General Assembly Raised Bill No. 5440
February Session, 2016 LCO No. 1643
*01643_______HS_*
Referred to Committee on HUMAN SERVICES
Introduced by:
(HS)
General Assembly
Raised Bill No. 5440
February Session, 2016
LCO No. 1643
*01643_______HS_*
Referred to Committee on HUMAN SERVICES
Introduced by:
(HS)
AN ACT CONCERNING MEDICAID REIMBURSEMENT FOR DIABETES PREVENTION AND SELF-MANAGEMENT.
Be it enacted by the Senate and House of Representatives in General Assembly convened:
Section 1. (NEW) (Effective from passage) (a) The Commissioner of Social Services shall, in accordance with section 17b-8 of the general statutes, seek federal approval for a Medicaid waiver under Section 1115 of the Social Security Act for a five-year community-based education program to help prevent type 2 diabetes. The commissioner shall apply for such waiver not later than sixty days after the effective date of this section.
(b) The Commissioner of Social Services may contract with a nonprofit community-based human services provider to manage and deliver the community-based education program to help prevent type 2 diabetes. Such program shall include, but not be limited to, information on (1) dietary changes that may help prevent type 2 diabetes, (2) weight management techniques, and (3) the importance of scheduling regular health checkups with a medical provider.
(c) The Commissioner of Social Services shall consult with the Commissioner of Public Health to coordinate services provided under the federal Medicaid waiver program authorized pursuant to this section with the services provided under the state's Diabetes Prevention and Control Program.
(d) The commissioner shall annually report, 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 public health on (1) the number of persons enrolled in the community-based education program, and (2) improved health outcomes, if any, of such persons as measured by weight and blood glucose management. For purposes of this section, "type 2 diabetes" means a type of diabetes mellitus that affects mainly adults and is characterized by insulin resistance or desensitization and increased blood glucose levels.
Sec. 2. (NEW) (Effective July 1, 2016) The Commissioner of Social Services shall seek federal approval for a Medicaid state plan amendment to provide Medicaid reimbursement for diabetes self-management training. The commissioner shall submit an application for the Medicaid state plan amendment in accordance with section 17b-8 of the general statutes not later than September 1, 2016. For purposes of this section, "diabetes self-management training" means outpatient instruction provided pursuant to a physician-approved plan of care to a Medicaid recipient diagnosed as having diabetes that may include, but need not be limited to, information on dietary and lifestyle practices to minimize the risks of diabetes.
This act shall take effect as follows and shall amend the following sections:
Section 1 from passage New section
Sec. 2 July 1, 2016 New section
This act shall take effect as follows and shall amend the following sections:
Section 1
from passage
New section
Sec. 2
July 1, 2016
New section
Statement of Purpose:
To establish federal Medicaid reimbursement for diabetes prevention and self-management.
[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.]