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NJDOH Proposes Changes to Higher Education Student Health Insurance Coverage Regulations

New Jersey Department of Health Proposes Recodification and Amendments to Higher Education Student Health Insurance Coverage Regulations

TRENTON, NJ – The New Jersey Department of Health (NJDOH) is set to enhance the regulatory framework for student health insurance coverage within higher education institutions. This initiative stems from an extensive review of the existing New Jersey Administrative Code (N.J.A.C.) 8:57, Communicable Diseases, specifically Subchapter 7, which addresses Higher Education Student Health Insurance Coverage. The Department has proposed significant changes to ensure that these regulations remain effective, understandable, and appropriately aligned with current legislative requirements and the practical needs of institutions and students alike.

The initial establishment of the Uncompensated Care Trust Fund (UCTF) in 1986 and its subsequent evolution into the New Jersey Health Care Trust Fund highlighted the state's commitment to ensuring that students maintain adequate health insurance coverage. Legislative and regulatory developments over the years have reinforced this commitment, with amendments aimed at making health insurance coverage accessible and mandatory for full-time students in New Jersey's higher education institutions.

However, the Higher Education Restructuring Act of 1994 and subsequent legislative actions, including P.L. 2013, c. 78, have shifted the regulatory landscape. Notably, P.L. 2013, c. 78, amended N.J.S.A. 18A:62-15, removing the mandate for full-time students to obtain health insurance while still requiring institutions to offer such coverage. This pivotal change prompted the NJDOH to propose the recodification of existing regulations from N.J.A.C. 8:57-7 to a new chapter, N.J.A.C. 8:92, specifically dedicated to Higher Education Student Health Insurance Coverage.

The proposed new chapter, N.J.A.C. 8:92, aims to clarify and streamline the obligations of higher education institutions in offering health insurance to full-time students. Key proposals include:

  • Recodification of Existing Regulations: Moving regulations from N.J.A.C. 8:57-7 to N.J.A.C. 8:92 to more accurately reflect their focus on student health insurance rather than communicable diseases.
  • Clarification of Terms: Introducing clear definitions, such as for "institution," to ensure a consistent understanding across all higher education institutions in New Jersey.
  • Amendments Reflecting Legislative Changes: Adjusting the language to align with the legislative removal of the requirement for students to obtain health insurance, while maintaining the requirement for institutions to offer such coverage.

The Department has determined that these regulations are necessary, proper, and beneficial for maintaining the health and welfare of New Jersey's higher education community. By recodifying and amending these rules, the NJDOH aims to ensure that regulations are housed within a context that is logical and relevant to their purpose.

Public feedback is sought on these proposed changes, with a 60-day comment period now open. This period allows stakeholders, including students, educational institutions, and the general public, to provide input on the proposed regulatory framework. The Department's commitment to a collaborative and transparent rulemaking process underscores the importance of these regulations in supporting the health insurance needs of New Jersey's higher education students.

As New Jersey continues to navigate the complexities of health insurance coverage for its student population, these proposed changes represent a thoughtful approach to regulatory adaptation and alignment with current educational and healthcare priorities.

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