---
type: "Bill"
title: "Expands per adjusted admission charge on hospitals to create supplemental funding pool for State's graduate medical education subsidy; appropriates $24,285,714.*"
description: "Expands per adjusted admission charge on hospitals to create supplemental funding pool for State's graduate medical education subsidy; appropriates $24,285,714.*"
jurisdiction: "us/states/nj"
legislature: "New Jersey Legislature"
session: "218"
identifier: "A 4249"
citation: "New Jersey A 4249 (218)"
classification: ["bill"]
subjects: ["EDUC FINANCE", "HEALTH FAC"]
status: "enacted"
primary_sponsors: ["Pintor Marin, Eliana", "Ruiz, M. Teresa", "Vitale, Joseph F.", "Wimberly, Benjie E."]
version_count: 2
action_count: 9
vote_count: 4
first_action: "2018-06-21T04:00:00+00:00"
last_action: "2018-08-24T04:00:00+00:00"
source: "openstates"
source_identifier: "ocd-bill/e6e312e1-6d80-4313-ae1e-c6c8e868e2c3"
source_url: "http://www.njleg.state.nj.us/downloads.asp"
source_hash: "6eb19de3a892818c314ab7d0ac3745ec2fe0b25f57a6fd8927229768e87aecc6"
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 4249 (218) — Expands per adjusted admission charge on hospitals to create supplemental funding pool for State's graduate medical education subsidy; appropriates $24,285,714.*

## 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/A4500/4249_I1.HTM)
2. **Reprint** (committee substitute) — [source](http://www.njleg.state.nj.us/2018/Bills/A4500/4249_R1a.HTM)

## Votes

- 3RDG FINAL PASSAGE — **49–26** (pass) · lower
- 3RDG FINAL PASSAGE — **23–15** (pass) · upper
- CONCUR IN SA — **46–25** (pass) · lower
- AMEND — **23–6** (pass) · upper

## Sponsors

- Pintor Marin, Eliana — primary (person)
- Ruiz, M. Teresa — primary (person)
- Vitale, Joseph F. — primary (person)
- Wimberly, Benjie E. — primary (person)
- Conaway, Herb — cosponsor (person)

## Timeline

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

- **2018-06-21T04:00:00+00:00** Introduced, 1st Reading without Reference, 2nd Reading `introduction`
- **2018-06-25T04:00:00+00:00** Passed Assembly (49-26-2) `passage`
- **2018-06-25T04:00:00+00:00** Received in the Senate without Reference, 2nd Reading
- **2018-06-25T04:00:00+00:00** Senate Amendment (23-6) (Ruiz) `amendment-passage`
- **2018-06-25T04:00:00+00:00** Substituted for S2759 (1R)
- **2018-06-25T04:00:00+00:00** Passed Senate (23-15) `passage`
- **2018-06-25T04:00:00+00:00** Received in the Assembly, 2nd Reading on Concurrence
- **2018-06-25T04:00:00+00:00** Passed Assembly (Passed Both Houses) (46-25-3) `passage`
- **2018-08-24T04:00:00+00:00** Approved P.L.2018, c.116. `executive-signature`

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/e6e312e1-6d80-4313-ae1e-c6c8e868e2c3`. Confidence: reported (aggregated from official New Jersey legislature records).