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 clarifies that DOBI is required to implement the integration of the State-based exchange with the Medicaid eligibility platform, ensuring that the operations of the exchange are coordinated with the State Medicaid program. An advisory committee will be established to provide guidance on the exchange's operation and the implementation of the New Jersey Easy Enrollment Health Insurance Program, consisting of various state commissioners and public members with relevant experience.
Statutes affected: Introduced: 17B:27A-58