Connecticut 2019 Regular Session

Connecticut House Bill HB06172 Compare Versions

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7		-	General Assembly ~~Substitute~~ Bill No. 6172
	5	+	General Assembly Raised Bill No. 6172
8	6		January Session, 2019
	7	+	LCO No. 1738
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	10	+	Referred to Committee on AGING
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	12	+
	13	+	Introduced by:
	14	+	(AGE)
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14	19		AN ACT REDUCING PART ICIPANT COSTS AND EXPANDING
15	20		ELIGIBILITY FOR THE CONNECTICUT HOME -CARE PROGRAM FOR
16	21		THE ELDERLY.
17	22		Be it enacted by the Senate and House of Representatives in General
18	23		Assembly convened:
19	24
20	25		Section 1. Subsection (i) of section 17b-342 of the general statutes is 1
21	26		repealed and the following is substituted in lieu thereof (Effective July 2
22	27		1, 2019): 3
23	28		(i) (1) [On and after July 1, 2015, the] The Commissioner of Social 4
24	29		Services shall, within available appropriations, administer a state-5
25	30		funded portion of the program for persons (A) who are sixty-five years 6
26	31		of age and older; (B) who are inappropriately institutionalized or at 7
27	32		risk of inappropriate institutionalization; (C) whose income is less than 8
28	33		or equal to the amount allowed under subdivision (3) of subsection (a) 9
29	34		of this section; and (D) whose assets, if single, do not exceed [one 10
30	35		hundred fifty per cent of the federal minimum community spouse 11
31	36		protected amount pursuant to 42 USC 1396r-5(f)(2) or, if married, the 12
32	37		couple's assets do not exceed two hundred per cent of said community 13
33		-	spouse protected amount] forty thousand dollars or, if a married couple, 14
34		-	sixty-five thousand dollars. For program applications received by the 15
	38	+	spouse protected amount] forty thousand dollars or, if married, sixty-14 Raised Bill No. 6172
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	42	+	LCO No. 1738 2 of 3
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	44	+	five thousand dollars. For program applications received by the 15
35	45		Department of Social Services for the fiscal years ending June 30, 2016, 16
36	46		and June 30, 2017, only persons who require the level of care provided 17
37		-	in a nursing home shall be eligible for the state-funded portion of the 18 Substitute Bill No. 6172
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	47	+	in a nursing home shall be eligible for the state-funded portion of the 18
44	48		program, except for persons residing in affordable housing under the 19
45	49		assisted living demonstration project established pursuant to section 20
46	50		17b-347e who are otherwise eligible in accordance with this section. 21
47	51		(2) Except for persons residing in affordable housing under the 22
48	52		assisted living demonstration project established pursuant to section 23
49	53		17b-347e, as provided in subdivision (3) of this subsection, any person 24
50	54		whose income is at or below two hundred per cent of the federal 25
51	55		poverty level and who is ineligible for Medicaid shall contribute [nine] 26
52	56		seven per cent of the cost of his or her care. Any person whose income 27
53	57		exceeds two hundred per cent of the federal poverty level shall 28
54	58		contribute [nine] seven per cent of the cost of his or her care in 29
55	59		addition to the amount of applied income determined in accordance 30
56	60		with the methodology established by the Department of Social Services 31
57	61		for recipients of medical assistance. Any person who does not 32
58	62		contribute to the cost of care in accordance with this subdivision shall 33
59	63		be ineligible to receive services under this subsection. Notwithstanding 34
60	64		any provision of sections 17b-60 and 17b-61, the department shall not 35
61	65		be required to provide an administrative hearing to a person found 36
62	66		ineligible for services under this [subsection] subdivision because of a 37
63	67		failure to contribute to the cost of care. 38
64	68		(3) Any person who resides in affordable housing under the assisted 39
65	69		living demonstration project established pursuant to section 17b-347e 40
66	70		and whose income is at or below two hundred per cent of the federal 41
67	71		poverty level, shall not be required to contribute to the cost of care. 42
68	72		Any person who resides in affordable housing under the assisted 43
69	73		living demonstration project established pursuant to section 17b-347e 44
70	74		and whose income exceeds two hundred per cent of the federal 45
71	75		poverty level, shall contribute to the applied income amount 46
72	76		determined in accordance with the methodology established by the 47
73		-	Department of Social Services for recipients of medical assistance. Any 48
	77	+	Department of Social Services for recipients of medical assistance. Any 48 Raised Bill No. 6172
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	81	+	LCO No. 1738 3 of 3
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74	83		person whose income exceeds two hundred per cent of the federal 49
75	84		poverty level and who does not contribute to the cost of care in 50
76		-	accordance with this subdivision shall be ineligible to receive services 51 Substitute Bill No. 6172
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	85	+	accordance with this subdivision shall be ineligible to receive services 51
83	86		under this subsection. Notwithstanding any provision of sections 17b-52
84	87		60 and 17b-61, the department shall not be required to provide an 53
85	88		administrative hearing to a person found ineligible for services under 54
86	89		this [subsection] subdivision because of a failure to contribute to the 55
87	90		cost of care. 56
88	91		(4) The annualized cost of services provided to an individual under 57
89	92		the state-funded portion of the program shall not exceed fifty per cent 58
90	93		of the weighted average cost of care in nursing homes in the state, 59
91	94		except an individual who received services costing in excess of such 60
92	95		amount under the Department of Social Services in the fiscal year 61
93	96		ending June 30, 1992, may continue to receive such services, provided 62
94	97		the annualized cost of such services does not exceed eighty per cent of 63
95	98		the weighted average cost of such nursing home care. The 64
96	99		commissioner may allow the cost of services provided to an individual 65
97	100		to exceed the maximum cost established pursuant to this subdivision 66
98	101		in a case of extreme hardship, as determined by the commissioner, 67
99	102		provided in no case shall such cost exceed that of the weighted cost of 68
100	103		such nursing home care. 69
101	104		This act shall take effect as follows and shall amend the following
102	105		sections:
103	106
104	107		Section 1 July 1, 2019 17b-342(i)
105	108
106		-	Statement of Legislative Commissioners:
107		-	In section 1(i)(1)(D), "if married" was changed to "if a married couple"
108		-	for clarity.
109		-
110		-	AGE Joint Favorable Subst. -LCO
	109	+	Statement of Purpose:
	110	+	To expand eligibility for the state-funded portion of the Connecticut
	111	+	home-care program for the elderly and reduce participant costs.
	112	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline,
	113	+	except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is
	114	+	not underlined.]
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