The bill amends Section 3 of P.L.1968, c.413 (C.30:4D-3) to increase the resource thresholds for certain Medicaid eligibility groups in New Jersey, specifically for medically needy individuals. It establishes new resource limits of $40,000 for one-person households and $60,000 for two-person households, with an additional $20,000 for each additional person in households of three or more. The previous resource standards, which were based on 200% of the resource standard for recipients of Supplemental Security Income, have been deleted. The bill also introduces various definitions related to Medicaid eligibility while ensuring that individuals exceeding income limits can still qualify as medically needy by incurring medical expenses.

Additionally, the bill targets non-Modified Adjusted Gross Income (MAGI) Medicaid eligibility groups, particularly applicants over 65 years of age or those who are disabled, aligning their resource thresholds more closely with those under 65 without disabilities who are not subject to a resource test under the Affordable Care Act. The current resource limits for the affected groups are significantly lower, with some individuals required to have resources of less than $2,000. The bill mandates that the Commissioner of Human Services apply for any necessary state plan amendments or waivers to implement these changes and secure federal financial participation for Medicaid expenditures.

Statutes affected:
Introduced: 30:4D-3