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.

S4470

SENATE, No. 4470

STATE OF NEW JERSEY

222nd LEGISLATURE

�

INTRODUCED JUNE 15, 2026

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.