This bill establishes a fee structure for employers in New Jersey who employ individuals receiving health benefits through the State Medicaid program. Employers with 50 or more employees who qualify for Medicaid coverage will be required to pay an annual fee based on the number of employees and their dependents receiving such benefits. The fee varies depending on the size of the employer, with specific amounts set for those employing between 50-250, 250-500, and 500 or more employees. Additionally, the bill exempts employers from this fee for employees or dependents with certain disabilities and outlines the process for notification, payment, and potential penalties for non-compliance.

New provisions included in the bill prohibit employers from using information about an applicant's or employee's Medicaid coverage as a basis for employment decisions, ensuring that such information remains confidential and privileged. The bill also mandates that relevant state departments collaborate to share data necessary for implementation and allows for immediate regulatory adoption by the State Treasurer to facilitate the bill's provisions. The act is set to take effect immediately but will remain inoperative until July 1, 2026.