SB 315 — AN ACT IMPLEMENTING THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC MODEL IN THE MEDICAID PROGRAM.

Senate General Assembly SubstituteFile Bill No.

315257 February Session, 2024 ANSubstitute ACTSenate IMPLEMENTINGBill THENo. CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC MODEL IN THE MEDICAID PROGRAM.

315 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 IMPLEMENTING THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC MODEL IN THE MEDICAID PROGRAM.

(b) Not later than October 1, 2024, the Commissioner of Social Services, in consultation with the Commissioner of Mental Health and AddictionsSB315 Services,/ shallFile seek federal approval to join a Medicaid demonstration program supporting certified community behavioral health clinics in multiple states pursuant to Section 223 of the Protecting LCO \\PRDFS1\SCOUSERS\FORZANOF\WS\2024SB-00315-R01 of 2 SB.docx Substitute Bill No.

315257 Access1 tosSB315 MedicareFile ActNo. of 2014, P.L.

257 Addiction Services, shall seek federal approval to join a Medicaid demonstration program supporting certified community behavioral health clinics in multiple states pursuant to Section 223 of the Protecting Access to Medicare Act of 2014, P.L.

-LCO LCOsSB315 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2024SB-00315-R012/ ofFile 2No. SB.docx }

257 2 sSB315 File No.

257 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 See Below $750,000 Note:

GF=General Fund Municipal Impact:

None Explanation The bill results in a cost to the Department of Social Services (DSS) by requiring the agency, in consultation with the Department of Mental Health and Addiction Services (DMHAS), to seek federal approval to join a Medicaid demonstration program supporting certified community behavioral health clinics (CCBHC), by October 1, 2024.

DSS could incur costs of up to $750,000 to support durational staff and consulting costs to assist with the development and submittal of the plan.

The plan must include (1) a system to certify CCBHCs, (2) reporting on the effect of such clinics on access to care and associated state costs, and (3) a prospective payment system.

Ongoing costs are dependent on federal approval and demonstration requirements.

The Out Years The annualized ongoing fiscal impact is subject to federal approval and the provisions of the demonstration program.

sSB315 / File No.

257 3 sSB315 File No.

257 OLR Bill Analysis SB 315 AN ACT IMPLEMENTING THE CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC MODEL IN THE MEDICAID PROGRAM.

SUMMARY This bill requires the Department of Social Services (DSS) commissioner, by October 1, 2024, to seek federal approval to join a Medicaid demonstration program supporting certified community behavioral health clinics (CCBHC), as authorized by federal law (see BACKGROUND).

The bill requires the DSS commissioner to develop a plan to apply for the program that includes (1) a system to certify CCBHCs, (2) reporting on clinics’ effect on access to care and state costs, and (3) a prospective payment system.

The plan’s prospective payment system must include (1) incentives for clinics that exceed quality of care thresholds, (2) triannual rate adjustments in accordance with the Medicare Economic Index (an inflation measure for physicians, calculated by the federal Centers for Medicare and Medicaid Services), and (3) allowable rate modifications based on a clinic’s scope of services.

The bill requires the DSScommissionertoconsultwiththeDepartmentofMentalHealthand Addiction Services commissioner when seeking federal approval and developing the plan.

The bill also requires the DSS commissioner to report on the plan by August 30, 2024, to the Human Services and Public Health committees.

If the plan receives federal approval, DSS must report to the same committees by January 1 annually for the demonstration’s duration on its effects on access to care and state behavioral health care costs.

EFFECTIVE DATE:

Upon passage sSB315 / File No.

257 4 sSB315 File No.

257 CCBHC SERVICES Under the bill, CCBHCs are clinics certified by the state that offer at least the following:

1.

recovery-oriented person and family-centered substance abuse and mental health services within and outside of the clinic;

2.

expanded service hours;

3.