The bill proposes significant amendments to New Jersey's Medicaid eligibility criteria, specifically increasing both income and resource threshold limits for various groups, including the Aged, Blind, and Disabled (ABD) populations, as well as the Medically Needy and Managed Long-Term Services and Supports (MLTSS) programs. It raises the income eligibility for the ABD group from 100% to 138% of the federal poverty level, translating to an annual increase from $15,060 to $20,783 by 2024. Additionally, the Medically Needy Income Limit will be adjusted to 138% of the federal poverty level, raising the monthly threshold from $367 to $1,732. The bill also introduces new resource limits, increasing eligibility thresholds to $40,000 for individuals and $60,000 for couples, a significant rise from the current limits.

Moreover, the bill modifies various definitions and eligibility requirements for Medicaid applicants, including adjustments for children, pregnant women, and individuals aged 65 and older. It removes outdated provisions and clarifies eligibility for uninsured individuals under 65 who have been screened for breast or cervical cancer. The Commissioner of Human Services is mandated to apply for necessary state plan amendments or waivers to implement these changes and secure federal funding. Overall, the bill aims to enhance Medicaid accessibility for vulnerable populations in New Jersey by aligning state standards with federal guidelines and improving financial thresholds for eligibility.

Statutes affected:
Introduced: 30:4D-3