SB 764 — AN ACT CONCERNING MEDICAID PROVIDERS.

Senate General Assembly FileSubstitute Bill No.

109764 January Session, 2021 SubstituteAN SenateACT BillCONCERNING No.MEDICAID PROVIDERS.

764 Senate, March 23, 2021 The Committee on Human Services reported through SEN.

MOORE of the 22nd Dist., Chairperson of the Committee on the part of the Senate, that the substitute bill ought to pass.

AN ACT CONCERNING MEDICAID PROVIDERS.

(1) "Methadone maintenance" means a chemicalmaintenance programunder whichanaddictionto onedrug, including, but not limitedto,heroin,istreatedwiththedrug methadone in a weekly program that includes on and off-site methadone sSB764administration, /drug Filetesting No.and counseling;

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109 administration, drug testing and counseling;

(b)LCO The\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00764-R01 Commissioner of Social3 ServicesSB.docx shallSubstitute amendBill theNo. Medicaid state plan to provide a minimum weekly reimbursement rate of eighty- eight dollars and fifty-two cents to a chemical maintenance provider for methadone maintenance treatment of a Medicaid beneficiary, provided no such provider receiving a higher rate shall have such rate reduced to the minimum as a result of the implementation of a new minimum reimbursement rate.

764 (b) The Commissioner of Social Services shall amend the Medicaid state plan to provide a minimum weekly reimbursement rate of eighty- eight dollars and fifty-two cents to a chemical maintenance provider for methadone maintenance treatment of a Medicaid beneficiary, provided no such provider receiving a higher rate shall have such rate reduced to the minimum as a result of the implementation of a new minimum reimbursement rate.

No provider shall receive a rate decrease under this subsection that is more than aten per cent decrease annually.] [(d)](c)TheCommissionerofSocialServices,pursuanttosection17b- 10,mayimplementpoliciesandproceduresto administertheprovisions of this section while in the process of adopting such policies and sSB764procedures /in Fileregulation No.form, provided the commissioner [prints] posts notice of the intent to adopt the regulations on the department's Internet web site and the eRegulations System not later than twenty days after the date of implementation.

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109 procedures in regulation form, provided the commissioner [prints] posts notice of the intent to adopt the regulations on the department's Internet web site and the eRegulations System not later than twenty days after the date of implementation.

(NEW) (Effective from passage) The Commissioner of Social ServicesLCO shall{\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00762 adjust rates of reimbursement3 underR02-SB.docx the} MedicaidSubstitute programBill soNo. that (1) a nurse-midwife licensed pursuant to chapter 377 of the general statutes receives the same rate as an obstetrician- gynecologist licensed pursuant to chapter 370 of the general statutes for performing the same medical service or procedure, and (2) a podiatrist licensed pursuant to chapter 375 of the general statutes receives the same rate as a physician licensed pursuant to chapter 370 of the general statutes for performing the same medical service or procedure.

764 Services shall adjust rates of reimbursement under the Medicaid program so that (1) a nurse-midwife licensed pursuant to chapter 377 of the general statutes receives the same rate as an obstetrician- gynecologist licensed pursuant to chapter 370 of the general statutes for performing the same medical service or procedure, and (2) a podiatrist licensed pursuant to chapter 375 of the general statutes receives the same rate as a physician licensed pursuant to chapter 370 of the general statutes for performing the same medical service or procedure.

3 from passage New section July 1, 2021 Sec.

4 July 1, 2021 New section sSB764HS /Joint FileFavorable No.Subst.

109-LCO 3APP sSB764Joint FileFavorable No.LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00764-3 of 3 R02-SB.docx }

109 Statement of Legislative Commissioners:

In Section4, "into themedicalassistance programandprovideMedicaid reimbursement for such services" was changed to "into care teams funded under the medical assistance program and provide Medicaid reimbursement to such specialists for such services" for clarity.

HS Joint Favorable Subst.

-LCO sSB764 / File No.

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109 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 22 $ FY 23 $ Social Services, Dept.

GF - Cost See Below See Below Note:

GF=General Fund Municipal Impact:

None Explanation The bill results in a cost to the Department of Social Services (DSS) of at least $524,000 in FY 22 and $596,000 in FY 23 associated with expanded services under Medicaid.

Section 1 results in increased state costs of $114,000 in FY 22 and $174,000 in FY 23 associated with making Medicaid payments for services provided by licensed chiropractors.

DSS would also incur increased costs to provide Medicaid coverage for licensed acupuncturists, the extent of which will depend on the fee established and utilization of such services.

Section 2 conforms to current practice and has no fiscal impact.

Section 3 results in increased state costs of approximately $410,000 in FY 22 and $422,000 in FY 23.

The cost to increase rates for nurse- midwives to the rates paid to obstetrician-gynecologists for the same services or procedures is approximately $253,000 in FY 22 and $260,000 in FY 23.

The cost to increase podiatrist rates to rates paid to physicians for the same services or procedures is approximately $157,000 in FY 22 and $162,000 in FY 23.

Section 4 results in increased Medicaid costs by requiring coverage sSB764 / File No.

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109 for services provided by peer support specialists integrated into care teams.