Back to New Jersey

A4183 • 2026

Exempts specialty heart hospital from 0.53 percent hospital assessment under certain circumstances.

Exempts specialty heart hospital from 0.53 percent hospital assessment under certain circumstances.

Healthcare Taxes
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Murphy, Carol A.
Last action
2026-02-19
Official status
Introduced, Referred to Assembly Health Infrastructure Committee
Effective date
Not listed

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Exempts specialty heart hospital from 0.53 percent hospital assessment under certain circumstances.

Exempts specialty heart hospital from 0.53 percent hospital assessment under certain circumstances.

What This Bill Does

  • Exempts specialty heart hospital from 0.53 percent hospital assessment under certain circumstances.
  • Topic: Health Infrastructure Fiscal note: This bill has been certified by OLS for a fiscal note.

Limits and Unknowns

  • This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

  1. 2026-02-19 New Jersey Legislature

    Introduced, Referred to Assembly Health Infrastructure Committee

Official Summary Text

Exempts specialty heart hospital from 0.53 percent hospital assessment under certain circumstances.
Topic:
Health Infrastructure
Fiscal note:
This bill has been certified by OLS for a fiscal note.

Current Bill Text

Read the full stored bill text
A4183

ASSEMBLY, No. 4183

STATE OF NEW JERSEY

222nd LEGISLATURE

�

INTRODUCED FEBRUARY 19, 2026

Sponsored by:

Assemblywoman� CAROL A. MURPHY

District 7 (Burlington)

SYNOPSIS

���� Exempts specialty heart hospital from 0.53 percent
hospital assessment under certain circumstances.

CURRENT VERSION OF TEXT

���� As introduced.

��

An Act

concerning hospital assessments and amending
P.L.1992, c.160.

����
Be It
Enacted
by the Senate and General Assembly of
the State of New Jersey:

���� 1.��� Section 12 of P.L.1992,
c.160 (C.26:2H-18.62) is amended to read as follows:

���� 12.� a.���� (Deleted by
amendment, P.L.2005, c.237).

���� b.��� (Deleted by amendment,
P.L.2005, c.237).

���� c.���� (1)���� Notwithstanding
any law to the contrary, each general hospital and each specialty heart
hospital shall pay
[
.53%
]

0.53
percent
of its total operating revenue to the department for deposit in the
Health Care Subsidy Fund
, except that a specialty hospital shall be exempt
from this payment if it certifies to the Department of Health and the
Department of Banking and Insurance that it waives any right to bill any
patient directly for health care services provided by the hospital
.� The
hospital shall make monthly payments to the department beginning July 1, 1993.�
The commissioner shall determine the manner in which the payments shall be
made.

���� For the purposes of this
subsection, "total operating revenue" shall be defined by the
department in accordance with financial reporting requirements established
pursuant to N.J.A.C.8:31B-3.3 and shall include revenue from any ambulatory
care facility that is licensed to a general hospital as an off-site ambulatory
care service facility.

���� (2)�� The commissioner shall
allocate the monies paid by hospitals pursuant to paragraph (1) of this
subsection as follows:

���� (a)�� In State fiscal years
2006 and 2007, $35 million of those monies shall be allocated to the support of
federally qualified health centers in this State, and the remainder shall be
allocated to the support of (i) the infant mortality reduction program in the
Department of Health, (ii) the primary care physician and dentist loan
redemption program established in the Higher Education Student Assistance
Authority by article 3 of P.L.1999, c.46 (C.18A:71C-32 et seq.), and (iii) the
development and use of health information electronic data interchange
technology pursuant to P.L.1999, c.154 (C.17B:30-23 et al.); and

���� (b)�� In State fiscal year
2008 and thereafter, $40 million of those monies shall be allocated to the
support of federally qualified health centers in this State.

���� Monies allocated to the
support of federally qualified health centers in the State under this paragraph
shall be used for the purpose of compensating them for health care services
provided to uninsured patients.

���� d.��� The monies paid by the
hospitals and allocated under subsection c. of this section for the support of
federally qualified health centers shall be credited to the federally qualified
health centers account.

���� e.���� (1)���� Monies paid by
hospitals under subsection c. of this section in excess of $40 million, federal
matching funds received on account of such monies, and interest received on
such payments and funds shall be allocated exclusively to support funding to
hospitals.

���� (2)�� In the event that any
approval, application, or other condition necessary for the implementation of
this subsection and the distribution of funds pursuant thereto consistent with
the Fiscal Year 2011 annual appropriations act is not obtained, granted, or
satisfied, the Departments of Health and Human Services shall jointly prepare a
plan concerning charity care and related hospital funding, which shall be
subject to the approval of the Joint Budget Oversight Committee.

(cf: P.L.2012, c.17, s.235)

���� 2.��� This act shall take
effect immediately and apply to taxable years beginning on or after the January
1 next following the date of enactment.

STATEMENT

���� This bill would exempt a
specialty heart hospital from the .53 percent total operating revenue
assessment if the hospital certifies to the Department of Health and the
Department of Banking and Insurance that it waives any right to bill any
patient directly for health care services provided by the hospital.

���� In FY 2026, the State
estimates that the 0.53 percent assessment will generate approximately $188
million in total revenue dedicated to the Health Care Subsidy Fund.� This fund
supports State expenditures to subsidize federally qualified health centers,
charity care, NJ FamilyCare, and other health care programs.