This bill amends New Jersey's Medicaid law to extend coverage for eligible pregnant women to a full 365 days following the last day of their pregnancy. It ensures that these women maintain their Medicaid eligibility throughout this period, regardless of any changes in family income. The legislation also modifies existing definitions and eligibility criteria within the Medicaid program, aligning income and resource standards for medically needy eligibility with federal guidelines. Additionally, it clarifies the responsibilities of county welfare agencies in certifying eligibility for pregnant women and dependent children, ensuring appropriate reimbursement for administrative costs.

Furthermore, the bill codifies the Medicaid coverage extension that has been in effect since FY 2022 and included in the NJ FamilyCare 1115 Comprehensive Demonstration, which is valid through June 30, 2028. It aligns with federal provisions from the American Rescue Plan Act of 2021, allowing states to extend postpartum Medicaid coverage from 60 days to 12 months, a change made permanent by the Consolidated Appropriations Act 2023. The bill also clarifies that Medicaid services will be available to pregnant individuals whose income does not exceed the highest eligibility level established under the State Medicaid plan, thereby improving access to healthcare and maternal health outcomes.

Statutes affected:
Introduced: 30:4D-3