NJ A5472

Raises income eligibility for the Aged, Blind, and Disabled (ABD) Medicaid group from 100% to 138% of the federal poverty level, increasing the individual annual income threshold from $15,650 to $21,597 in 2025

Increases the medically needy income limit to 138% of the federal poverty level, raising the monthly limit for individuals from $367 to $1,800 in 2025

Raises the Qualified Medicare Beneficiary (QMB) Program income threshold from 100% to 138% of the federal poverty level, effectively consolidating less generous Medicare Savings Programs into the most comprehensive program

Directs the Commissioner of Human Services to apply for federal State plan amendments or waivers to implement the changes and secure federal matching funds

Requires the Commissioner to adopt rules and regulations to reduce administrative burden and simplify Medicaid redetermination processes for affected eligibility groups