---
type: "Bill"
title: "Establishes Medicaid emergency room triage reimbursement fee for low acuity emergency room encounters."
description: "Establishes Medicaid emergency room triage reimbursement fee for low acuity emergency room encounters."
jurisdiction: "us/states/nj"
legislature: "New Jersey Legislature"
session: "218"
identifier: "A 4207"
citation: "New Jersey A 4207 (218)"
classification: ["bill"]
subjects: ["HEALTH FAC", "MEDICAID"]
status: "enacted"
primary_sponsors: ["Greenwald, Louis D.", "Sarlo, Paul A."]
version_count: 1
action_count: 7
vote_count: 3
first_action: "2018-06-18T04:00:00+00:00"
last_action: "2018-07-01T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/d7c40223-7f94-48fb-87b7-588ad3fdedb9"
source_url: "http://www.njleg.state.nj.us/downloads.asp"
source_hash: "911a0df3c435e8c522ca34f83d4e78e78a50b85f13a20f40f16b53b575e6453e"
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 4207 (218) — Establishes Medicaid emergency room triage reimbursement fee for low acuity emergency room encounters.

## Version chain

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

1. **Introduced Version** (committee substitute) — [source](http://www.njleg.state.nj.us/2018/Bills/A4500/4207_I1.HTM)

## Votes

- 3RDG FINAL PASSAGE — **29–3** (pass) · upper
- 3RDG FINAL PASSAGE — **45–28** (pass) · lower
- Reported favorably out of committee — **9–4** (pass) · lower

## Sponsors

- Greenwald, Louis D. — primary (person)
- Sarlo, Paul A. — primary (person)

## Timeline

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

- **2018-06-18T04:00:00+00:00** Introduced in the Assembly, Referred to Assembly Budget Committee `introduction, referral-committee`
- **2018-06-18T04:00:00+00:00** Reported out of Assembly Committee, 2nd Reading `committee-passage`
- **2018-06-21T04:00:00+00:00** Passed Assembly (45-28-0) `passage`
- **2018-06-21T04:00:00+00:00** Received in the Senate without Reference, 2nd Reading
- **2018-06-21T04:00:00+00:00** Substituted for S2657
- **2018-06-21T04:00:00+00:00** Passed Senate (Passed Both Houses) (29-3) `passage`
- **2018-07-01T04:00:00+00:00** Approved P.L.2018, c.51. `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/d7c40223-7f94-48fb-87b7-588ad3fdedb9`. Confidence: reported (aggregated from official New Jersey legislature records).