SB 412 — AN ACT INCREASING MEDICAID RATES FOR COMPLEX CARE NURSING SERVICES.

Senate General Assembly CommitteeFile Bill No.

412695 January Session, 2023 LCOSubstitute Senate Bill No.

3860412 ReferredSenate, toMay 4, 2023 The Committee on HUMANAppropriations SERVICESreported Introducedthrough by:SEN.

(HS)OSTEN ANof ACTthe INCREASING19th MEDICAIDDist., RATESChairperson FORof COMPLEXthe CARECommittee NURSINGon SERVICES.the part of the Senate, that the substitute bill ought to pass.

AN ACT INCREASING MEDICAID RATES FOR COMPLEX CARE NURSING SERVICES.

(NEW)Subsection (Effective(a) Julyof 1,section 2023)17b-242 Asof usedthe ingeneral thisstatutes section,is "complexrepealedandthefollowingissubstitutedinlieu carethereof(EffectiveJanuary nursing1, services"2024): means intensive, specialized nursing services provided to a patient with complex care needs who requires skilled nursing care at home.

(a) The CommissionerDepartment of Social Services shall amenddetermine the Medicaidrates state plan to (1)be increasepaid ratesto ofhome Medicaidhealth reimbursement for complex care nursingagencies servicesand provided to a Medicaid beneficiary in such beneficiary's home tohealth aaide levelagencies commensurateby withthe Medicaidstate ratesor of reimbursement for such nursing services provided in skilled nursing facilities, and (2) eliminate any differentialtown in ratesthe ofstate Medicaid reimbursement for suchpersons nursingaided servicesor basedcared onfor by the agestate ofor theany patient.such town.

Sec.

2.

Subsection (a) of section 17b-242 of the general statutes is repealed and the following is substituted in lieu thereof (Effective July 1, 2023):

(a) The Department of Social Services shall determine the rates to be LCO No.

3860 1 of 3 Committee Bill No.412 paid to home health care agencies and home health aide agencies by the state or any town in the state for persons aided or cared for by the state or any such town.

The commissioner shall increase the fee schedule for home health servicessSB412 provided/ underFile theNo. Connecticut home-care program for the elderly established under section 17b-342, effective July 1, 2000, by two per cent over the fee schedule for home health services for the previous year.

The695 commissioner shall (1) increase the fee schedule for complex care nursing services, as defined in section 1 ofsSB412 thisFile act,No. effective July 1, 2023, to a level commensurate with rates of reimbursement for such services provided in skilled nursing facilities, and (2) eliminate any differential in fees paid for such services based on the age of the patient.

The695 commissionerservices mayprovided increaseunder anythe feeConnecticut payablehome-care toprogram afor homethe healthelderly careestablished agencyunder orsection home17b-342, healtheffective aideJuly agency1, upon2000, theby applicationtwo ofper suchcent anover agencythe evidencingfee extraordinaryschedule costsfor relatedhome tohealth [(1)]services (A)for servingthe personsprevious withyear. AIDS;

[(2)]On (B)and high-riskafter maternalJanuary and1, child2024, healththe care;commissioner shall increase the feeschedule for complex care nursing servicesprovidedto patientsover the age of eighteen such that the rate of reimbursement is equal to the rate for such services provided to patients age eighteen and under.

[(3)]There (C)shall escortbe services;no differential in fees paid for such services based on the age of the patient.

The commissioner may increase any fee payable to a home health care agency or [(4)]home (D)health extendedaide houragency services.upon the application of such an agency evidencing extraordinary costs related to (1) serving persons with AIDS;

(2) high-risk maternal and child health care;

(3) escort services;

or (4) extended hour services.

The LCOcommissioner No.may implement policies and procedures to carry out the provisions of this subsection while in the process of adopting regulations, provided notice of intent to adopt the regulations is [published in the Connecticut Law Journal] posted on the eRegulations System not later than twenty days after the date of implementing the policies and procedures.

3860 2 of 3 Committee Bill No.

412 commissioner may implement policies and procedures to carry out the provisions of this subsection while in the process of adopting regulations, provided notice of intent to adopt the regulations is published in the Connecticut Law Journal not later than twenty days after the date of implementing the policies and procedures.

ThisFor actpurposes shallof takethis effectsubsection, as"complex followscare andnursing shallservices" amendmeans theintensive, followingspecialized sections:nursing services provided to a patient with complex care needs who requires skilled nursing care at home.

SectionsSB412 1/ JulyFile 1,No. 2023 New section Sec.

695 2 JulysSB412 1,File 2023No. 17b-242(a) Statement of Purpose:

To695 increaseThis Medicaidact reimbursementshall ratestake foreffect complexas carefollows nursing services provided in the homes of Medicaid beneficiaries and eliminateshall differentialsamend in rates based on the agefollowing ofsections: a patient.

thatSection when1 theJanuary entire1, text2024 of17b-242(a) aStatement bill or resolution or a section of aLegislative billCommissioners: or resolution is new, it is not underlined.] Co-Sponsors:

SEN.In Subsec.

BERTHEL,(a), 32nd"individuals" Dist.was changed to "patients", for consistency, and "published in the Connecticut Law Journal" was changed to "[published in the Connecticut Law Journal] posted on the eRegulations System".

S.B.HS Joint Favorable Subst.

412C/R LCOAPP No.APP Joint Favorable Subst.

3860sSB412 3/ ofFile 3No.

695 3 sSB412 File No.

695 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 24 $ FY 25 $ Social Services, Dept.