LCO 3532 \\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00801-R02- SB.docx 1 of 8 General Assembly Raised Bill No. 801 January Session, 2019 LCO No. 3532 Referred to Committee on VETERANS' AFFAIRS Introduced by: (VA) AN ACT EXPANDING CER TAIN VETERANS' ACCES S TO PUBLIC ASSISTANCE PROGRAMS. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Section 17b-28i of the general statutes is repealed and the 1 following is substituted in lieu thereof (Effective July 1, 2019, and 2 applicable to all applications for assistance filed on or after said date): 3 (a) To the extent permissible by federal law, the Commissioner of 4 Social Services shall disregard, when determining income eligibility for 5 the state's Medicare savings, medical assistance and energy assistance 6 programs administered under section 17b-2, all federal nonservice-7 connected pension benefits, including, but not limited to, the basic 8 pension, the Aid and Attendance [pension benefits] benefit and the 9 Housebound benefit, which pension benefits are granted to a veteran 10 or the surviving spouse of such veteran. [when determining income 11 eligibility for the state's Medicare savings, medical assistance and 12 energy assistance programs administered under section 17b-2.] As 13 used in this subsection, "veteran" means any person (1) honorably 14 discharged from, or released under honorable conditions from active 15 service in, the armed forces, as defined in section 27-103, or (2) with a 16 Raised Bill No. 801 LCO 3532 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00801- R02-SB.docx } 2 of 8 qualifying condition, as defined in said section, who has received a 17 discharge other than bad conduct or dishonorable from active service 18 in the armed forces. 19 (b) The Commissioner of Social Services may seek approval of an 20 amendment to the state Medicaid plan or a waiver from federal law, if 21 necessary, to exempt such benefits from income eligibility criteria as 22 unreimbursed medical expenses. 23 Sec. 2. Subsection (c) of section 17b-191 of the general statutes is 24 repealed and the following is substituted in lieu thereof (Effective July 25 1, 2019, and applicable to all applications for assistance filed on or after said 26 date): 27 (c) To be eligible for cash assistance under the program, a person 28 shall (1) be (A) eighteen years of age or older; (B) a minor found by a 29 court to be emancipated pursuant to section 46b-150; or (C) under 30 eighteen years of age and the commissioner determines good cause for 31 such person's eligibility, and (2) not have assets exceeding two 32 hundred fifty dollars or, if such person is married, such person and his 33 or her spouse shall not have assets exceeding five hundred dollars. In 34 determining eligibility, the commissioner shall not consider as income 35 any federal nonservice-connected pension benefits, including, but not 36 limited to, the basic pension, the Aid and Attendance [pension 37 benefits] benefit and the Housebound benefit, which pension benefits 38 are granted to a veteran, as defined in section 27-103, or the surviving 39 spouse of such veteran. No person who is a substance abuser and 40 refuses or fails to enter available, appropriate treatment shall be 41 eligible for cash assistance under the program until such person enters 42 treatment. No person whose benefits from the temporary family 43 assistance program have terminated as a result of time-limited benefits 44 or for failure to comply with a program requirement shall be eligible 45 for cash assistance under the program. 46 Sec. 3. Section 17b-256f of the general statutes is repealed and the 47 following is substituted in lieu thereof (Effective July 1, 2019, and 48 Raised Bill No. 801 LCO 3532 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00801- R02-SB.docx } 3 of 8 applicable to all applications for assistance filed on or after said date): 49 The Commissioner of Social Services shall increase income 50 disregards used to determine eligibility by the Department of Social 51 Services for the federal Qualified Medicare Beneficiary, the Specified 52 Low-Income Medicare Beneficiary and the Qualifying Individual 53 programs, administered in accordance with the provisions of 42 USC 54 1396d(p), by such amounts that shall result in persons with income 55 that is (1) less than two hundred eleven per cent of the federal poverty 56 level qualifying for the Qualified Medicare Beneficiary program, (2) at 57 or above two hundred eleven per cent of the federal poverty level but 58 less than two hundred thirty-one per cent of the federal poverty level 59 qualifying for the Specified Low-Income Medicare Beneficiary 60 program, and (3) at or above two hundred thirty-one per cent of the 61 federal poverty level but less than two hundred forty-six per cent of 62 the federal poverty level qualifying for the Qualifying Individual 63 program. The commissioner shall not apply an asset test for eligibility 64 under the Medicare Savings Program. The commissioner shall not 65 consider as income any federal nonservice-connected pension benefits, 66 including, but not limited to, the basic pension, the Aid and 67 Attendance [pension benefits] benefit and the Housebound benefit, 68 which pension benefits are granted to a veteran, as defined in section 69 27-103, or the surviving spouse of such veteran. The Commissioner of 70 Social Services, pursuant to section 17b-10, may implement policies 71 and procedures to administer the provisions of this section while in the 72 process of adopting such policies and procedures in regulation form, 73 provided the commissioner prints notice of the intent to adopt the 74 regulations on the department's Internet web site and the eRegulations 75 System not later than twenty days after the date of implementation. 76 Such policies and procedures shall be valid until the time final 77 regulations are adopted. 78 Sec. 4. Subsection (a) of section 17b-261 of the general statutes is 79 repealed and the following is substituted in lieu thereof (Effective July 80 1, 2019, and applicable to all applications for assistance filed on or after said 81 Raised Bill No. 801 LCO 3532 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00801- R02-SB.docx } 4 of 8 date): 82 (a) Medical assistance shall be provided for any otherwise eligible 83 person whose income, including any available support from legally 84 liable relatives and the income of the person's spouse or dependent 85 child, is not more than one hundred forty-three per cent, pending 86 approval of a federal waiver applied for pursuant to subsection (e) of 87 this section, of the benefit amount paid to a person with no income 88 under the temporary family assistance program in the appropriate 89 region of residence and if such person is an institutionalized 90 individual as defined in Section 1917 of the Social Security Act, 42 USC 91 1396p(h)(3), and has not made an assignment or transfer or other 92 disposition of property for less than fair market value for the purpose 93 of establishing eligibility for benefits or assistance under this section. 94 Any such disposition shall be treated in accordance with Section 95 1917(c) of the Social Security Act, 42 USC 1396p(c). Any disposition of 96 property made on behalf of an applicant or recipient or the spouse of 97 an applicant or recipient by a guardian, conservator, person 98 authorized to make such disposition pursuant to a power of attorney 99 or other person so authorized by law shall be attributed to such 100 applicant, recipient or spouse. A disposition of property ordered by a 101 court shall be evaluated in accordance with the standards applied to 102 any other such disposition for the purpose of determining eligibility. 103 The commissioner shall establish the standards for eligibility for 104 medical assistance at one hundred forty-three per cent of the benefit 105 amount paid to a household of equal size with no income under the 106 temporary family assistance program in the appropriate region of 107 residence. In determining eligibility, the commissioner shall not 108 consider as income any federal nonservice-connected pension benefits, 109 including, but not limited to, the basic pension, the Aid and 110 Attendance [pension benefits] benefit and the Housebound benefit, 111 which pension benefits are granted to a veteran, as defined in section 112 27-103, or the surviving spouse of such veteran. Except as provided in 113 section 17b-277 and section 17b-292, the medical assistance program 114 shall provide coverage to persons under the age of nineteen with 115 Raised Bill No. 801 LCO 3532 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00801- R02-SB.docx } 5 of 8 household income up to one hundred ninety-six per cent of the federal 116 poverty level without an asset limit and to persons under the age of 117 nineteen, who qualify for coverage under Section 1931 of the Social 118 Security Act, with household income not exceeding one hundred 119 ninety-six per cent of the federal poverty level without an asset limit, 120 and their parents and needy caretaker relatives, who qualify for 121 coverage under Section 1931 of the Social Security Act, with household 122 income not exceeding one hundred fifty per cent of the federal poverty 123 level without an asset limit. Such levels shall be based on the regional 124 differences in such benefit amount, if applicable, unless such levels 125 based on regional differences are not in conformance with federal law. 126 Any income in excess of the applicable amounts shall be applied as 127 may be required by said federal law, and assistance shall be granted 128 for the balance of the cost of authorized medical assistance. The 129 Commissioner of Social Services shall provide applicants for assistance 130 under this section, at the time of application, with a written statement 131 advising them of (1) the effect of an assignment or transfer or other 132 disposition of property on eligibility for benefits or assistance, (2) the 133 effect that having income that exceeds the limits prescribed in this 134 subsection will have with respect to program eligibility, and (3) the 135 availability of, and eligibility for, services provided by the Nurturing 136 Families Network established pursuant to section 17b-751b. For 137 coverage dates on or after January 1, 2014, the department shall use the 138 modified adjusted gross income financial eligibility rules set forth in 139 Section 1902(e)(14) of the Social Security Act and the implementing 140 regulations to determine eligibility for HUSKY A, HUSKY B and 141 HUSKY D applicants, as defined in section 17b-290. Persons who are 142 determined ineligible for assistance pursuant to this section shall be 143 provided a written statement notifying such persons of their 144 ineligibility and advising such persons of their potential eligibility for 145 one of the other insurance affordability programs as defined in 42 CFR 146 435.4. 147 Sec. 5. Subsection (l) of section 17b-342 of the general statutes is 148 repealed and the following is substituted in lieu thereof (Effective July 149 Raised Bill No. 801 LCO 3532 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00801- R02-SB.docx } 6 of 8 1, 2019, and applicable to all applications for assistance filed on or after said 150 date): 151 (l) In determining eligibility for the program described in this 152 section, the commissioner shall not consider as income any federal 153 nonservice-connected pension benefits, including, but not limited to, 154 the basic pension, the Aid and Attendance [pension benefits] benefit 155 and the Housebound benefit, which pension benefits are granted to a 156 veteran, as defined in section 27-103, or the surviving spouse of such 157 veteran. 158 Sec. 6. Subsection (a) of section 17b-104 of the general statutes is 159 repealed and the following is substituted in lieu thereof (Effective July 160 1, 2019, and applicable to all applications for assistance filed on or after said 161 date): 162 (a) The Commissioner of Social Services shall administer the 163 program of state supplementation to the Supplemental Security 164 Income Program provided for by the Social Security Act and state law. 165 The commissioner may delegate any powers and authority to any 166 deputy, assistant, investigator or supervisor, who shall have, within 167 the scope of the power and authority so delegated, all of the power 168 and authority of the Commissioner of Social Services. The 169 commissioner shall establish a standard of need based on the cost of 170 living in this state for the temporary family assistance program and the 171 state-administered general assistance program. The commissioner 172 shall make a reinvestigation, at least every twelve months, of all cases 173 receiving aid from the state, except that such reinvestigation may be 174 conducted every twenty-four months for recipients of assistance to the 175 elderly or disabled with stable circumstances, and shall maintain all 176 case records of the several programs administered by the Department 177 of Social Services so that such records show, at all times, full 178 information with respect to eligibility of the applicant or recipient. In 179 the determination of need under any public assistance program, such 180 income or earnings shall be disregarded as federal law requires, and 181 such income or earnings may be disregarded as federal law permits. In 182 Raised Bill No. 801 LCO 3532 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00801- R02-SB.docx } 7 of 8 determining eligibility, the commissioner shall disregard from income 183 any federal nonservice-connected pension benefits, including, but not 184 limited to, the basic pension, the Aid and Attendance [pension 185 benefits] benefit and the Housebound benefit, which pension benefits 186 are granted to a veteran, as defined under section 27-103, or the 187 surviving spouse of such veteran. The commissioner shall encourage 188 and promulgate such incentive earning programs as are permitted by 189 federal law and regulations. 190 Sec. 7. Subsection (a) of section 17b-801 of the general statutes is 191 repealed and the following is substituted in lieu thereof (Effective July 192 1, 2019, and applicable to all applications for assistance filed on or after said 193 date): 194 (a) The Commissioner of Social Services shall administer a state-195 appropriated fuel assistance program to provide, within available 196 appropriations, fuel assistance to elderly and disabled persons whose 197 household gross income is above the income eligibility guidelines for 198 the Connecticut energy assistance program but does not exceed two 199 hundred per cent of federal poverty guidelines. The income eligibility 200 guidelines for the state-appropriated fuel assistance program shall be 201 determined, annually, by the Commissioner of Social Services, in 202 conjunction with the Secretary of the Office of Policy and 203 Management. In determining eligibility, the commissioner shall not 204 consider as income any federal nonservice-connected pension benefits, 205 including, but not limited to, the basic pension, the Aid and 206 Attendance [pension benefits] benefit and the Housebound benefit, 207 which pension benefits are granted to a veteran, as defined under 208 section 27-103, or the surviving spouse of such veteran. The 209 commissioner may adopt regulations, in accordance with the 210 provisions of chapter 54, to implement the provisions of this 211 subsection.212 This act shall take effect as follows and shall amend the following sections: Raised Bill No. 801 LCO 3532 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2019SB-00801- R02-SB.docx } 8 of 8 Section 1 July 1, 2019, and applicable to all applications for assistance filed on or after said date 17b-28i Sec. 2 July 1, 2019, and applicable to all applications for assistance filed on or after said date 17b-191(c) Sec. 3 July 1, 2019, and applicable to all applications for assistance filed on or after said date 17b-256f Sec. 4 July 1, 2019, and applicable to all applications for assistance filed on or after said date 17b-261(a) Sec. 5 July 1, 2019, and applicable to all applications for assistance filed on or after said date 17b-342(l) Sec. 6 July 1, 2019, and applicable to all applications for assistance filed on or after said date 17b-104(a) Sec. 7 July 1, 2019, and applicable to all applications for assistance filed on or after said date 17b-801(a) VA Joint Favorable APP Joint Favorable