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A4178
ASSEMBLY, No. 4178
STATE OF NEW JERSEY
222nd LEGISLATURE
�
INTRODUCED FEBRUARY 19, 2026
Sponsored by:
Assemblywoman� CAROL A. MURPHY
District 7 (Burlington)
SYNOPSIS
���� Requires that certain medical education programs give
priority to certain applicants.
CURRENT VERSION OF TEXT
���� As introduced.
��
An Act
concerning medical education and supplementing Title 26
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:
���� �Accredited State-supported
medical school� means one of the four public medical schools in the State: Cooper
Medical School of Rowan University, Rowan University School of Osteopathic
Medicine, Rutgers New Jersey Medical School, or Rutgers Robert Wood Johnson
Medical School.
���� �Graduate medical education
program� means a supervised residency training period or fellowship accredited
by the Accreditation Council for Graduate Medical Education.
���� �Resident� means an applicant
who resided in the State at the time of the applicant�s graduation from a high
school in the State.
���� �Third and fourth year student
clerkships� means the supervised practice of medicine by medical students that
usually takes place during the third and fourth years of medical school.
���� b.��� A teaching hospital
licensed pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) that accepts State
funding for graduate medical education programs shall grant priority
consideration to an otherwise competitive applicant who is a resident or who is
enrolled and in good academic standing at an accredited medical school in the
State when considering applicants for placement in a residency or fellowship at
that hospital.� The failure of a teaching hospital to grant such priority
consideration shall result in the reallocation by the State of 20 percent of
the teaching hospital�s Medicaid funding for graduate medical education
programs.
���� c.���� A teaching hospital
licensed pursuant to P.L.1971, c.136 (C.26:2H-l� et seq.) that accepts State
funding for graduate medical education programs shall grant priority
consideration for placement in third and fourth year student clerkships at the
hospital to medical students who are enrolled and in good academic standing at
an accredited State-supported medical school. The failure of a teaching
hospital to grant such priority consideration shall result in the reallocation
by the State of 20 percent of the teaching hospital�s Medicaid funding for
graduate medical education programs.
���� d.��� A teaching hospital
licensed pursuant to P.L.1971, c.136 (C.26:2H-l et seq.) that accepts State
funding for graduate medical education programs shall grant priority
consideration to any written request made by the administration of an
accredited State-supported medical school for placements in third and fourth
year student clerkships at that hospital for students of that accredited
State-supported medical school. Following receipt of such a request, a teaching
hospital shall either, reduce, within one academic year, the number of third
and fourth year clerkships provided to students enrolled in medical schools
outside of the State as necessary to fulfill the request of the accredited
State-supported medical school, or, 20 percent of the teaching hospital�s
Medicaid funding for graduate medical education programs shall be reallocated
by the State to a teaching hospital that fulfills the request by the
administration of an accredited State-supported medical school for placements
for its students in third and fourth year student clerkships.
���� 2.��� The Commissioner of
Human Services shall apply for such State plan amendments or waivers as are
necessary to secure federal financial participation for State Medicaid
expenditures under the federal Medicaid program. The Commissioner of Human
Services, in consultation with the Commissioner of Health shall prescribe such
procedures and forms, and take such other actions, as the commissioners
determine necessary to effectuate the provisions of this act.
���� 3.��� This act shall take
effect on the first day of the State fiscal year next commencing after the date
of enactment.�
STATEMENT
���� This bill provides that a
teaching hospital licensed pursuant to P.L.1971, c.136 (C.26:2H-1 et seq.) that
accepts State funding for graduate medical education programs is to grant
priority consideration to an otherwise competitive applicant who is a resident
or who is enrolled and in good academic standing at an accredited medical
school in the State when considering applicants for placement in a residency or
fellowship at that hospital. Failure to grant such priority consideration would
result in the reallocation by the State of 20 percent of the hospital�s
Medicaid funding for graduate medical education programs.
���� The bill further provides that
any teaching hospital licensed pursuant to P.L.1971, c.136 (C.26:2H-l et seq.)
that accepts State funding for graduate medical education programs is to grant
priority consideration for third and fourth year student clerkships at the
hospital to medical students who are enrolled and in good academic standing at
an accredited State-supported medical school.� Failure to grant such priority
consideration would result in the reallocation by the State of 20 percent of
the hospital�s Medicaid funding for graduate medical education programs.
���� The bill also provides that a
teaching hospital licensed pursuant to P.L.1971, c.136 (C.26:2H-l et seq.) that
accepts State funding for graduate medical education programs is to grant
priority consideration to any written request made by the administration of an
accredited State-supported medical school for placements in third and fourth
year student clerkships at that hospital for students of that medical school.
Following receipt of such a request, a teaching hospital is to either, reduce,
within one academic year,� the number of third and fourth year clerkships
provided to students enrolled in medical schools outside of the State, as
necessary to fulfill the request, or 20 percent of the hospital�s Medicaid
funding for graduate medical education programs would be reallocated to a
teaching hospital that fulfills the request by the administration of an
accredited State-supported medical school for placements for its students in
third and fourth year student clerkships.
���� The bill authorizes the Commissioner
of Human Services to apply for such State plan amendments or waivers as are
necessary to secure federal financial participation for State Medicaid
expenditures under the federal Medicaid program. The Commissioner of Human
Services, in consultation with the Commissioner of Health, is to prescribe such
procedures and forms, and take such other actions, as the commissioners
determine necessary to effectuate the provisions of this act.