SENATE, No. 1774

STATE OF NEW JERSEY

222nd LEGISLATURE

 

PRE-FILED FOR INTRODUCTION IN THE 2026 SESSION

 


 

Sponsored by:

Senator TROY SINGLETON

District 7 (Burlington)

Senator JOSEPH F. VITALE

District 19 (Middlesex)

 

Co-Sponsored by:

Senators Stack, Gopal, Singer, Corrado, Sarlo, McKnight, Tiver and Mukherji

 

 

 

 

SYNOPSIS

     Establishes minimum Medicaid reimbursement rates for certain ambulance transportation services.

 

 

CURRENT VERSION OF TEXT

     Introduced Pending Technical Review by Legislative Counsel.

  


An Act concerning ambulance services provided under Medicaid and supplementing Title 30 of the Revised Statutes.

 

     Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

     1.    Commencing on July 1, 2024, the reimbursement rate for basic life support emergency ambulance transportation services within the Medicaid program, established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.), whether the services are provided in the Medicaid fee-for-service delivery system or through a managed care delivery system, shall be no less than $300 per transport.

 

     2.  a.  Commencing on July 1, 2024, the ground ambulance mileage reimbursement rate within the Medicaid program shall be no less than $8.94 for each loaded mile during the emergency transportation of a Medicaid beneficiary.

     b.  The rate established pursuant to subsection a. of this section shall be annually adjusted in each subsequent fiscal year to a rate equal to the ground ambulance mileage rate under Medicare as of July 1 of the corresponding fiscal year. 

     c.  As used in this section:

     “Medicaid” means the Medicaid program established pursuant to P.L.1968, c.413 (C.30:4D-1 et seq.).

     “Medicare” means the federal program established pursuant to Pub.L.89-97 (42 U.S.C. s.1395 et seq.) as amended, or its successor plan or plans.

 

     3.    The Commissioner of Human Services shall adopt rules and regulations, pursuant to the “Administrative Procedure Act,” P.L.1968, c.410 (C.52:14B-1 et seq.), as may be necessary to implement the provisions of this act.

 

      4.   The Commissioner of Human Services shall apply for such State plan amendments or waivers as may be necessary to implement the provisions of this act and secure federal financial participation for State Medicaid expenditures under the federal Medicaid program.

 

      5.   This act shall take effect immediately.

 

 

STATEMENT

 

      This bill establishes a minimum Medicaid reimbursement rate of $300 for basic life support emergency ambulance transportation services, an increase of $242 from the State’s existing rate of $58 per transport. 

      The bill also provides that, beginning on July 1, 2024, the ground ambulance mileage reimbursement rate within the Medicaid program will be no less than $8.94 for each loaded mile during the emergency transportation of a Medicaid beneficiary.  The ground ambulance mileage reimbursement rate established by the bill would be annually adjusted in each subsequent fiscal year to a rate equal to the ground ambulance mileage rate set for Medicare as of July 1 in the corresponding fiscal year.