Title 30, Title 30: INSTITUTIONS AND AGENCIES

30:4D-19. Severability clause If any provision of this act or the application thereof to any person or circumstance is held invalid, such invalidity shall not affect other provisions or applications of the act which can be given effect without the invalid provision or application…

30:4D-19.1. "New Jersey Medical Assistance and Health Services Program" administrators, duties 28. The director or other chief administrative officer of each agency or office providing or administering assistance under the "New Jersey Medical Assistance and Health Services Progra…

30:4D-19.2. Findings, declarations relative to intergovernmental transfer program under Medicaid 1. The Legislature finds and declares that: a. Federal law permits states to enhance existing federal financial participation under the Medicaid program through the use of intergovern…

30:4D-19.3 Definitions relative to intergovernmental transfer program under Medicaid. 2. As used in this act: "Bank" means a State or federally chartered bank, savings bank, or savings and loan association located in this State that is authorized to receive public funds and that …

30:4D-19.4 Intergovernmental transfer program established. 3. There is established an intergovernmental transfer program subject to the provisions of this act. a. Notwithstanding the provisions of any other law to the contrary, a governmental entity eligible to receive a suppleme…

30:4D-19.5 Appropriations for supplemental payments under intergovernmental transfer program; costs. 4. a. There are appropriated to the Department of Human Services such sums as are determined necessary by the Director of the Division of Budget and Accounting in the Department o…

30:4D-2. Declaration of purpose It is the intent of the Legislature to make statutory provision which will enable the State of New Jersey to provide medical assistance, insofar as practicable, on behalf of persons whose resources are determined to be inadequate to enable them to …

30:4D-2.1. Findings, declarations The Legislature finds and declares that: a. Low-income pregnant women are at higher risk of poor birth outcomes by virtue of their poverty status and non-whites in New Jersey are more likely to be indigent than whites; in 1983, more than 1,100 ba…

30:4D-20. Program; establishment The commissioner shall establish a program which shall be known as "Pharmaceutical Assistance to the Aged." L.1975, c. 194, s. 1, eff. Aug. 21, 1975.

30:4D-21. Pharmaceutical assistance eligibility. 2. a. Any resident of this State who is either a recipient of disability insurance benefits under Title II of the federal Social Security Act (42 U.S.C. s. 401 et seq.) or 65 years of age and over and whose annual income is less th…

30:4D-21.2. Reparations to Japanese Americans not counted as income for PAAD eligibility 1. Funds received from the federal government pursuant to sections 105 and 106 of the "Civil Liberties Act of 1988," Pub.L.100-383 (50 U.S.C. App. s. 1989b-4 and s. 1989b-5) shall not be coun…

30:4D-21.3. Holocaust reparations, restitution not considered income for determination of PAAD eligibility 2. Amounts received as reparations or restitution for the loss of liberty or damage to health by the victims of National Socialist (Nazi) persecution; returns of tangible or…

30:4D-21.4 PAAD recipients, notification as to error in estimated annual income. 1. a. Notwithstanding the provisions of any other law to the contrary, a recipient of benefits under the "Pharmaceutical Assistance to the Aged and Disabled" program, established pursuant to P.L.1975…

30:4D-21.5 Automatic enrollment in certain pharmaceutical assistance programs. 1. a. If a person who is a recipient of benefits under the "Pharmaceutical Assistance to the Aged and Disabled," or PAAD, program becomes ineligible for PAAD because the person's income exceeds the pro…

30:4D-22. Copayment; restrictions; definitions The program of "Pharmaceutical Assistance to the Aged and Disabled" shall consist of payments to pharmacies for the reasonable cost of prescription drugs of eligible persons which exceed a $2.00 copayment. Said copayment shall be pai…

30:4D-22.1. Pharmacy payment condition 2. Payments to pharmacies made by the "Pharmaceutical Assistance to the Aged and Disabled" program in accordance with section 3 of P.L.1975, c.194 (C.30:4D-22) shall not be made unless, at the time of each prescription drug purchase for whic…

30:4D-22.2. "Prescription drugs," syringes, needles included; certain 1. In addition to the "prescription drugs" defined pursuant to section 3 of P.L.1975, c.194 (C.30:4D-22), "prescription drugs" also means syringes and needles for injectable medicines used for the treatment of …

30:4D-22.3 Payment to pharmacy for certain forged, fraudulent prescriptions, program's responsibilities. 2. a. A pharmacy shall receive full payment and shall not be penalized for dispensing a forged or fraudulent prescription that has been approved by the State Medicaid program …

30:4D-22.4 Community retail pharmacy practice site, display, Pharmaceutical Assistance to the Aged and Disabled information. 2. Notwithstanding any other provision of law to the contrary, a community retail pharmacy practice site shall prominently display at the point of sale for…

30:4D-23. Prescription drug costs; payment under other plan or insurance; effect on eligibility Any otherwise eligible person whose prescription drug costs are wholly covered by any other plan of assistance or insurance shall be ineligible for assistance under the provisions of t…

30:4D-24. Regulations The commissioner shall by regulation establish a system of payments or reimbursements and a system for determining eligibility, including provisions for submission of proof of actual and anticipated annual income, and evidence of complete or partial coverage…

30:4D-25. Legislative findings and declarations The Legislature hereby finds and declares: That the "Pharmaceutical Assistance to the Aged" program originally provided for the reimbursement of 80% of the prescription drug costs of low-income senior citizens who had met an income-…

30:4D-26. Prescription; inclusion of name and address or identification number A prescription may not be included under the program unless it contains the name and address or identification number of the eligible person. L.1978, c. 171, s. 3.

30:4D-27. Notice of penalties on identification cards The commissioner shall include on the identification cards used in the program a conspicuous notice of the penalties for violating the provisions of this act. L.1978, c. 171, s. 4.

30:4D-28. Report to Governor and legislature Within 6 months of the effective date of this act, the commissioner shall submit a report to the Governor and the Legislature including but not limited to the following: a. The effects of definitional changes in the statute, such as re…

30:4D-29. List of maximum quantity of drug to be dispensed per prescription Within 6 months after the effective date of this act, the commissioner shall, after consultation with the Drug Utilization Review Council and other authorities, prepare a list stating, for each prescribed…

30:4D-3 Definitions. 3. Definitions. As used in P.L.1968, c.413 (C.30:4D-1 et seq.), and unless the context otherwise requires: a. "Applicant" means any person who has made application for purposes of becoming a "qualified applicant." b. "Commissioner" means the Commissioner of H…

30:4D-30. Maximum allowable cost per prescription drug; procedure to set and review on continuing basis Within 6 months from the effective date of this act, the commissioner shall establish a procedure for setting and reviewing on a continuing basis the maximum allowable cost per…

30:4D-31. List of maximum quantities and procedures for setting maximum allowable cost; effective date The list of maximum quantities per prescription prepared under section 6 of this act and the procedures for setting the maximum allowable cost under section 7 of this act shall …

30:4D-32. Annual report The commissioner shall issue an annual report to the Governor and the Legislature by October 1 of each year. Such report shall include a summary of "Pharmaceutical Assistance to the Aged" program activities for the preceding fiscal year and any recommendat…

30:4D-33. Violations; penalties Any person violating any provision of this act shall be subject to the applicable civil and criminal penalties contained in the "New Jersey Medical Assistance and Health Service Act" (P.L.1968, c. 413, C. 30:4D-1 et seq.). Any eligible person who v…

30:4D-34. Reimbursement for costs of prescription drugs; application and proof of expenditure Any eligible person under the program of Pharmaceutical Assistance to the Aged shall, upon the submission of such application and proof of expenditure as the department may prescribe, be…

30:4D-35. Notice of availability and application forms; supplying to eligible persons The department shall provide a notice of the availability of such reimbursement and an application form therefor to every eligible person. L.1979, c. 27, s. 2, eff. March 1, 1979.

30:4D-35.1. Short title 1. This act shall be known and may be cited as the "Pharmaceutical Rebate Act." L.1992,c.83,s.1; per s.6 as amended by 1993, c.97, s.2, expired June 30, 1994.

30:4D-35.2. Coverage limited to manufacturers providing rebates 2. a. The "Pharmaceutical Assistance to the Aged and Disabled" program established pursuant to P.L.1975, c.194 (C.30:4D-20 et seq.) shall limit the coverage of pharmaceutical products to manufacturers who agree to pr…

30:4D-35.3. "Pharmaceutical Assistance to the Aged and Disabled Rebate Fund" established 3. There is established in the Department of Human Services a nonlapsing revolving fund to be known as the "Pharmaceutical Assistance to the Aged and Disabled Rebate Fund." All monies collect…

30:4D-35.4. Rules, regulations 4. Pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), the Commissioner of Human Services shall adopt rules and regulations necessary to carry out the purposes of this act and to ensure that the rebate amounts for p…

30:4D-35a Pharmaceutical Assistance to the Aged and Disabled program, reimbursement, prescription drug costs, remainder. 4. In addition to the reimbursement required pursuant to section 1 of P.L.1979, c.27 (C.30:4D-34), any eligible person under the Pharmaceutical Assistance to t…

30:4D-36. Hearing aid assistance There is established in the Department of Human Services a program which shall be known as "Hearing Aid Assistance for the Aged and Disabled." L. 1987, c. 298, s. 1.

30:4D-37. $100 maximum A person eligible for the Hearing Aid Assistance for the Aged and Disabled Program is entitled to receive a payment of up to $100.00 in a calendar year in which a hearing aid is purchased to offset the cost of the hearing aid. For the purposes of this act, …

30:4D-38. Pharmaceutical assistance recipients eligible A person who meets the age or disability, income and residency requirements of the "Pharmaceutical Assistance to the Aged and Disabled" program, P.L.1975, c. 194 (C. 30:4D-20 et seq.), is eligible for hearing aid assistance …

30:4D-38.1 "Hearing Aid Assistance to the Aged and Disabled," notification as to error in estimated annual income. 2. a. Notwithstanding the provisions of any other law to the contrary, a recipient of benefits under the "Hearing Aid Assistance for the Aged and Disabled" program, …

30:4D-39. Other programs a. If an otherwise eligible person's hearing aid costs are covered in whole by any other State or federal government program or insurance contract, the person is not eligible for hearing aid assistance under this act. b. If an eligible person's hearing ai…

30:4D-3a. "Invalid coach service" deemed to mean "mobility assistance vehicle service" 4. Whenever the term "invalid coach service" occurs or any reference is made thereto in any law, contract or document which pertains to the Medicaid program established pursuant to P.L.1968, c.…

30:4D-3b Establishment of enrollment simplification practices. 9. No later than January 1, 2006, the Commissioner of Human Services shall, at a minimum, establish the following enrollment simplification practices for dependent children and their parents or specified caretaker rel…

30:4D-3b1 Permanent change of station order, residency requirement, Division of Medical Assistance and Health Services; definitions. 1. a. Notwithstanding any other law to the contrary, the Division of Medical Assistance and Health Services within the Department of Human Services…