This bill reallocates a $45 million appropriation for opioid-related care and treatment from the Opioid Recovery and Remediation Fund to the General Fund for the fiscal year ending June 30, 2026. Specifically, it establishes a supplemental appropriation of $45 million to the Division of Medical Assistance and Health Services within the Department of Human Services for Opioid Hospital Initiatives. The funds will be distributed to four hospitals: $10 million to Hackensack, $15 million to RWJ Barnabas, $15 million to Cooper, and $5 million to Atlantic Health. Each hospital must submit quarterly reports to the Commissioner of Human Services detailing the use of funds, the number of individuals served, outcomes data, and any remaining balance until all funds are expended.

Additionally, the bill repeals section 111 of P.L.2025, c.74, which previously provided for the same $45 million appropriation from the Opioid Recovery and Remediation Fund for the same purpose. This change reflects a shift in funding sources while maintaining the intended support for hospitals addressing opioid-related health issues, in alignment with the strategic plan of the Opioid Recovery and Remediation Advisory Council. The bill also allows for the potential maximization of federal Medicaid funds in accordance with CMS guidelines, subject to federal approval.