SB 910 — AN ACT EXPANDING MEDICAID COVERAGE FOR POST-PARTUM CARE TO TWELVE MONTHS AFTER A MEDICAID BENEFICIARY GIVES BIRTH TO A CHILD.

Senate General Assembly FileSubstitute Bill No.

130910 January Session, 2021 SubstituteAN SenateACT BillEXPANDING No.MEDICAID COVERAGE FOR POST-PARTUM CARE TO TWELVE MONTHS AFTER A MEDICAID BENEFICIARY GIVES BIRTH TO A CHILD.

910 Senate, March 24, 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 EXPANDING MEDICAID COVERAGE FOR POST-PARTUM CARE TO TWELVE MONTHS AFTER A MEDICAID BENEFICIARY GIVES BIRTH TO A CHILD.

sSB910This /act Fileshall No.take effect as follows and shall amend the following sections:

130 1 sSB910 File No.

130 This act shall take effect as follows and shall amend the following sections:

sSB910LCO /\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00910-R021 Fileof 2 SB.docx Substitute Bill No.

130910 APP Joint Favorable LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00910- 2 sSB910of File2 No.R02-SB.docx }

130 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 $1.9 million $1.9 million Note:

GF=General Fund Municipal Impact:

None Explanation The bill results in a state Medicaid cost of approximately $1.9 million in FY 22 and FY 23 to the Department of Social Services (DSS) associated with extending Medicaid coverage for post-partum care from 60 days to twelve months.

The cost reflects an average monthly gross cost of $365 per person.

To the extent the state is required to provide similar coverage under HUSKY B due to the provisions of the American Rescue Plan Act, DSS will incur additional costs beginning in FY 23.

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

Sources:

Department of Social Services Caseload and Utilization Information sSB910 / File No.

130 3 sSB910 File No.

130 OLR Bill Analysis sSB 910 AN ACT EXPANDING MEDICAID COVERAGE FOR POST-PARTUM CARE TO TWELVE MONTHS AFTER A MEDICAID BENEFICIARY GIVES BIRTH TO A CHILD.

SUMMARY This bill requires the Department of Social Services (DSS) commissioner, to the extent federal law permits, to extend Medicaid coverage for post-partum care to 12 months after a mother gives birth.

Under current practice, DSS provides post-partum coverage to these Medicaid beneficiaries for 60 days post-birth, in accordance with federal law (see BACKGROUND).

Under the bill, the extended post-partum coverage applies to women who are Medicaid eligible due to their pregnancies.

The bill requires the commissioner to either amend the Medicaid state plan or apply for a Section1115 waiver, whichever ispermittedunder federallawandmost expeditious, in order to provide the state with federal reimbursement for the extended post-partum care.

EFFECTIVE DATE:

July 1, 2021 BACKGROUND Federal Laws on Post-Partum Medicaid Coverage Generally, federal law requires states to provide pregnant Medicaid beneficiaries continued coverage for 60 days post-birth (42 U.S.C.

§ 1396a(e)(4)).

However, the recently enacted American Rescue Plan Act of 2021 (P.L.

117-2) allows states to amend their Medicaid state plans or waivers to extend this post-partum coverage from 60 days to 12 months post-birth.

Under the act, states may provide this optional extended coverage for a five-year period, beginning in federal fiscal year 2023.

Under the federal law, states that opt to do so must also extend post- sSB910 / File No.

130 4 sSB910 File No.

130 partum coverage in the same manner in their Children’s Health Insurance Programs (CHIP)(in Connecticut, HUSKY B).

COMMITTEE ACTION Human Services Committee Joint Favorable Substitute Yea 14 Nay 5 (03/09/2021) sSB910 / File No.

130 5