SB 482 — AN ACT CONCERNING LEGISLATIVE OVERSIGHT OF MEDICAID WAIVERS, MEDICAID STATE PLAN AMENDMENTS AND OTHER FEDERALLY FUNDED PROGRAMS.

Senate General Assembly RaisedFile Bill No.

482 February Session, 2026 LCOSenate Bill No.

2957482 ReferredSenate, toApril 7, 2026 The Committee on HUMANHuman SERVICESServices Introducedreported by:through SEN.

(HS)LESSER ANof ACTthe CONCERNING9th LEGISLATIVEDist., OVERSIGHTChairperson OFof MEDICAIDthe WAIVERS,Committee MEDICAIDon STATEthe PLANpart AMENDMENTSof ANDthe OTHERSenate, FEDERALLYthat FUNDEDthe PROGRAMS.bill ought to pass.

AN ACT CONCERNING LEGISLATIVE OVERSIGHT OF MEDICAID WAIVERS, MEDICAID STATE PLAN AMENDMENTS AND OTHER FEDERALLY FUNDED PROGRAMS.

111-152 to the joint standing committees of the General Assembly having cognizance of matters relating to human services and appropriations and the budgets of state agencies, and, for the waiver application required under section 17b-312, the joint standingSB482 committee/ ofFile the General Assembly having cognizance of LCO 2957 1 of 4 Raised Bill No.

482 mattersrelatingtoinsurance,priortothesubmissionofsuchapplication1 orproposedamendmenttothefederalgovernment.NotlaterthanthirtySB482 daysFile afterNo. the date of their receipt of such application or proposed amendment, the joint standing committees shall:

482 standing committee of the General Assembly having cognizance of mattersrelatingtoinsurance,priortothesubmissionofsuchapplication orproposedamendmenttothefederalgovernment.Notlaterthanthirty days after the date of their receipt of such application or proposed amendment, the joint standing committees shall:

If the joint standing committees accept the report, the committee having cognizanceofmattersrelatingtoappropriationsandthebudgetsofstate agencies shall advise the commissioner of their approval, denial or modifications,SB482 if/ any,File of the commissioner's waiver application or LCO 2957 2 of 4 Raised Bill No.

482 proposed2 amendment.SB482 File No.

482 modifications, if any, of the commissioner's waiver application or proposed amendment.

(c)Thirtydaysprior tosubmissionofanapplicationforawaiverfrom federal law, renewal ofsuch waiver or proposed amendment to the joint standing committees of the General Assembly under subsection (a) of this section, the Commissioner of Social Services shall publish a notice that the commissioner intends to seek such a waiver or waiver renewal, or submit a proposed amendment to the federal government in the Connecticut Law Journal and on the Department of Social Services' Internet web site, along with a summary of the provisions of the waiver application or the proposed amendment and the manner in which individualsSB482 may/ submitFile comments.No.

The482 commissioner shall allow thirty LCO 2957 3 ofSB482 4File Raised Bill No.

482 daysindividuals formay writtensubmit commentscomments. on the waiver application or proposed amendment prior to submission of the application for a waiver, waiver renewal or proposed amendment to the General Assembly under subsection(a)ofthissectionandshallincludeallwrittencommentswith the waiver, waiver renewal application or proposed amendment in the submission to the General Assembly.

The commissioner shall allow thirty days for written comments on the waiver application or proposed amendment prior to submission of the application for a waiver, waiver renewal or proposed amendment to the General Assembly under subsection(a)ofthissectionandshallincludeallwrittencommentswith the waiver, waiver renewal application or proposed amendment in the submission to the General Assembly.

Section 1 July 1, 2026 17b-8 HS Joint Favorable LCOSB482 2957/ 4File ofNo. 4

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482 The following Fiscal Impact Statement and Bill Analysis are prepared for the benefit of the members of the General Assembly, solely for purposes of information, summarization and explanation and do not represent the intent of the General Assembly or either chamber thereof for any purpose.

In general, fiscal impacts are based upon a variety of informational sources, including the analyst’s professional knowledge.

Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.

OFA Fiscal Note State Impact:

Agency Affected Fund-Effect FY 27 $ FY 28 $ Social Services, Dept.

Various See Below See Below Note:

Various=General Fund and Federal Funds Municipal Impact:

None Explanation This bill requires the Department of Social Services (DSS) to submit any federal funding applications for DSS-administered programs to the Appropriations and Human Services committees at least 30 days before submitting them to the federal government, excluding federal block grant applications and the Community Services Block Grant.

To the extent this delays or modifies funding that DSS would have otherwisereceived,thestatecouldexperience afiscalimpactthatcannot be determined at this time.

The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to certain federal grant opportunities and related committee actions.

SB482 / File No.

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482 OLR Bill Analysis SB 482 AN ACT CONCERNING LEGISLATIVE OVERSIGHT OF MEDICAID WAIVERS, MEDICAID STATE PLAN AMENDMENTS AND OTHER FEDERALLY FUNDED PROGRAMS.

SUMMARY This bill requires the Department of Social Services (DSS) to submit any federal funding applications for DSS-administered programs to the Appropriations and Human Services committees at least 30 days before submitting them to the federal government.

The bill allows the committees to hold a hearing and schedule a vote using the same processes in existing law for Medicaid waivers and certain Medicaid state plan amendments (SPAs) (see BACKGROUND).

The bill excludes from this requirement federal block grant applications that are already subject to a legislative review process under existing law (for example, for the Low Income Home Energy Assistance Program (LIHEAP) or the Community Services Block Grant (CSBG)).

EFFECTIVE DATE:

July 1, 2026 BACKGROUND Legislative Approval Process for Waivers and SPAs State law requires the DSS commissioner to submit federal waiver applications, renewals, and amendments and certain SPAs to the Appropriations and Human Services committees before submitting them to the federal government for approval.

The committees must review waivers through this process, and they may decide whether to review SPAs.

Within 30 days after receiving DSS’ application, the committees must SB482 / File No.

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482 (1) hold a public hearing for waivers or (2) notify DSS about whether they intend to hold a public hearing for SPAs.

If the committees decide to hold a public hearing on a SPA, they must do so within 60 days after receiving the application.