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New Jersey's Health Benefits Program in Crisis: What's Next?
New Jersey, USAThursday, November 20, 2025
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New Jersey is facing a major problem with its State Health Benefits Program.
- Coverage: Nearly 150,000 county and local government workers.
- Current Situation: Running out of money, possible collapse next year.
Governor Phil Murphy's Plan
- Financial Rescue: $260 million from the state to pay off debts and create a reserve fund.
- Worker Impact:
- Higher insurance costs.
- Fewer plan choices.
Rising Costs and Consequences
- Premium Increase: 59% in the last three years.
- Result: Many counties and towns have left for cheaper options.
- Current Members: Smaller, sicker group, worsening financial situation.
Governor's Announcement
- Urgent Action Needed: Without intervention, many could lose health care access.
- Approval Needed: State Legislature must approve the plan.
- Time Constraint: Governor Murphy leaves office in January.
Worker Reactions
- Concerns: Significant increase in out-of-pocket costs.
- Doctor visits: 3 times more expensive.
- Emergency room care: 4 times more expensive.
- Demands: Address root causes of rising health care costs.
State's Cost-Saving Measures
- Reduced Plans: From 50 to 6.
- New Commission: To oversee the program, including municipal employers.
Legislative Perspective
- Potential Compromise: Changes needed to control costs and stabilize the program.
- Balancing Act: Ensure workers retain good health insurance.
- Final Decision: Negotiations between lawmakers, labor leaders, and local officials.
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