---
type: "Bill"
title: "Makes County Option Hospital Fee Pilot Program permanent and expands definition of \"participating county\" under program."
description: "Makes County Option Hospital Fee Pilot Program permanent and expands definition of \"participating county\" under program."
jurisdiction: "us/states/nj"
legislature: "New Jersey Legislature"
session: "220"
identifier: "A 4091"
citation: "New Jersey A 4091 (220)"
classification: ["bill"]
subjects: ["COUNTIES", "HEALTH FAC", "HEALTH FINAN"]
status: "enacted"
primary_sponsors: ["Conaway, Herb", "Lagana, Joseph A.", "Singleton, Troy", "Swain, Lisa"]
version_count: 2
action_count: 11
vote_count: 0
first_action: "2022-05-26T04:00:00+00:00"
last_action: "2022-07-05T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/6b7e53d0-b273-43fe-bcd4-a2f84fac54f4"
source_url: "http://www.njleg.state.nj.us/downloads.asp"
source_hash: "a3006e8cac90139478ebd6e0c31414af351052acc8e56da192a8ab1eb034a590"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-nj"]
---

# New Jersey A 4091 (220) — Makes County Option Hospital Fee Pilot Program permanent and expands definition of "participating county" under program.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **Introduced Version** (committee substitute) — [source](https://pub.njleg.state.nj.us/Bills/2022/A4500/4091_I1.HTM)
2. **Reprint AHE 6/2/22 1R** (committee substitute) — [source](https://pub.njleg.state.nj.us/Bills/2022/A4500/4091_R1.HTM)

## Sponsors

- Conaway, Herb — primary (person)
- Lagana, Joseph A. — primary (person)
- Singleton, Troy — primary (person)
- Swain, Lisa — primary (person)
- Gopal, Vin — cosponsor (person)
- McKnight, Angela V. — cosponsor (person)
- Murphy, Carol A. — cosponsor (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2022-05-26T04:00:00+00:00** Introduced in the Assembly, Referred to Assembly Human Services Committee `introduction, referral-committee`
- **2022-06-02T04:00:00+00:00** Transferred to Assembly Health Committee `referral-committee`
- **2022-06-02T04:00:00+00:00** Reported out of Assembly Committee with Amendments, 2nd Reading `committee-passage`
- **2022-06-13T04:00:00+00:00** Recommitted to Assembly Appropriations Committee `referral-committee`
- **2022-06-13T04:00:00+00:00** Reported out of Assembly Committee, 2nd Reading `committee-passage`
- **2022-06-16T04:00:00+00:00** Passed Assembly (63-14-0) `passage`
- **2022-06-20T04:00:00+00:00** Received in the Senate, Referred to Senate Budget and Appropriations Committee `referral-committee`
- **2022-06-27T04:00:00+00:00** Reported out of Senate Committee, 2nd Reading `committee-passage`
- **2022-06-29T04:00:00+00:00** Substituted for S2729
- **2022-06-29T04:00:00+00:00** Passed Senate (Passed Both Houses) (38-1) `passage`
- **2022-07-05T04:00:00+00:00** Approved P.L.2022, c.61. `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/6b7e53d0-b273-43fe-bcd4-a2f84fac54f4`. Confidence: reported (aggregated from official New Jersey legislature records).