Connecticut 2019 Regular Session

Connecticut House Bill HB07166 Compare Versions

Version 1 (Old)

Version 2 (New)

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3		-	LCO 4219 \\PRDFS1\HCOUSERS\BARRYJN\WS\2019HB-07166-R01-
4		-	HB.docx
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	3	+	LCO No. 4219 1 of 2
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7	5		General Assembly Raised Bill No. 7166
8	6		January Session, 2019
9	7		LCO No. 4219
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11	9
12	10		Referred to Committee on HUMAN SERVICES
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14	12
15	13		Introduced by:
16	14		(HS)
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20	19		AN ACT CONCERNING NO NEMERGENCY MEDICAL
21	20		TRANSPORTATION FOR M EDICAID BENEFICIARIES.
22	21		Be it enacted by the Senate and House of Representatives in General
23	22		Assembly convened:
24	23
25	24		Section 1. (NEW) (Effective from passage) (a) The Commissioner of 1
26	25		Social Services shall ensure that the state's medical assistance program 2
27	26		shall provide coverage for nonemergency medical transportation to 3
28	27		each eligible Medicaid beneficiary upon the request of such 4
29	28		beneficiary. The Commissioner of Social Services, or any 5
30	29		transportation brokerage vendor contracting with the commissioner 6
31	30		pursuant to the requirements of 42 CFR 440.170, shall not: 7
32	31		(1) Fail or refuse to provide nonemergency transportation to eligible 8
33	32		Medicaid beneficiaries; 9
34	33		(2) Unless there is a documented weather or traffic emergency that 10
35	34		impedes access to a Medicaid beneficiary, exceed a (A) fifteen-minute 11
36	35		waiting time for a scheduled pickup of a beneficiary en route to an 12
37	36		appointment, or (B) thirty-minute waiting time for a beneficiary's 13
38	37		scheduled return trip; 14 Raised Bill No. 7166
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41		-	LCO 4219 {\\PRDFS1\HCOUSERS\BARRYJN\WS\2019HB-07166-
42		-	R01-HB.docx }
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	41	+	LCO No. 4219 2 of 2
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45	43		(3) Provide a mode of transportation other than the mode requested 15
46	44		by the Medicaid beneficiary, provided such mode of transportation is 16
47	45		medically necessary, as set forth in section 17b-259b of the general 17
48	46		statutes; or 18
49		-	(4) Maintain a transportation provider network that is incapable of 19
	47	+	(4) Maintain transportation provider network that is incapable of 19
50	48		meeting the nonemergency transportation needs of the state's 20
51	49		Medicaid beneficiaries. 21
52	50		(b) Medicaid beneficiaries who are denied medically necessary, 22
53	51		nonemergency medical transportation required pursuant to this 23
54	52		section may seek civil injunctive relief from the Superior Court. The 24
55	53		court may order the Department of Social Services to impose penalties 25
56	54		on the contracted transportation brokerage vendor as required by the 26
57	55		contract between the department and the vendor. 27
58	56		This act shall take effect as follows and shall amend the following
59	57		sections:
60	58
61	59		Section 1 from passage New section
62	60
63		-	HS Joint Favorable
	61	+	Statement of Purpose:
	62	+	To establish a statutory right to timely and appropriate nonemergency
	63	+	medical transportation for Medicaid beneficiaries and to provide a
	64	+	more timely avenue for such beneficiaries to appeal coverage lapses.
	65	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline,
	66	+	except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is
	67	+	not underlined.]
64	68