HB 5580 — AN ACT CONCERNING MEDICAID COVERAGE FOR DIABETES PREVENTION, EDUCATION, SELF-MANAGEMENT AND MEDICAL NUTRITION THERAPY PROGRAMS AND ESTABLISHING AN ADVISORY COUNCIL.

House of Representatives General Assembly FileCommittee Bill No.

4505580 January Session, 2025 HouseLCO Bill No.

55805738 HouseReferred ofto Representatives, April 2, 2025 The Committee on HumanHUMAN ServicesSERVICES reportedIntroduced throughby: REP.

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AN ACT CONCERNING MEDICAID COVERAGE FOR DIABETES PREVENTION, EDUCATION, SELF-MANAGEMENT AND MEDICAL NUTRITION THERAPY PROGRAMS AND ESTABLISHING AN ADVISORY COUNCIL.

HB5580Sec. / File No.

450 1 HB5580 File No.

450 Sec.

(NEW) (Effective from passage) (a) There is established a DiabetesLCO Advisory5738 Council1 toof study3 andCommittee makeBill recommendationsNo. concerning diabetes education, prevention and treatment.

5580 Diabetes Advisory Council to study and make recommendations concerning diabetes education, prevention and treatment.

(d) All initial appointments to the council shall be made not later than HB5580thirty /days Fileafter No.the effective date of this section.

450Any vacancy shall be LCO 5738 2 HB5580of File3 Committee Bill No.

4505580 thirtyfilled daysby after the effectiveappointing dateauthority. of this section.

Any vacancy shall be filled by the appointing authority.

2 from passage New section HS Joint Favorable HB5580APP /Joint FileFavorable No.LCO 5738 3 of 3

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450 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 26 $ FY 27 $ Social Services, Dept.

GF - Cost 75,000 75,000 Note:

GF=General Fund Municipal Impact:

None Explanation The bill results in a cost to the Department of Social Services (DSS) of approximately $75,000 in FY 26 and FY 27 due to requiring Medicaid coverage of diabetes prevention, education, self-management and medical nutrition therapy.

Costs are based on a diabetes prevention program previously operated by the Community Health Network of Connecticut (CHNCT) andassume similar enrollment andmanagement through the administrative services organization.

The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to program utilization.

HB5580 / File No.

450 4 HB5580 File No.

450 OLR Bill Analysis HB 5580 AN ACT CONCERNING MEDICAID COVERAGE FOR DIABETES PREVENTION, EDUCATION, SELF-MANAGEMENT AND MEDICAL NUTRITION THERAPY PROGRAMS AND ESTABLISHING AN ADVISORY COUNCIL.

SUMMARY This bill requires the Department of Social Services (DSS) commissioner to give Medicaid coverage, as federal law allows, for diabetes prevention, education, self-management, and medical nutrition therapy and allows her to seek federal approval for any needed Medicaid waiver or state plan amendment to do so.

The bill requires the commissioner to report to the legislature, by January 1, 2026, on Medicaid recipients enrolled in diabetes prevention, education, self-management, or nutrition therapy programs and any available data on these programs’ impact on recipients’ health.

The bill also establishes an 11-member Diabetes Advisory Council to study and make recommendations on diabetes education, prevention, and treatment.

The council must report its findings and recommendations annually, beginning by January 1, 2026, to the Human Services and Public Health committees.

EFFECTIVE DATE:

July 1, 2025, except the provision establishing the advisory council is effective upon passage.

DIABETES ADVISORY COUNCIL Members Under the bill, the advisory council includes the following 11 members:

1.

one member with medical expertise in diabetes treatment and one member with expertise in type 2 diabetes prevention HB5580 / File No.

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450 programs, appointed by the House speaker;