Revises eligibility criteria for adult medical day care services.

A4306

ASSEMBLY, No. 4306

STATE OF NEW JERSEY

222nd LEGISLATURE

�

INTRODUCED FEBRUARY 19, 2026

Sponsored by:

Assemblywoman� SHANIQUE SPEIGHT

District 29 (Essex and Hudson)

SYNOPSIS

���� Revises eligibility criteria for adult medical day
care services.�

CURRENT VERSION OF TEXT

���� As introduced.

��

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:

���� (1)n 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.�

���� 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.

STATEMENT

���� This bill revises the
eligibility criteria for adult medical day care services.

���� Under the bill, a Medicaid
enrollee is to be deemed eligible to receive adult medical day care services if
the individual:� (1) requires assistance or supervision with at least one
activity of daily living; (2) possesses a letter or prescription from a physician
recommending the individual receive 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.

���� The bill defines
"activity of daily living" to mean a function or task that is
completed for self-care.� �Activity of daily living� is to include, but is not
to be 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.

���� Adult medical day care allows
individuals with a functional impairment to remain in a community setting,
rather than being institutionalized, and is the preferred method of providing
services to this population.� It is the sponsor�s belief that the current
eligibility criteria for adult medical day care services are too onerous, and
prevent people who would benefit from adult medical day care services from
receiving those services while remaining in their own communities.� It is the
sponsor�s intent to ease the eligibility criteria for adult medical day care
services in order to expand the population benefitting from those services.