This bill mandates the New Jersey Department of Human Services (DHS) to enhance home and community-based services under Medicaid. The Commissioner of Human Services is tasked with specific goals, including placing 80% of Medicaid participants eligible for nursing home care into home and community-based services by 2027, with 60% of long-term services funding allocated to these services. By 2029, the aim is to increase this allocation to 70%. Additionally, the Commissioner must create a five-year strategic plan to expand these services, reduce institutional bias in state policy, and ensure timely authorizations and coverage changes that favor home and community-based options.

Furthermore, the bill emphasizes the importance of equitable planning across healthcare providers, ensuring a living wage for caregivers through appropriate Medicaid payment methods, and increasing affordable supportive housing in collaboration with the Department of Community Affairs. The Commissioner is also required to submit an annual report to the Governor and Legislature detailing progress in implementing these provisions. The act is set to take effect immediately upon passage.