Connecticut 2013 Regular Session

Connecticut Senate Bill SB01086 Compare Versions

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1-General Assembly Substitute Bill No. 1086
2-January Session, 2013 *_____SB01086HS____040313____*
1+General Assembly Raised Bill No. 1086
2+January Session, 2013 LCO No. 2552
3+ *02552_______HS_*
4+Referred to Committee on HUMAN SERVICES
5+Introduced by:
6+(HS)
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48 General Assembly
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6-Substitute Bill No. 1086
10+Raised Bill No. 1086
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812 January Session, 2013
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10-*_____SB01086HS____040313____*
14+LCO No. 2552
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12-AN ACT CONCERNING COMMUNITY LONG-TERM CARE.
16+*02552_______HS_*
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18+Referred to Committee on HUMAN SERVICES
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20+Introduced by:
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22+(HS)
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24+AN ACT CONCERNING LONG-TERM CARE.
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1426 Be it enacted by the Senate and House of Representatives in General Assembly convened:
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16-Section 1. (Effective from passage) (a) For purposes of this section, (1) "Community First Choice Option" means a Medicaid state plan option available under the Affordable Care Act, P.L. 111-148, as amended from time to time, which offers states enhanced federal Medicaid reimbursement to provide eligible individuals with home and community-based services, (2) "eligible individual" means a person eligible for Medicaid who, but for the provision of home and community-based services, would require care in an institution, and (3) "institution" means a hospital, nursing facility, intermediate care facility for persons with mental retardation, psychiatric institution for persons under twenty-one years of age or a facility that provides persons sixty-five years of age and older with treatment for mental diseases.
28+Section 1. (Effective July 1, 2013) (a) The Commissioner of Social Services, in consultation with the Department on Aging, shall conduct a study of long-term care needs to determine whether existing programs and strategies are sufficient.
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18-(b) The Commissioner of Social Services shall conduct a fiscal analysis of the benefits and costs of establishing a Community First Choice Option in the Medicaid state plan for eligible individuals. The fiscal analysis shall be based on (1) actual state expenditures on existing home and community-based Medicaid waiver programs, (2) the number of persons on waiting lists for such waiver programs who would qualify for the Community First Choice Option, (3) current waiver program services that would qualify for higher federal reimbursement under the Community First Choice Option, (4) administrative costs associated with the Community First Choice Option compared to such costs in existing waiver programs, and (5) savings the state would realize under the Community First Choice Option.
30+(b) The study conducted pursuant to subsection (a) of this section shall include, but not be limited to, a report on: (1) The number of residents removed from institutionalized settings to home and community settings for the calendar years beginning in 2009 and ending in 2012, inclusive, (2) savings realized during said period in state expenditures on long-term care inside and outside of institutionalized settings, and (3) projected number of persons who shall require institutionalized long-term care by the year 2020.
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20-(c) Not later than January 1, 2014, the Commissioner of Social Services shall submit a report on the results of the fiscal analysis, in accordance with the provisions of section 11-4a of the general statutes, to the joint standing committees of the General Assembly having cognizance of matters relating to human services and appropriations and the budgets of state agencies. If savings exceed costs, the Commissioner of Social Services shall, pursuant to section 17b-8 of the general statutes, seek a Medicaid state plan amendment not later than February 1, 2014, to implement the Community First Choice Option.
32+(c) Not later than July 1, 2014, the Commissioner of Social Services, in accordance with section 11-4a of the general statutes, shall report the results of the study done pursuant to subsection (a) of this section to the joint standing committees of the General Assembly having cognizance of matters relating to aging and human services. Such report may include the commissioner's recommendations for addressing identified gaps in the provision of services and improving access to such services.
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2537 This act shall take effect as follows and shall amend the following sections:
26-Section 1 from passage New section
38+Section 1 July 1, 2013 New section
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2840 This act shall take effect as follows and shall amend the following sections:
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3042 Section 1
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32-from passage
44+July 1, 2013
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3446 New section
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36-Statement of Legislative Commissioners:
48+Statement of Purpose:
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38-The first sentence of section 1(c) was redrafted to conform with the style of the general statutes.
50+To study whether long-term care programs and planning are sufficient to meet the need for such services.
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42-HS Joint Favorable Subst.
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44-HS
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46-Joint Favorable Subst.
52+[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.]