LCO No. 3412 1 of 3 General Assembly Raised Bill No. 818 January Session, 2019 LCO No. 3412 Referred to Committee on HUMAN SERVICES Introduced by: (HS) AN ACT ALLOWING FOR THE DEDUCTION OF COURT-APPROVED CONSERVATOR AND FIDU CIARY EXPENSES FROM MEDICAID APPLIED INCOME. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective from passage) (a) On or before December 1 31, 2019, the Commissioner of Social Services shall amend the 2 Medicaid state plan provisions governing the calculation of applied 3 income, as defined in section 17b-261r of the general statutes, to permit 4 a qualified deduction pursuant to 42 USC 1396a(r)(1)(A)(ii) for the 5 following expenses related to representation of a Medicaid applicant or 6 recipient: (1) Compensation of a conservator in the amount approved 7 by the Probate Court; (2) Probate Court filing fees and expenses under 8 subdivision (6) of subsection (b) of section 45a-106a and sections 45a-9 108a and 45a-109 of the general statutes; (3) premiums for any probate 10 bond required by the Probate Court; and (4) any other fiduciary 11 expenses approved by the Probate Court, provided such deductions 12 are permissible under federal law. 13 (b) The provisions of this section shall be effective upon the 14 Raised Bill No. 818 LCO No. 3412 2 of 3 commissioner receiving federal approval to amend the Medicaid state 15 plan pursuant to subsection (a) of this section and shall be applied to 16 conservator expenses incurred on or after October 1, 2019, or the 17 approval date of the Medicaid state plan amendment, whichever is 18 later. 19 (c) On or before December 31, 2020, and annually thereafter, the 20 Commissioner of Social Services shall calculate the total amount 21 deducted from applied income under subsection (a) of this section 22 during the preceding fiscal year and inform the Probate Court 23 Administrator, in writing, of the amount. Not later than thirty days 24 after receipt of the commissioner's calculation, the Probate Court 25 Administrator shall transfer funds from the Probate Court 26 Administration fund to the Department of Social Services equal to one-27 half of such amount for that year. 28 Sec. 2. (NEW) (Effective from passage) The baseline conservator 29 compensation to be deducted from applied income pursuant to 30 subsection (a) of section 1 of this act shall be one hundred twenty-five 31 dollars per month, provided the Commissioner of Social Services shall 32 approve fees above said amount if approved by the Probate Court at 33 the time Medicaid is granted to a conserved person and upon 34 redetermination of such conserved person's Medicaid eligibility. 35 Sec. 3. Subsection (d) of section 17b-261 of the general statutes is 36 repealed and the following is substituted in lieu thereof (Effective from 37 passage): 38 (d) The transfer of an asset in exchange for other valuable 39 consideration shall be allowable to the extent the value of the other 40 valuable consideration is equal to or greater than the value of the asset 41 transferred. The Commissioner of Social Services shall not treat any 42 Probate Court-approved conservator or fiduciary fee paid for services 43 rendered as an improper transfer of assets for the purpose of obtaining 44 Medicaid eligibility. 45 Raised Bill No. 818 LCO No. 3412 3 of 3 This act shall take effect as follows and shall amend the following sections: Section 1 from passage New section Sec. 2 from passage New section Sec. 3 from passage 17b-261(d) Statement of Purpose: To allow for the deduction of court-approved conservator and fiduciary expenses from the amount of a Medicaid recipient's income applied to the cost of his or her care. [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.]