Title 26, HEALTH AND VITAL STATISTICS

26:2H-155 Provision of health care services. 24. A person who operates a dementia care home on or after the effective date of P.L.2015, c.125 (C.55:13B-5.1 et al.) shall not provide health care services in that facility. Nothing in this section shall be construed to prohibit a li…

26:2H-156 Violations, penalties. 25. A person or entity found to be in violation of the provisions of P.L.2015, c.125 (C.55:13B-5.1 et al.), or any rules or regulations adopted by the commissioner pursuant thereto with respect to the operation of a dementia care home, shall be su…

26:2H-157 Rules, regulations. 26. The commissioner and the Commissioner of Community Affairs, pursuant to the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), shall adopt, notwithstanding any provision of P.L.1968, c.410 (C.52:14B-1 et seq.) to the contrary, …

26:2H-158 Findings, declarations relative to a newborn home nurse visitation program. 1. The Legislature finds and declares that: a. The weeks following birth are a critical period for the person who has given birth and the infant, setting the stage for long-term health and well-…

26:2H-159 Statewide voluntary universal newborn home nurse visitation program. 2. a. The Department of Children and Families shall establish a Statewide voluntary universal newborn home nurse visitation program to provide home visitation services for a newborn infant and the pare…

26:2H-16. Health Care Facilities Improvement Fund The penalties prescribed and authorized by this act shall be recovered in a summary civil proceeding, brought in the name of the State in the Superior Court pursuant to the Penalty Enforcement Law (N.J.S. 2A:58-1 et seq.). The com…

26:2H-160 Resource guide. 3. The Department of Children and Families, in consultation with the Department of Health, shall prepare a resource guide that provides information on the newborn home nurse visitation program established pursuant to section 2 of P.L.2021, c.187 (C.26:2H…

26:2H-161 Collection, analysis of data. 4. a. The Department of Children and Families shall collect and analyze data about the newborn home nurse visitation program established pursuant to P.L.2021, c.187 (C.26:2H-158 et al.). The data shall be used to evaluate, measure, and impr…

26:2H-162 Rules, regulations. 15. a. The Departments of Banking and Insurance, Children and Families, and Human Services shall adopt rules and regulations as shall be necessary to implement the provisions of this act, which rules and regulations shall be effective immediately upo…

26:2H-163 Short title. 1. This act shall be known and may be cited as the "Hospital at Home Act." L.2023, c.163, s.1.

26:2H-164 Definitions. 2. As used in this act: "Carrier," "covered person," and "health benefits plan," shall have the same meaning as provided for those terms under section 2 of P.L.1997, c.192 (C.26:2S-2). "Department" means the Department of Health. "Federal acute Hospital Car…

26:2H-165 Hospital at Home, hospital, permitted, acute care services, Department of Health. 3. a. Notwithstanding any provision of law to the contrary, the department shall establish a State program to permit a hospital to provide acute care services to an individual outside of t…

26:2H-166 NJ FamilyCare, Medicaid, coverage, acute hospital care services, same basis as within hospital. 4. The NJ FamilyCare and Medicaid programs, and any carrier that offers a health benefits plan in this State, shall provide coverage for acute hospital care services delivere…

26:2H-167 Acute care services, person outside hospital, private residence, carrier credentialed. 5. Licensed health care providers providing acute care services to a covered person outside the hospital's licensed space and within a private residence designated by the covered pers…

26:2H-168 Commissioner, Human Services, State plan amendments, waivers, implementation. 6. The Commissioner of Human Services shall apply for any State plan amendments or waivers as may be necessary to implement the provisions of this act and to secure federal financial participa…

26:2H-169 Rules, regulations, Commissioners, Health, Human Services. 7. The Commissioners of Health and Human Services shall jointly or separately adopt rules and regulations, in accordance with the "Administrative Procedure Act," P.L.1968, c.410 (C.52:14B-1 et seq.), if necessar…

26:2H-17. Review by court All orders or determinations under this act shall be subject to review by a court of competent jurisdiction in accordance with the Rules of Court. L.1971, c. 136, s. 17.

26:2H-170 Health care provider, medical home, public employees, dependents, management. 1. Notwithstanding any provision of law or regulation to the contrary, a health care provider that is managing a medical home, pursuant to a contract with a public employer, for public employe…

26:2H-18 License, authorization required for receipt of reimbursement, grant-in-aid. 18. a. No government agency and no health service corporation organized under the laws of the State and no other purchasers of health care services shall purchase, pay for or make reimbursement o…

26:2H-18.2. Annual fees The Department of Health, to effectuate the provisions and purposes of sections 10 and 11 of this act and to support the functions described therein, may charge health care facilities such reasonable annual fees as shall be provided by law. L.1978, c. 83, …

26:2H-18.24. Findings, declarations The Legislature finds and declares that: a. Access to quality health care shall not be denied to residents of the State because of their inability to pay for the care; there are many residents of the State, particularly those with incomes below…

26:2H-18.25. Definitions As used in sections 1 through 26 of P.L.1991, c.187 (C.26:2H-18.24 et al.): "Assessment" means monies that are required to be remitted to the fund by hospitals pursuant to this act. "Commission" means the Hospital Rate Setting Commission established pursu…

26:2H-18.26. Approval of hospital's rates by commission authorized The commission is authorized to approve a hospital's rates to achieve an equitable collection and distribution mechanism among hospitals in the State for payment of uncompensated care pursuant to the provisions of…

26:2H-18.27. "New Jersey Health Care Trust Fund" established There is established the "New Jersey Health Care Trust Fund" in the Department of Health. a. The fund shall be comprised of assessments remitted by hospitals pursuant to this act and any other monies appropriated theret…

26:2H-18.28. Determination of uniform Statewide uncompensated care add-on 5. a. For the periods beginning January or July of the hospitals' rate year, the department shall determine a uniform Statewide uncompensated care add-on. The commission shall approve the add-on before it i…

26:2H-18.29. Approval of hospital's reasonable uncompensated care costs 6. a. The commission shall approve each hospital's reasonable uncompensated care costs and shall ensure that uncompensated care services financed pursuant to this act are provided in the most appropriate and …

26:2H-18.30. Remission of mandatory assessment to fund by hospital 7. a. A hospital shall remit the mandatory assessment to the fund at the end of every month except that a hospital shall remit the first payment under this act by August 30, 1991. b. If a hospital is delinquent in…

26:2H-18.31. Reimbursement to hospital of uncompensated care cost a. A hospital shall not be reimbursed for the cost of uncompensated care unless the commissioner certifies to the commission that the hospital has followed the procedures pursuant to this section and section 11 of …

26:2H-18.32. Designation of hospitals where county welfare agency employee will be stationed to determine Medicaid eligibility 9. The Commissioner of Health, in consultation with the Commissioner of Human Services, shall designate those hospitals at which an employee from the cou…

26:2H-18.33. Collection procedure followed by hospital after discharge of patient a. If, upon the discharge of a patient from the hospital, the patient's account has not been paid in full by the patient or responsible party or by health insurance, or it is unlikely that the patie…

26:2H-18.34. Annual audit of hospital's uncompensated care a. The department shall annually provide for an audit of each hospital's uncompensated care within a time frame established by rules and regulations adopted by the commissioner. b. Prior to the department's final approval…

26:2H-18.35. Reporting by hospitals of patient accounts referred to collection agency The department shall, for the purpose of developing patient profiles, require a hospital to report the following information about any patient who was served on an inpatient basis or on any pati…

26:2H-18.36. Submission of information about income of persons whose income tax refund, homestead rebate was applied to patient account The Department of the Treasury shall compile and submit to the Department of Health information about the income of persons whose income tax ref…

26:2H-18.37. Quality control reviews of audits of hospital uncompensated care The State Auditor shall conduct quality control reviews of the audits of hospital uncompensated care for calendar years 1989 and 1990 that are required pursuant to section 11 of P.L.1989, c.1 (C.26:2H-1…

26:2H-18.38. Adjustment of hospital's rate schedule to reflect services provided to certain emergency room patients The commission shall adjust a hospital's schedule of rates to ensure that services which are provided to emergency room patients who do not require those services o…

26:2H-18.39. Employers not providing health insurance required to provide employer assistance Any employer in this State who does not provide health insurance coverage to its employees is required to provide employer assistance and to inform all of its current and prospective emp…

26:2H-18.40. Monies remaining in "Uncompensated Care Reduction - Pilot Program" account to subsidize pilot program for small business employees The monies remaining in the "Uncompensated Care Reduction--Pilot Program" account of the New Jersey Uncompensated Care Trust Fund establ…

26:2H-18.41. Hospital shall not advertise availability of uncompensated care A hospital shall not advertise by any means the availability of uncompensated care that is provided at the hospital pursuant to this act. Nothing in this section shall be construed to prohibit a hospital…

26:2H-18.42. Hospital not claiming deduction for bad debt eligible for reimbursement for charity care 20. Notwithstanding the provisions of section 6 of P.L.1991, c.187 (C.26:2H-18.29) to the contrary, a hospital that does not claim any deduction for bad debt for the purpose of t…

26:2H-18.43. Compensation provided for cost of advanced life support services a. The cost of advanced life support services provided pursuant to P.L.1984, c.146 (C.26:2K-7 et seq.) to medically indigent persons incurred through a hospital's provision of advanced life support serv…

26:2H-18.44. Determination of eligibility for uncompensated care not applicable to patient found indigent For all periods for which an audit for reimbursement for uncompensated care through the Uncompensated Care Trust Fund established pursuant to P.L.1989, c.1 (C.26:2H-18.4 et s…

26:2H-18.45. Pilot program to create partnership between urban hospitals and community health centers a. The commissioner shall establish a pilot program to create a partnership between urban hospitals with high uncompensated care costs and community health centers in order to pr…

26:2H-18.46. Report on status of fund 24. The commissioner shall report to the Governor, the presiding officers of the Senate and the General Assembly, and the chairmen of the Senate and the General Assembly Health and Human Services Committees, six and 11 months after the effect…

26:2H-18.47. "Health Care Cost Reduction Fund" established a. There is established in the Department of Health a special fund to be known as the "Health Care Cost Reduction Fund." The monies in the Health Care Cost Reduction Fund are hereby appropriated for the purposes and in am…

26:2H-18.48. Transfer of employees, appropriations etc. to the "New Jersey Health Care Trust Fund" The employees, appropriations and other moneys, files, books, papers, records, equipment and other property of the "New Jersey Uncompensated Care Trust Fund" and the "Uncompensated …

26:2H-18.50. Short title This amendatory and supplementary act shall be known and may be cited as the "Health Care Cost Reduction Act." L.1991,c.187,s.85.