The Public Charge Healthcare Transparency Act mandates that State entities providing government assistance in New Jersey must inquire about and document the citizenship or immigration status of beneficiaries as a condition for receiving assistance. Additionally, these entities are required to collect and authenticate documentation of the individuals' status. Each State entity must submit monthly reports to the Department of Health detailing the citizenship and immigration status of recipients and the costs associated with providing assistance to illegal aliens. These reports will be made publicly available on the Department's website, ensuring transparency in government assistance programs.

The bill also establishes penalties for individuals who knowingly provide false information regarding their citizenship or immigration status, classifying such actions as a crime of the fourth degree. The definitions of "government assistance" and "illegal alien" are provided to clarify the scope of the bill, which includes a wide range of benefits from clothing and electronics to healthcare and legal services. The Commissioner of Health is authorized to adopt necessary regulations to implement the provisions of this act, which is set to take effect immediately upon passage.