TRENTON, N.J. — A bill introduced in the New Jersey General Assembly would authorize full state-funded Medicaid coverage for undocumented immigrants, pending federal approval and system readiness.
Sponsored by Assemblywoman Garnet R. Hall (D-28), the legislation would amend state law to allow undocumented immigrant residents to receive comprehensive health care benefits under New Jersey’s Medicaid program. Current law excludes undocumented immigrants from such coverage, in line with federal restrictions under the 1996 Personal Responsibility and Work Opportunity Reconciliation Act.
However, the federal law includes a clause—Section 411(d)—that permits states to enact laws extending benefits to individuals not lawfully present in the United States. The bill relies on this provision to grant the state the authority to offer such coverage independently.
The measure would not take effect until the Commissioner of Human Services determines that systems are prepared to implement the new coverage. It also hinges on whether federal financial participation is available. If the federal government declines to contribute, the program would proceed using only state funds.
“The bill would remain inoperable until the commissioner receives a determination of federal financial participation regarding the bill’s provisions,” according to its statement.
Additionally, the bill mandates that the commissioner attempt to secure federal funding where possible and requires adoption of rules and regulations to implement the law within the bounds of federal compliance.
If enacted and funded, the bill would make New Jersey one of the few states in the country to provide full Medicaid benefits to undocumented residents.