This bill establishes governance and service standards for developmental disability service providers in New Jersey, specifically targeting those agencies authorized to provide $250,000 or more in billable services. It mandates that these "covered provider agencies" have a board of directors with a majority of independent members, and requires the appointment of a self-advocate or family member as a board observer. The bill also stipulates that agencies with revenues exceeding $2 million must form an independent audit committee. Additionally, it enforces financial transparency by requiring the posting of the three most recent annual audited financial statements on the agency's website and caps expenditures on executive compensation and administrative costs to ensure that funds are primarily used for direct client services.

To further protect individuals with developmental disabilities, the bill includes provisions for reporting significant events that could adversely affect service delivery, and grants the Division of Developmental Disabilities the authority to take corrective actions, including appointing an independent monitor. It also requires covered provider agencies to implement written policies addressing nepotism, conflicts of interest, and retaliation, fostering an environment where concerns can be raised without fear of repercussions. The bill appropriates $300,000 from the General Fund to the Department of Human Services to hire additional staff for monitoring and enforcement of these new standards.