SB 313 — AN ACT CONCERNING CONTINUOUS MEDICAID ELIGIBILITY FOR CHILDREN UNDER THE AGE OF SIX.

Senate General Assembly SubstituteFile Bill No.

313256 February Session, 2024 ANSubstitute ACTSenate CONCERNINGBill CONTINUOUSNo. MEDICAID ELIGIBILITY FOR CHILDREN UNDER THE AGE OF SIX.

313 Senate, April 4, 2024 The Committee on Human Services reported through SEN.

LESSER of the 9th Dist., Chairperson of the Committee on the part of the Senate, that the substitute bill ought to pass.

AN ACT CONCERNING CONTINUOUS MEDICAID ELIGIBILITY FOR CHILDREN UNDER THE AGE OF SIX.

A qualifiedentity shall, at thetime apresumptive eligibility determination is made, provide assistance to applicants with the completion and submissionsSB313 of/ anFile applicationNo. for a full eligibility determination.

256 1 sSB313 File No.

256 submission of an application for a full eligibility determination.

(2) The commissioner shall provide continuous eligibility for the LCOMedicaid \\PRDFS1\SCOUSERS\FORZANOF\WS\2024SB-00313-R01program ofto 2any SB.docxchild Substitutewho Billhas No.been determined eligible for the program until such child reaches the age of six.

313 Medicaid program to any child who has been determined eligible for the program until such child reaches the age of six.

-LCO LCOsSB313 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2024SB-00313-/ 2File ofNo. 2 R01-SB.docx }

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256 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 25 $ FY 26 $ Social Services, Dept.

GF - Cost up to $6.5 million $950,000 Note:

GF=General Fund Municipal Impact:

None Explanation The bill results in a cost to the Department of Social Services (DSS) due to requiring continuous eligibility under Medicaid for children up to age six.

DSS would incur initial costs of up to $950,000 in FY 25 to support waiver development and system costs associated with extended eligibility requirements.

Maintaining support for children who would have otherwise exited the program is estimated to cost approximately $6.5 million in FY 26.

1 The Out Years Costs will continue to increase annually until approximately FY 30 when program costs are annualized.

This is estimated to result in state costs of up to $55 million.

The actual cost is dependent on the number of children up to age six who remain on Medicaid who would have otherwise exited the program.

1Assumes 0.2 percent of children under age 6 would exit the program each month.

sSB313 / File No.

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256 OLR Bill Analysis sSB 313 AN ACT CONCERNING CONTINUOUS MEDICAID ELIGIBILITY FOR CHILDREN UNDER THE AGE OF SIX.

SUMMARY This bill requires the Department of Social Services to provide continuous Medicaid eligibility for qualifying children until age six.

Once a child is six, his or her Medicaid eligibility must be redetermined annually according to state law.

EFFECTIVE DATE:

July 1, 2024 BACKGROUND Continuous Eligibility Continuouseligibility allowsapersontoremainenrolledinMedicaid for a specific period of time even if his or her income changes.

Federal law requires all states to provide 12 months of continuous eligibility for children under the age of 19.

States may apply for a Medicaid waiver for federalapprovalto extendcontinuouseligibility to childrenfor multiple years.

COMMITTEE ACTION Human Services Committee Joint Favorable Yea 15 Nay 7 (03/19/2024) sSB313 / File No.

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