SB 1090 — AN ACT ESTABLISHING A COMMISSION TO STUDY A HUSKY FOR ALL SINGLE PAYER, UNIVERSAL HEALTH CARE PROGRAM.

Senate General Assembly RaisedFile Bill No.

1090526 January Session, 2021 LCOSubstitute Senate Bill No.

47171090 ReferredSenate, toApril 19, 2021 The Committee on HUMANHuman SERVICESServices Introducedreported by:through SEN.

(HS)MOORE ANof ACTthe ESTABLISHING22nd ADist., COMMISSIONChairperson TOof STUDYthe ACommittee HUSKYon FORthe ALLpart SINGLEof PAYER,the UNIVERSALSenate, HEALTHthat CAREthe PROGRAM.substitute bill ought to pass.

AN ACT ESTABLISHING A COMMISSION TO STUDY A HUSKY FOR ALL SINGLE PAYER, UNIVERSAL HEALTH CARE PROGRAM.

(b) There is established a commission to study and make recommendations concerning establishing a HUSKY for All Single Payer,UniversalHealthCarePrograminthestate.ThecommissionmayPayer, LCOUniversal No.Health Care Program in the state.

4717The 1sSB1090 of/ 6File RaisedNo. Bill No.1090 contract with an independent person or entity for an economic analysis of establishing such program provided such person or entity has completed not less than two such economic analyses of establishing a single payer, universal health care program on the state or federal level.

(c)526 The1 commissionsSB1090 shallFile beNo. comprised of:

526 commission shall contract with an independent person or entity for an economic analysis of establishing such program.

Such person or entity shall have completed not less than two such economic analyses of establishing a single payer, universal health care program on the state or federal level.

(c) The commission shall be composed of:

(7) TheAt Insuranceleast Commissionerfour healthcare consumers appointed by the chairpersons of the joint standing committees of the General Assembly having cognizance of matters relating to human services, insurance, labor and public health and at least two health care consumers appointed by the Commissionerranking members of Socialsaid Services,committees, orincluding, theirbut designees;not limited to, persons who have (A) collected unemployment within the two-year period preceding July 1, 2021, (B) been without health insurance for at sSB1090 / File No.

(8)526 The2 chiefsSB1090 executiveFile officerNo. of the Connecticut Hospital Association, or the chief executive officer's designee;

(9)526 Theleast presidentthree ofmonths within the Connecticuttwo-year Stateperiod Medicalpreceding Society,July 1, 2021, (C) obtained insurance through the Consolidated Omnibus Budget Reconciliation Act, or COBRA, due to circumstances including a voluntary or involuntary job loss within the president'stwo-year designee;period preceding July 1, 2021, (D) filed an individual income tax return itemizing medical expenses in the five-year period preceding July 1, 2021, (E) ever been ineligible to buy health insurance through the Connecticut Health Insurance Exchange, or (F) been without health insurance and lack legal immigration status;

LCO(8) No.The Insurance Commissioner and the Commissioner of Social Services, or their designees;

4717(9) 2The ofchief 6executive Raisedofficer Bill No.1090 (10) Two providers of medical services under the medicalConnecticut assistanceHospital programandtwopersonswhoreceivesuchservicesundertheprogram,Association, appointedor by the chairpersonchief ofexecutive theofficer's Councildesignee; on Medical Assistance Program Oversight;

(11)(10) OneThe representativepresident each from Health Equity Solutions and United States of Care,the appointedConnecticut byState theMedical executiveSociety, directoror of the Officepresident's ofdesignee; Health Strategy;

(12)(11) Two representativesproviders of labormedical unionsservices representingunder employeesthe whomedical workassistance inprogramandtwopersonswhoreceivesuchservicesundertheprogram, health care fields, appointed by the executivechairperson director of the OfficeCouncil ofon HealthMedical Strategy;Assistance Program Oversight;

and(12) (13)One Tworepresentative personseach from academiaHealth withEquity expertiseSolutions inand economicsUnited orStates healthof insurance,Care, or both, appointed by the executive director of the Office of Health Strategy,Strategy; provided such persons shall not be among the independent persons contracting with the commission to produce an economic analysis on establishing a HUSKY for All Single Payer, Universal Health Care Program.

(13) Two representatives of the private health insurance industry, appointed by the executive director of the Office of Health Strategy in consultationwiththepresident oftheConnecticut AssociationofHealth Plans;

(14) Two representatives of labor unions representing employees who work in health care fields and one representative each from the Service Employees International Union and United Electrical Radio and Machine Workers of America, Local 222, appointed by the executive director of the Office of Health Strategy;

sSB1090 / File No.

526 3 sSB1090 File No.

526 (15) Two persons from academia with expertise in economics or health insurance, or both, appointed by the executive director of the Office of Health Strategy, provided such persons shall not be among the independent persons contracting with the commission to produce an economic analysis of establishing a HUSKY for All Single Payer, Universal Health Care Program;

(16) One representative from a community health center appointed by the executive director of the Office of Health Strategy;

(17) One representative from HealthCare Now appointed by the executive director of the Office of Health Strategy;

(18) The executive director of the Commission on Women, Children, Seniors, Equity and Opportunity, or the executive director's designee;

and (19) Two representatives of nonprofit organizations that provide direct legal representation to low-income Medicaid enrollees.

Any vacancies shall be filled by the executive director of the Office of Health Strategy or the appointing authority.Ifauthority. anappointing authority doesnot fillavacancy withinthirty days, the executive director of the Office of Health Strategy shall fill the vacancy.

If another appointing authority does not fill a vacancy within thirty days, the executive director of the Office of Health Strategy shall fill the vacancy.

(A) State costs offor the medical assistance program, (B) state costs offor the Connecticut Health Insurance Exchange, and (C) average individual LCOconsumer monthly health care costs for (i) participation in medical assistance programs requiring cost sharing by a participant, (ii) sSB1090 / File No.

4717526 34 ofsSB1090 6File RaisedNo. Bill No.1090 consumer monthly health care costs for (i) participation in medical assistance programs requiring cost sharing by a participant, (ii) premiums for participants in the Connecticut Health Insurance Exchange, (iii) premiums for private health insurance plans, and (iv) premiums for Medicare supplement plans, Medicare health maintenance organization plans and Medicare drug plans.

(2)Sources526 ofcurrentpremiums and out-of-pocket costs for participants in the Connecticut Health Insurance Exchange, (iii) premiums and out-of-pocket costs for private health careinsurance financing,plans, including,and but(iv) notpremiums limitedand to:out-of-pocket costs for Medicare supplement plans, Medicare health maintenance organization plans and Medicare drug plans, (D) the costs for municipalities for both employees and retirees, and (E) the costs for small businesses and independent contractors.

(2)Sources ofcurrent healthcare financing, including, but not limited to:

(A) State costs for the medical assistance program and oversight by the Insurance Department of private health care insurance and state costs under a HUSKY for All Single Payer, Universal Health Care Program, (B) consumer costs for private health care insurance and consumer costs under a HUSKY for All Single Payer, Universal Health Care Program, including any costs if the program is covered in part by taxation of a consumer, (C) employer and employee costs for private health care insurance and employer and employee costs if a HUSKY for All Single Payer, Universal Health Care Program is covered in part by taxation of an employer,employer and an employee, and (D) participant cost sharing for medical assistance programs or Medicare and costs for such consumers under a HUSKY for All Single Payer, Universal Health Care Program.

(5) Provider payment rates under the medical assistance program, Medicare program and the private health insurance market and recommendationssSB1090 for/ providerFile payment rates under a HUSKY for All LCO No.

4717526 45 ofsSB1090 6File Raised Bill No.

1090526 recommendations for provider payment rates under a HUSKY for All Single Payer, Universal Health Care Program.

(6) The number of residents uninsuredwho are withouthealth insurance or who are underinsured under the current health care coverage programs and the number of persons estimated to be uninsuredwithout health insurance or underinsured under a HUSKY for All Single Payer, Universal Health Care Program.

(9) The impact of a single payer, universal health care system on the labor marketmarket, including, but not limited to, (A) the ability of aemployees singleto payer,move universalfrom job to job without the consideration of employer- sponsored health care systembenefits, thatand eliminates(B) privatethe insurance.impact on current employees of the private, for-profit health insurance industry transitioning to new employment under a HUSKY for All Single Payer, Universal Health Care Program.