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S 2535

Establishes the crime of coordinated petit larceny, permits a principal to be eligible to be held on bail for coordinated petit larceny, and creates a public service campaign on larceny

2025 Regular Session Introduced by Tony Palumbo

Amends NJ law to set Medicaid per‑diem for Structured Day Program Services for brain‑injury beneficiaries to match the Day Habilitation Tiers D/E average, via DHS rulemaking.

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Bill Summary · S 2535

Summary — Senate Bill No. 2535 (as reflected in provided documents)

Note on sources and discrepancies
- The documents you provided contain mixed materials (New Jersey fiscal and committee documents focused on Medicaid/brain‑injury reimbursement, plus an unrelated Massachusetts “hunger‑free campus” draft and other metadata). This summary focuses on the substantive bill text and legislative reports that consistently describe S-2535 as an amendment to New Jersey law to set a minimum Medicaid reimbursement for structured day program services for beneficiaries with brain injuries. Where source materials conflict on specific figures, both figures are noted below.

Purpose / Intent

To expand existing New Jersey law that sets minimum Medicaid reimbursement rates for brain‑injury services so that Structured Day Program Services provided to Medicaid beneficiaries with traumatic or non‑traumatic brain injuries receive a higher, defined minimum reimbursement rate. The intent is to align day program reimbursement with comparable day habilitation service rates used for the Division of Developmental Disabilities.

Key provisions

  • Amends P.L.2022, c.78 (C.30:4D‑7kk) to require that, when provided by an approved brain injury service provider, Medicaid per‑diem or encounter reimbursement rates for Structured Day Program Services for beneficiaries needing brain injury treatment shall be set equal to the average reimbursement rate for Day Habilitation Services Tiers D and E provided by the Division of Developmental Disabilities.
  • Defines terms consistent with existing law: “brain injury service,” “brain injury service provider,” “Medicaid,” “traumatic brain injury,” and “non‑traumatic brain injury.”
  • Directs the Commissioner of Human Services to adopt implementing regulations (per the Administrative Procedure Act).
  • Effective 30 days after enactment; applies to services and to Medicaid managed care contracts executed or renewed on or after the effective date.

Fiscal impact (Office of Legislative Services estimate)

  • Increased annual Medicaid expenditures to the State estimated between $5.7 million and $15.2 million.
  • Federal Medicaid matching revenue increase estimated between $2.8 million and $7.6 million.
  • Net annual State cost estimated between $2.8 million and $7.6 million (the OLS estimate assumes a 50% federal match).
  • The OLS analysis is based on raising an approximate current reimbursement of $3.65 per 15 minutes to the average Tier D/E rate (OLS used $9.72 per 15 minutes). The range reflects assumed service utilization (e.g., 300 current enrollees receiving 5 hours × 3 days/wk up to 8 hours × 5 days/wk). The bill’s effect on managed‑care capitation rates will be accounted for through the State’s capitation‑rate setting.

Who is affected

  • Medicaid beneficiaries with traumatic or non‑traumatic brain injuries who receive Structured Day Program Services.
  • Approved brain injury service providers (they would receive higher minimum reimbursement rates).
  • Medicaid managed care organizations (their capitation costs may increase and be reflected in State capitation payments).
  • Department of Human Services — for rulemaking and contract rate adjustments.

Procedural status & timeline (as reflected in documents)

  • Reported favorably by Senate Health, Human Services and Senior Citizens Committee (June 6, 2024).
  • Fiscal estimate dated June 28, 2024 (OLS).
  • Bill text specifies implementation 30 days after enactment; applies to services and managed‑care contracts on or after that date.
  • Several different legislative action dates appear in the provided metadata (2024–2025); verify current chamber status with the official legislative docket for up‑to‑date tracking.

Additional notes / inconsistencies to verify

  • Document figures vary slightly: some materials cite the target Tier D/E average as $9.72 per 15 minutes (OLS/committee materials), while another excerpt references $9.09 per 15 minutes. Confirm the precise benchmark rate to be used.
  • The packet contained unrelated drafts (a Massachusetts “hunger‑free campus” bill) and an initial title unrelated to the Medicaid subject (coordinated petit larceny). If you intended a summary for a different S.2535 (different jurisdiction or subject), please provide the correct bill text or indicate which version you want summarized.

Compiled from official sources — confirm details with the bill’s official record.

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