This bill revises the eligibility criteria for adult medical day care services for Medicaid enrollees in New Jersey. Under the new provisions, an individual will be deemed eligible if they require assistance or supervision with at least one activity of daily living, possess a physician's letter or prescription recommending adult medical day care services, and provide an up-to-date medical history along with a current physical examination report from a physician. The bill also defines "activity of daily living" to include tasks such as dressing, bathing, and eating, and clarifies that "adult medical day care" refers to community-based programs designed to support functionally or cognitively impaired adults in a protective setting for less than 24 hours.

The intent of the bill is to ease the current eligibility criteria, which the sponsors believe are too restrictive and prevent individuals who could benefit from these services from accessing them. By expanding eligibility, the bill aims to allow more individuals with functional impairments to remain in their communities rather than being institutionalized, thereby promoting a preferred method of care that supports independence and quality of life. The Commissioner of Human Services is tasked with applying for necessary state plan amendments or waivers to implement these changes and may adopt regulations to effectuate the bill's provisions.