NAMI NEW JERSEY ADVOCACY
The Lien Law - Key Provisions

PL 2005, CHAPTER 55
(The Lien Law - Key Provisions)

AN ACT concerning payment for patients in psychiatric facilities and revising parts of statutory law.

This act shall take effect on the 180th day after enactment (September 10, 2005); except that the provisions of section 8 (extinguishing all current and prior liens) of this act shall take effect immediately. The Commissioner of Human Services may take such anticipatory administrative action in advance of the effective date as shall be necessary for the implementation of the act.

All liens filed against a person treated at a state or county psychiatric facility prior to the effective date of P.L.2005, c.55, are hereby extinguished and shall have no legal effect. No new liens shall be filed by a psychiatric facility on or after the effective date of P.L.2005, c.55, against a person treated at the facility

The Department of Human Services shall adopt regulations concerning the establishment of a sliding scale fee schedule and determination of patient liability to contribute to the cost of care and maintenance pursuant to R.S.30:4-60.

In the case of a person with mental illness who is married, the department shall establish a spousal share of the combined assets of the couple that shall be preserved for the noninstitutionalized spouse and immune from execution to satisfy the person's liability to contribute toward the cost of treatment, maintenance and all necessary and related expenses of the person's hospitalization. In order to determine the spousal share of the combined assets to be preserved, the Commissioner of Human Services shall employ the same methodology used by the State Medicaid program to determine the resources that are preserved for the needs of the community spouse of an institutionalized individual in accordance with N.J.A.C.10:71-4.8.

Upon the request of a person treated at a psychiatric facility or that person's legally responsible relative, against whom a lien was recorded prior to the effective date of P.L.2005, c.55, the Department of Human Services shall arrange for the discharge of the lien by the clerk of the county, register of deeds and mortgages or clerk of the Superior Court, as the case may be

The Commissioner of Human Services shall act on any request by a person with mental illness who is 18 years of age or older, or the parent of a person with mental illness under the age of 18, to compromise for settlement of the obligation established pursuant to this section. With respect to the request, the commissioner shall allow the person or parent to retain adequate funds to:

    (a) maintain the person's or parent's housing and usual standard of living in the community;
    (b) provide for any necessary medical expenses or special needs;
    (c) support any minor, disabled, elderly or other dependent;
    (e) provide for any other genuine financial needs.

Requests to compromise for settlement of the obligation shall be liberally granted by the commissioner and shall promote the person's or his parent's opportunity to obtain and maintain employment, purchase property, both real and personal, and achieve full reintegration into the community, as applicable. The commissioner shall ensure that all persons and parents are notified of their right to request a compromise and the procedure for doing so.

 Full text of the Lien Law, PL 2005, c.55 http://www.njleg.state.nj.us/2004/Bills/PL05/55_.HTM

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