This bill mandates the Department of Banking and Insurance (DOBI) to create an integrated enrollment platform that combines the State-based health insurance exchange with the NJ FamilyCare program. The integration aims to streamline the process for individuals to determine their eligibility for various health benefits plans, including those under the New Jersey Individual Health Coverage Program, the New Jersey Small Employer Health Benefits Program, and the NJ FamilyCare program, which encompasses the State Medicaid Program and the Children's Health Insurance Program. The bill also specifies that the Commissioner of Human Services, in collaboration with the Commissioner of Banking and Insurance, must submit proposals for any necessary State plan amendments or waivers to facilitate this integration.
Additionally, the bill modifies existing legal language by removing the requirement for the Commissioner of Human Services to submit a proposal for "available" federal funding and instead mandates that the commissioner must submit proposals for necessary amendments or waivers to secure federal financial participation. It also emphasizes that DOBI shall proceed with the integration and operation of the State-based exchange in consultation with the Department of Human Services. Furthermore, the bill establishes an advisory committee to assist in the operation of the exchange and the implementation of the New Jersey Easy Enrollment Health Insurance Program, ensuring that the committee includes a diverse group of members with relevant experience in health insurance and consumer advocacy.
Statutes affected: Introduced: 17B:27A-58