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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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