Connecticut 2019 Regular Session

Connecticut House Bill HB07338 Compare Versions

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Version 2 (New)

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7		-	General Assembly Substitute Bill No. 7338
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	6	+	LCO No. 5538 1 of 4
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	8	+	General Assembly Raised Bill No. 7338
8	9		January Session, 2019
	10	+	LCO No. 5538
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	13	+	Referred to Committee on HUMAN SERVICES
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	15	+
	16	+	Introduced by:
	17	+	(HS)
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12	20		AN ACT INCREASING FUNDING FOR ELDERLY NUTRITION,
13	21		ENSURING EQUITABLE R ATES FOR PROVIDERS O F MEALS ON
14	22		WHEELS AND COLLECTIN G DATA ON MALNUTRITION.
15	23		Be it enacted by the Senate and House of Representatives in General
16	24		Assembly convened:
17	25
18	26		Section 1. Section 17b-343 of the general statutes is repealed and the 1
19	27		following is substituted in lieu thereof (Effective July 1, 2019): 2
20	28		The Commissioner of Social Services shall establish annually the 3
21	29		maximum allowable rate to be paid by agencies for homemaker 4
22	30		services, chore person services, companion services, respite care, meals 5
23	31		on wheels, adult day care services, case management and assessment 6
24	32		services, transportation, mental health counseling and elderly foster 7
25	33		care. [, except that the maximum allowable rates in effect July 1, 1990, 8
26	34		shall remain in effect during the fiscal years ending June 30, 1992, and 9
27	35		June 30, 1993.] The Commissioner of Social Services shall prescribe 10
28	36		uniform forms on which agencies providing such services shall report 11
29	37		their costs for such services. Such rates shall be determined on the 12
30	38		basis of a reasonable payment for necessary services rendered. The 13
31	39		maximum allowable rates established by the Commissioner of Social 14
32	40		Services for the Connecticut home-care program for the elderly 15
33		-	established under section 17b-342 shall constitute the rates required 16
	41	+	established under section 17b-342 shall constitute the rates required 16 Raised Bill No. 7338
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	45	+	LCO No. 5538 2 of 4
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34	47		under this section until revised in accordance with this section. The 17
35	48		Commissioner of Social Services shall establish a fee schedule, to be 18
36	49		effective on and after July 1, 1994, for homemaker services, chore 19
37		-	person services, companion services, respite care, meals on wheels, 20 Substitute Bill No. 7338
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	50	+	person services, companion services, respite care, meals on wheels, 20
44	51		adult day care services, case management and assessment services, 21
45	52		transportation, mental health counseling and elderly foster care. The 22
46	53		commissioner may annually increase [any fee in] the fee schedule 23
47	54		based on an increase in the cost of services. The commissioner shall 24
48	55		increase the fee schedule effective July 1, 2000, by not less than five per 25
49	56		cent, for adult day care services. The commissioner shall increase the 26
50	57		fee schedule effective July 1, 2011, by four dollars per person, per day 27
51	58		for adult day care services. Effective July 1, 2019, and annually 28
52	59		thereafter, the commissioner shall increase the fee schedule for meals 29
53	60		on wheels providers serving participants in the Connecticut home-care 30
54	61		program for the elderly by, at minimum, the cost-of-living adjustment 31
55	62		as measured by the consumer price index. The commissioner may 32
56	63		increase any fee payable to a meals on wheels provider upon the 33
57	64		application of such provider evidencing extraordinary costs related to 34
58	65		delivery of meals on wheels in sparsely populated rural regions of the 35
59	66		state. Nothing contained in this section shall authorize a payment by 36
60	67		the state to any agency for such services in excess of the amount 37
61	68		charged by such agency for such services to the general public. 38
62	69		Sec. 2. Subsection (c) of section 17a-305 of the general statutes is 39
63	70		repealed and the following is substituted in lieu thereof (Effective July 40
64	71		1, 2019): 41
65	72		(c) The Department of Rehabilitation Services, in consultation with 42
66	73		the five area agencies on aging [,] and elderly nutrition providers, shall 43
67	74		review the method of allocation set forth in [subsection (a) of this 44
68	75		section and shall report any findings or recommendations to the joint 45
69	76		standing committees of the General Assembly having cognizance of 46
70	77		matters relating to appropriations and the budgets of state agencies 47
71	78		and human services] subsections (a) and (b) of this section and 48
72	79		evaluate the formula used to allocate funding for elderly nutrition 49
73		-	programs based on factors including, but not limited to: (1) Elderly 50
	80	+	programs based on factors including, but not limited to: (1) Elderly 50 Raised Bill No. 7338
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	84	+	LCO No. 5538 3 of 4
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74	86		population data from the 2020 census and the American Community 51
75	87		Survey conducted by the United States Census Bureau for the five 52
76		-	elderly planning and service areas as described in section 17a-304, and 53 Substitute Bill No. 7338
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	88	+	elderly planning and service areas as described in section 17a-304, and 53
83	89		(2) any increased costs for providers that deliver meals on wheels in 54
84	90		sparsely populated rural regions. Not later than July 1, 2021, the 55
85	91		department shall report, in accordance with the provisions of section 56
86	92		11-4a, to the joint standing committees of the General Assembly having 57
87	93		cognizance of matters relating to aging, appropriations and the 58
88	94		budgets of state agencies and human services on (A) the rates of 59
89	95		reimbursement for each meals on wheels provider in the state 60
90	96		compared to the costs to provide meals on wheels for each such 61
91	97		provider, (B) the administrative expenses of each such meals on wheels 62
92	98		provider, (C) the number of meals on wheels providers that have 63
93	99		reduced or eliminated deliveries based on inadeq uate state 64
94	100		reimbursement, and (D) any recommended changes in the method of 65
95	101		allocation or funding formula. 66
96		-	Sec. 3. Subsection (b) of section 19a-127l of the general statutes is 67
97		-	repealed and the following is substituted in lieu thereof (Effective July 68
98		-	1, 2019): 69
99		-	(b) In carrying out its responsibilities under subsection (a) of this 70
100		-	section, the department shall develop the following for the quality of 71
101		-	care program: 72
102		-	(1) Comparable performance measures to be reported; 73
103		-	(2) Selection of patient satisfaction survey measures and 74
104		-	instruments; 75
105		-	(3) Methods and format of standardized data collection; 76
106		-	(4) Format for a public quality performance measurement report; 77
107		-	(5) Human resources and quality measurements; 78
108		-	(6) Medical error reduction methods; 79
109		-	(7) Systems for sharing and implementing universally accepted best 80
110		-	practices; 81 Substitute Bill No. 7338
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117		-	(8) Systems for reporting outcome data; 82
118		-	(9) Systems for continuum of care; 83
119		-	(10) Recommendations concerning the use of an ISO 9000 quality 84
120		-	auditing program; 85
121		-	(11) Recommendations concerning the types of statutory protection 86
122		-	needed prior to collecting any data or information under this section 87
123		-	and sections 19a-127m and 19a-127n; [and] 88
124		-	(12) Recommendations concerning the collection and analysis of 89
125		-	data on patient malnutrition for the purposes of improving quality of 90
126		-	care; and 91
127		-	[(12)] (13) Any other issues that the department deems appropriate. 92
	102	+	Sec. 3. Subdivision (12) of subsection (b) of section 19a-127l of the 67
	103	+	general statutes is repealed and the following is substituted in lieu 68
	104	+	thereof (Effective July 1, 2019): 69
	105	+	(12) [Any] Recommendations concerning the collection and analysis 70
	106	+	of data on patient malnutrition for the purposes of improving quality 71
	107	+	of care and any other issues that the department deems appropriate. 72
128	108		This act shall take effect as follows and shall amend the following
129	109		sections:
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131	111		Section 1 July 1, 2019 17b-343
132	112		Sec. 2 July 1, 2019 17a-305(c)
133		-	Sec. 3 July 1, 2019 19a-127l(b)
	113	+	Sec. 3 July 1, 2019 19a-127l(b)(12)
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135		-	Statement of Legislative Commissioners:
136		-	Section 3 was redrafted for consistency with drafting conventions.
	115	+	Statement of Purpose:
	116	+	To increase funding for elderly nutrition, ensure equitable rates for
	117	+	providers of meals on wheels and collect and analyze data on
	118	+	malnutrition. Raised Bill No. 7338
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138		-	HS Joint Favorable Subst. -LCO
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	122	+	LCO No. 5538 4 of 4
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	124	+	[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline,
	125	+	except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is
	126	+	not underlined.]
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