significant operational,
financial, or managerial expertise in the nursing home industry, three of whom
are to be representatives of entities currently operating one or more nursing
homes in the State, two of whom will be appointed by the Speaker of the General
Assembly, two of whom will be appointed by the Minority Leader of the Senate,
and one of whom will be appointed by the Governor.
����� The bill requires that the study commission prepare
and submit a written report to the Governor and the Legislature not later than
12 months after its initial meeting. The report is to present the commission�s
analysis of the effect of the enactment of P.L.2017, c.239 (C.30:4D-7n through
30:4D-7o), as amended by P.L.2019, c.275, on nursing homes in the State, as
well as any recommendations for legislation or other action the commissioner
deems appropriate. The bill provides that the study commission is to expire on
the first day of the third month following submission of its written report to
the Governor and the Legislature.