HB 5312 — AN ACT CONCERNING MEDICAID COVERAGE FOR ADULT DAY SERVICES AND TRANSPORTATION TO AND FROM SUCH SERVICES.

House of Representatives General Assembly RaisedFile Bill No.

5312113 February Session, 2022 LCOHouse Bill No.

21075312 ReferredHouse toof Representatives, March 23, 2022 The Committee on AGINGAging Introducedreported by:through REP.

(AGE)GARIBAY ANof ACTthe CONCERNING60th MEDICAIDDist., COVERAGEChairperson FORof ADULTthe DAYCommittee SERVICESon ANDthe TRANSPORTATIONpart TOof ANDthe FROMHouse, SUCHthat SERVICES.the bill ought to pass.

AN ACT CONCERNING MEDICAID COVERAGE FOR ADULT DAY SERVICES AND TRANSPORTATION TO AND FROM SUCH SERVICES.

Section 1 July 1, 2022 New section LCOHB5312 2107/ \\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05312-R011File of 2 HB.docx Raised Bill No.

5312113 AGE1 JointHB5312 FavorableFile LCONo. 2107 {\\PRDFS1\HCOUSERS\BARRYJN\WS\2022HB-05312- 2 of 2 R01-HB.docx }

113 AGE Joint Favorable HB5312 / File No.

113 2 HB5312 File No.

113 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 23 $ FY 24 $ Social Services, Dept.

GF - Cost Indeterminate Indeterminate Note:

GF=General Fund Municipal Impact:

None Explanation The bill will result inacost to theDepartment ofSocialServices(DSS) associated with requiring Medicaid coverage for adult day services for older adults under the Medicaid state plan and increasing reimbursement for transportation services to and from adult day services.

The cost is dependent on the number of older adults who would qualify and choose to utilize the service and the final rates established for these services.

For context, the current rate for adult day services for eligible enrollees is $51.93 for half-day and $77.14 for full- day, non-medical care.

Rates currently include transportation costs.

The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to utilization of adult day services by the newly eligible group and corresponding Medicaid rates.

HB5312 / File No.

113 3 HB5312 File No.

113 OLR Bill Analysis HB 5312 AN ACT CONCERNING MEDICAID COVERAGE FOR ADULT DAY SERVICES AND TRANSPORTATION TO AND FROM SUCH SERVICES.

SUMMARY This bill requires the social services commissioner to (1) amend the state Medicaid plan to provide coverage for adult day services and (2) increase the provider reimbursement rate to cover the cost of transporting beneficiaries to and from these services.

The bill defines “adult day services” as therapeutic, health, and social services offered in a community setting to older adults living at home who need supervised care during the day.

Currently, Medicaid covers home- and community-based services for eligible individuals age 65 or older through the Connecticut Home Care Program for Elders (CHCPE).

EFFECTIVE DATE:

July 1, 2022 BACKGROUND CHCPE CHCPE provides home- and community-based services for eligible individuals age 65 or older who are at risk of institutionalization.

Services include care management, adult day care, homemaker services, transportation, meals-on-wheels, minor home modifications, and certain personal care assistant and assisted living services.

CHCPE is funded with federal and state dollars and has separate eligibility requirements for each source of funds.

COMMITTEE ACTION Aging Committee Joint Favorable Yea 15 Nay 0 (03/10/2022) HB5312 / File No.

113 4