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 women who qualify for Medicaid benefits maintain their eligibility throughout this period, regardless of any changes in family income. The legislation also modifies existing definitions and eligibility criteria, aligning income and resource standards for pregnant women with federal guidelines, and clarifies the responsibilities of county welfare agencies in determining eligibility.

Furthermore, the bill codifies the Medicaid coverage extension that has been in effect since FY 2022 and is part of 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 ensures that Medicaid services are 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