New Jersey has become the latest state to implement a fee on companies whose employees are covered by Medicaid instead of employer-provided health insurance, with other states considering similar measures. Governor Mikie Sherrill signed legislation Tuesday that will charge employers with at least 50 workers on Medicaid between $325 and $725 per person annually, aiming to raise $145 million this year. The move comes as federal policy changes are expected to increase the cost of Medicaid for states.
Key Takeaways
New Jersey will charge companies with at least 50 workers on Medicaid $325-$725 per person annually, aiming to raise $145 million. Similar measures are being considered in California, Colorado, Oregon, Washington, and Connecticut.
- New Jersey's new law charges employers for each worker and dependent on Medicaid
- Fees range from $325 to $725 per person annually
- California is studying similar charges starting next year
- Business groups oppose the measure as unfair penalization
- Left-leaning policy organizations warn of potential hiring biases
Source Claims Check
High Consensus| Claim | Status | Reason | |
|---|---|---|---|
| Medicaid Fee Implementation | Broad Agreement | $325-$725 per person annually for companies with at least 50 workers on Medicaid | |
| Expected Revenue From Fees In Nj | Broad Agreement | $145 million this year | |
| California's Plan For Similar Charges | Broad Agreement | Studying options to implement next year | |
| Business Groups' Opposition | Broad Agreement | Oppose as unfair penalization for employees' choices | |
| Policy Organizations' Concerns | Broad Agreement | Warn of potential hiring biases and discouragement of Medicaid enrollment |
The new law targets companies with at least 50 workers covered by Medicaid, billing them for each employee and dependent receiving the joint state-federal insurance. Fees start at $325 a year for companies with 50 to 249 beneficiaries and top out at $725 annually for those with at least 500 recipients. Proponents argue this is about fairness, as employers benefit from having lower-income workers with taxpayer-funded health coverage.
California has passed a bill directing the state administration to present lawmakers with options for implementing similar charges next year. State Sen. John Laird, a Democrat who sponsored the California proposal, cited federal policy changes that could increase Medicaid costs as a major factor in the need for action. The nonpartisan Congressional Budget Office expects more than 10 million people will be uninsured by 2034 due to these changes.
Business groups and some liberal policy organizations have criticized the approach, arguing it could lead to fewer hiring of low-income workers or single parents. Christopher Emigholz, chief government affairs officer at the New Jersey Business and Industry Association, stated that employers should not be penalized for employees' decisions to opt for Medicaid. Gideon Lukens from the Center on Budget and Policy Priorities warned that such taxes could discourage companies from hiring or employing workers on Medicaid.
New Jersey's legislation attempts to address some concerns by exempting temporary, seasonal, and part-time employees and barring employment decisions based on workers' Medicaid status. Similar measures have been proposed in Colorado, Oregon, Washington, and Connecticut, with varying degrees of success. Massachusetts previously enacted a similar charge but did not renew it after expiration.
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