Connecticut 2019 2019 Regular Session

Connecticut Senate Bill SB01221 Introduced / Bill

Filed 12/17/2019

                       
 
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General Assembly  Bill No. 1221  
December Special Session, 
2019 
 
LCO No. 11285 
 
 
Referred to Committee on No Committee  
 
 
Introduced by:  
SEN. LOONEY, 11
th
 Dist. 
REP. ARESIMOWICZ, 30
th
 Dist. 
SEN. FASANO, 34
th
 Dist. 
REP. KLARIDES, 114
th
 Dist. 
 
 
 
 
 
 
AN ACT CONCERNING IM PLEMENTATION OF THE APPROVED 
SETTLEMENT AGREEMENT IN THE CONNECTICUT HOSPITAL 
ASSOCIATION ET AL. V. CONNECTICUT DEPART MENT OF SOCIAL 
SERVICES ET AL. AND MAKING APPROPR IATIONS THEREFOR. 
Be it enacted by the Senate and House of Representatives in General 
Assembly convened: 
 
Section 1. Section 12-263q of the general statutes, as amended by 1 
section 356 of public act 19-117, is repealed and the following is 2 
substituted in lieu thereof (Effective from passage): 3 
(a) (1) For each calendar quarter commencing on or after July 1, 4 
2017, each hospital shall pay a tax on the total net revenue received by 5 
such hospital for the provision of inpatient hospital services and 6 
outpatient hospital services. 7 
(A) On and after July 1, 2017, through June 30, 2026, the rate of tax 8 
for the provision of inpatient hospital services shall be six per cent of 9     
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each hospital's audited net revenue for [the] fiscal year 2016 [, as set 10 
forth in subparagraph (C) of this subdivision,] attributable to inpatient 11 
hospital services. Such rate shall apply for fiscal years commencing on 12 
or after July 1, 2026, unless modified through any provision of the 13 
general statutes. 14 
(B) (i) On and after July 1, 2017, and prior to July 1, 2019, the rate of 15 
tax for the provision of outpatient hospital services shall be nine 16 
hundred million dollars less the total tax imposed on all hospitals for 17 
the provision of inpatient hospital services, which sum shall be 18 
divided by the total audited net revenue for [the] fiscal year 2016 [, as 19 
set forth in subparagraph (C) of this subdivision,] attributable to 20 
outpatient hospital services, of all hospitals that are required to pay 21 
such tax, resulting in an effective rate of twelve and three thousand 22 
three hundred twenty-five ten thousandths (12.3325) per cent of each 23 
hospital's audited net revenue for fiscal year 2016 attributable to 24 
outpatient hospital services.  25 
(ii) On and after July 1, 2019, and prior to July 1, 2020, the rate of tax 26 
for the provision of outpatient hospital services shall be eight hundred 27 
ninety million dollars less the total tax imposed on all hospitals for the 28 
provision of inpatient hospital services, which sum shall be divided by 29 
the total audited net revenue for fiscal year 2016 attributable to 30 
outpatient hospital services, of all hospitals that are required to pay 31 
such tax, resulting in an effective rate of twelve and nine hundred 32 
forty-two ten thousandths (12.0942) per cent of each hospital's audited 33 
net revenue for fiscal year 2016 attributable to outpatient hospital 34 
services, subject to any hospital dissolutions or cessation of operations 35 
pursuant to subparagraph (D) of this subdivision or disallowed 36 
exemptions pursuant to subsections (b) and (c) of this section. 37 
(iii) On and after July 1, 2020, and prior to July 1, 2021, the rate of 38 
tax for the provision of outpatient hospital services shall be eight 39 
hundred eighty-two million dollars less the total tax imposed on all 40 
hospitals for the provision of inpatient hospital services, which sum 41     
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shall be divided by the total audited net revenue for fiscal year 2016 42 
attributable to outpatient hospital services, of all hospitals that are 43 
required to pay such tax, resulting in an effective rate of eleven and 44 
seven thousand five hundred three ten thousandths (11.7503) per cent 45 
of each hospital's audited net revenue for fiscal year 2016 attributable 46 
to outpatient hospital services, subject to any hospital dissolutions or 47 
cessation of operations pursuant to subparagraph (D) of this 48 
subdivision or disallowed exemptions pursuant to subsections (b) and 49 
(c) of this section. 50 
(iv) On and after July 1, 2021, and prior to July 1, 2025, the rate of tax 51 
for the provision of outpatient hospital services shall be eight hundred 52 
fifty million dollars less the total tax imposed on all hospitals for the 53 
provision of inpatient hospital services, which sum shall be divided by 54 
the total audited net revenue for fiscal year 2016 attributable to 55 
outpatient hospital services, of all hospitals that are required to pay 56 
such tax, resulting in an effective rate of eleven and nine hundred 57 
seventy-six ten thousandths (11.0976) per cent of each hospital's 58 
audited net revenue for fiscal year 2016 attributable to outpatient 59 
hospital services, subject to any hospital dissolutions or cessation of 60 
operations pursuant to subparagraph (D) of this subdivision or 61 
disallowed exemptions pursuant to subsections (b) and (c) of this 62 
section. 63 
(v) On and after July 1, 2025, the rate of tax for the provision of 64 
outpatient hospital services shall be eight hundred twenty million 65 
dollars less the total tax imposed on all hospitals for the provision of 66 
inpatient hospital services, which sum shall be divided by the total 67 
audited net revenue for fiscal year 2016 attributable to outpatient 68 
hospital services, of all hospitals that are required to pay such tax, 69 
resulting in an effective rate of ten and four thousand eight hundred 70 
fifty-eight ten thousandths (10.4858) per cent of each hospital's audited 71 
net revenue for fiscal year 2016 attributable to outpatient hospital 72 
services, subject to any hospital dissolutions or cessation of operations 73 
pursuant to subparagraph (D) of this subdivision or disallowed 74     
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exemptions pursuant to subsections (b) and (c) of this section. The rate 75 
set forth in this clause shall apply for fiscal years commencing on or 76 
after July 1, 2026, unless modified through any provision of the general 77 
statutes.  78 
[(C) For the state fiscal years commencing July 1, 2017, and July 1, 79 
2018, the fiscal year upon which the tax shall be imposed under 80 
subparagraphs (A) and (B) of this subdivision shall be fiscal year 2016. 81 
For the biennium commencing July 1, 2019, and for each biennium 82 
thereafter, the fiscal year upon which the tax shall be imposed under 83 
subparagraphs (A) and (B) of this subdivision for each year of the 84 
biennium shall be the fiscal year occurring three years prior to the first 85 
state fiscal year of each biennium.] 86 
(C) (i) For each state fiscal year commencing on or after July 1, 2019, 87 
the total audited net revenue for fiscal year 2016 attributable to 88 
inpatient hospital services, of all hospitals that are required to pay the 89 
tax under this section shall be five billion ninety-seven million eight 90 
hundred twenty thousand one hundred ninety-seven dollars, subject 91 
to any hospital dissolutions or cessation of operations pursuant to 92 
subparagraph (D) of this subdivision or disallowed exemptions 93 
pursuant to subsections (b) and (c) of this section. 94 
(ii) (I) For the state fiscal year commencing on or after July 1, 2019, 95 
and prior to July 1, 2020, the total audited net revenue for fiscal year 96 
2016 attributable to outpatient hospital services, of all hospitals that are 97 
required to pay the tax under this section shall be four billion eight 98 
hundred twenty-nine million eight hundred fifty-nine thousand three 99 
hundred ninety-nine dollars, subject to any hospital dissolutions or 100 
cessation of operations pursuant to subparagraph (D) of this 101 
subdivision or disallowed exemptions pursuant to subsections (b) and 102 
(c) of this section. 103 
(II) For each state fiscal year commencing on or after July 1, 2020, 104 
the total audited net revenue for fiscal year 2016 attributable to 105     
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outpatient hospital services, of all hospitals that are required to pay the 106 
tax under this section shall be four billion nine hundred three million 107 
one hundred twenty-seven thousand one hundred thirty-three dollars, 108 
subject to any hospital dissolutions or cessation of operations pursuant 109 
to subparagraph (D) of this subdivision or disallowed exemptions 110 
pursuant to subsections (b) and (c) of this section. 111 
(D) (i) If a hospital or hospitals subject to the tax imposed under this 112 
subdivision merge, consolidate, are acquired or otherwise reorganize, 113 
the surviving hospital shall assume and be liable for the total tax 114 
imposed under this subdivision on the [merging, consolidating or 115 
reorganizing] merged, consolidated, acquired or reorganized hospitals, 116 
including any outstanding liabilities from periods prior to such 117 
merger, consolidation, acquisition or reorganization.  118 
(ii) If a hospital ceases to operate as a hospital for any reason other 119 
than a merger, consolidation, acquisition or reorganization, or ceases 120 
for any reason to be subject to the tax imposed under this subdivision, 121 
the amount of tax due from each taxpayer under this subdivision shall 122 
not be recalculated to take into account such occurrence [but the total 123 
amount of such tax to be collected under subparagraphs (A) and (B) of 124 
this subdivision shall be reduced by the amount of the tax liability 125 
imposed on the hospital that is no longer subject to the tax] for the 126 
state fiscal year in which the hospital dissolves or ceases to operate. 127 
The amount of tax that would be due from the dissolved hospital after 128 
its dissolution or cessation of operations shall not be collected by the 129 
commissioner for the state fiscal year in which such hospital dissolves 130 
or ceases to operate. In the next succeeding state fiscal year after the 131 
hospital dissolves or ceases to operate and in each subsequent state 132 
fiscal year, the total audited net revenue for fiscal year 2016 shall be 133 
reduced by such hospital's audited net revenue for fiscal year 2016 and 134 
the effective rate of the tax due under this section shall be adjusted to 135 
ensure that the total amount of such tax to be collected under 136 
subparagraphs (A) and (B) of this subdivision is redistributed among 137 
the surviving hospitals in proportion to the reduced total audited net 138     
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revenue for fiscal year 2016 attributable to inpatient hospital services 139 
and outpatient hospital services, of all hospitals. 140 
(E) (i) [If] For each state fiscal year commencing on or after July 1, 141 
2026, if the Commissioner of Social Services determines for any fiscal 142 
year that the effective rate of tax for the tax imposed on net revenue for 143 
the provision of inpatient hospital services exceeds the rate permitted 144 
under the provisions of 42 CFR 433.68(f), as amended from time to 145 
time, the amount of tax collected that exceeds the permissible amount 146 
shall be refunded to hospitals, in proportion to the amount of net 147 
revenue for the provision of inpatient hospital services upon which the 148 
hospitals were taxed. The effective rate of tax shall be calculated by 149 
comparing the amount of tax paid by hospitals on net revenue for the 150 
provision of inpatient hospital services in a state fiscal year with the 151 
amount of net revenue received by hospitals subject to the tax for the 152 
provision of inpatient hospital services for the equivalent fiscal year. 153 
(ii) On or before July 1, [2020] 2026, and annually thereafter, each 154 
hospital subject to the tax imposed under this subdivision shall report 155 
to the Commissioner of Social Services, in the manner prescribed by 156 
and on forms provided by said commissioner, the amount of tax paid 157 
pursuant to this subsection by such hospital and the amount of net 158 
revenue received by such hospital for the provision of inpatient 159 
hospital services, in the state fiscal year commencing two years prior to 160 
each such reporting date. Not later than ninety days after said 161 
commissioner receives completed reports from all hospitals required to 162 
submit such reports, said commissioner shall notify the Commissioner 163 
of Revenue Services of the amount of any refund due each hospital to 164 
be in compliance with 42 CFR 433.68(f), as amended from time to time. 165 
Not later than thirty days after receiving such notice, the 166 
Commissioner of Revenue Services shall notify the Comptroller of the 167 
amount of each such refund and the Comptroller shall draw an order 168 
on the Treasurer for payment of each such refund. No interest shall be 169 
added to any refund issued pursuant to this subparagraph. 170     
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(2) Except as provided in subdivision (3) of this subsection, each 171 
hospital subject to the tax imposed under subdivision (1) of this 172 
subsection shall be required to pay the total amount due in four 173 
quarterly payments consistent with section 12-263s, with the first 174 
quarter commencing with the first day of each state fiscal year and the 175 
last quarter ending on the last day of each state fiscal year. Hospitals 176 
shall make all payments required under this subsection in accordance 177 
with procedures established by and on forms provided by the 178 
commissioner. 179 
(3) (A) For the state fiscal year commencing July 1, 2017, each 180 
hospital required to pay tax on inpatient hospital services or outpatient 181 
hospital services shall make an estimated tax payment on December 182 
15, 2017, which estimated payment shall be equal to one hundred 183 
thirty-three per cent of the tax due under chapter 211a for the period 184 
ending June 30, 2017. If a hospital was not required to pay tax under 185 
chapter 211a on either inpatient hospital services or outpatient hospital 186 
services, such hospital shall make its estimated payment based on its 187 
unaudited net patient revenue. 188 
(B) Each hospital required to pay tax pursuant to this subdivision on 189 
inpatient hospital services or outpatient hospital services shall pay the 190 
remaining balance determined to be due in two equal payments, which 191 
shall be due on April 30, 2018, and July 31, 2018, respectively. 192 
(C) (i) For each state fiscal year commencing on or after July 1, 2017, 193 
[and prior to July 1, 2019,] each hospital required to pay tax on 194 
inpatient hospital services or outpatient hospital services shall 195 
calculate the amount of tax due on forms prescribed by the 196 
commissioner by multiplying the applicable rate set forth in 197 
subdivision (1) of this subsection by its audited net revenue for fiscal 198 
year 2016.  199 
(ii) [For each state fiscal year commencing on or after July 1, 2019, 200 
each hospital required to pay tax on inpatient hospital services or 201     
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outpatient hospital services shall calculate the amount of tax due on 202 
forms prescribed by the commissioner by multiplying the applicable 203 
rate set forth in subdivision (1) of this subsection by its audited net 204 
revenue for the fiscal year, as set forth in subparagraph (C) of 205 
subdivision (1) of this subsection] For the state fiscal year commencing 206 
July 1, 2019, the payment made for the period ending September 30, 207 
2019, by each hospital required to pay tax on inpatient hospital 208 
services or outpatient hospital services shall be considered an 209 
estimated payment for purposes of the tax due for said state fiscal 210 
year. Each hospital required to pay the tax under this section on 211 
inpatient hospital services or outpatient hospital services shall pay the 212 
remaining balance due in three equal payments, which shall be due on 213 
January 31, 2020, April 30, 2020, and July 31, 2020, respectively. 214 
(D) The commissioner shall apply any payment made by a hospital 215 
in connection with the tax under chapter 211a for the period ending 216 
September 30, 2017, as a partial payment of such hospital's estimated 217 
tax payment due on December 15, 2017, under subparagraph (A) of 218 
this subdivision. The commissioner shall return to a hospital any credit 219 
claimed by such hospital in connection with the tax imposed under 220 
chapter 211a for the period ending September 30, 2017, for assignment 221 
as provided under section 12-263s. 222 
(4) (A) [(i) For each state fiscal year commencing on or after July 1, 223 
2017, and prior to July 1, 2019, each] Each hospital required to pay tax 224 
on inpatient hospital services or outpatient hospital services shall 225 
submit to the commissioner such information as the commissioner 226 
requires in order to calculate the audited net inpatient revenue for 227 
fiscal year 2016, the audited net outpatient revenue for fiscal year 2016 228 
and the audited net revenue for fiscal year 2016 of all such health care 229 
providers. Such information shall be provided to the commissioner not 230 
later than January 1, 2018. The commissioner shall make additional 231 
requests for information as necessary to fully audit each hospital's net 232 
revenue. Upon completion of the commissioner's examination, the 233 
commissioner shall notify, prior to February 28, 2018, each hospital of 234     
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its audited net inpatient revenue for fiscal year 2016, audited net 235 
outpatient revenue for fiscal year 2016 and audited net revenue for 236 
fiscal year 2016. 237 
[(ii) For each state fiscal year commencing on or after July 1, 2019, 238 
each hospital required to pay tax on inpatient hospital services or 239 
outpatient hospital services shall submit to the commissioner 240 
biennially such information as the commissioner requires in order to 241 
calculate for the applicable fiscal year, as set forth in subparagraph (C) 242 
of subdivision (1) of this subsection, the audited net inpatient revenue, 243 
the audited net outpatient revenue and the audited net revenue of all 244 
such health care providers. For the state fiscal year commencing July 1, 245 
2019, such information shall be provided to the commissioner not later 246 
than June 30, 2019. For the biennium commencing July 1, 2021, and 247 
each biennium thereafter, such information shall be provided to the 248 
commissioner not later than January fifteenth of the second year of the 249 
biennium immediately preceding. The commissioner shall make 250 
additional requests for information as necessary to fully audit each 251 
hospital's net revenue. Upon completion of the commissioner's 252 
examination, the commissioner shall notify each hospital of its audited 253 
net inpatient revenue, audited net outpatient revenue and audited net 254 
revenue for the applicable fiscal year, as set forth in subparagraph (C) 255 
of subdivision (1) of this subsection.] 256 
(B) Any hospital that fails to provide the requested information by 257 
the dates specified in subparagraph (A) of this subdivision or fails to 258 
comply with a request for additional information made under this 259 
subdivision shall be subject to a penalty of one thousand dollars per 260 
day for each day the hospital fails to provide the requested 261 
information or additional information. 262 
(C) The commissioner may engage an independent auditor to assist 263 
in the performance of the commissioner's duties and responsibilities 264 
under this subdivision. 265     
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(5) Net revenue derived from providing a health care item or service 266 
to a patient shall be taxed only one time under this section. 267 
(6) (A) For purposes of this section: 268 
(i) ["Audited net inpatient revenue for the fiscal year"] "Audited net 269 
inpatient revenue for fiscal year 2016" means the amount of revenue 270 
that the commissioner determines, in accordance with federal law, that 271 
a hospital received for the provision of inpatient hospital services 272 
during the [applicable] 2016 federal fiscal year; 273 
(ii) ["Audited net outpatient revenue for the fiscal year"] "Audited 274 
net outpatient revenue for fiscal year 2016" means the amount of 275 
revenue that the commissioner determines, in accordance with federal 276 
law, that a hospital received for the provision of outpatient hospital 277 
services during the [applicable] 2016 federal fiscal year; and 278 
(iii) ["Audited net revenue for the fiscal year"] "Audited net revenue 279 
for fiscal year 2016" means net revenue, as reported in each hospital's 280 
audited financial [statement] statements, less the amount of revenue 281 
that the commissioner determines, in accordance with federal law, that 282 
a hospital received from other than the provision of inpatient hospital 283 
services and outpatient hospital services. The total audited net revenue 284 
for [the] fiscal year 2016 shall be the sum of all audited net revenue for 285 
the [applicable] 2016 fiscal year for all hospitals required to pay tax on 286 
inpatient hospital services and outpatient hospital services. 287 
(B) For purposes of this section, if a hospital's audited financial 288 
statements for fiscal year 2016 does not report revenue for the entire 289 
fiscal year, such hospital's audited net revenue for fiscal year 2016 shall 290 
be calculated by projecting the amount of revenue such hospital would 291 
have received for the entire fiscal year based proportionally on the 292 
audited net revenue reported on its audited financial statements.  293 
[(B)] (C) Audited net inpatient revenue and audited net outpatient 294 
revenue shall be based on information provided by each hospital 295     
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required to pay tax on inpatient hospital services or outpatient hospital 296 
services. 297 
(b) (1) The Commissioner of Social Services shall seek approval from 298 
the Centers for Medicare and Medicaid Services to exempt from the 299 
net revenue tax imposed under subsection (a) of this section the 300 
following: (A) Specialty hospitals; (B) children's general hospitals; and 301 
(C) hospitals operated exclusively by the state other than a short-term 302 
[acute] general hospital operated by the state as a receiver pursuant to 303 
chapter 920. Any hospital for which the Centers for Medicare and 304 
Medicaid Services grants an exemption shall be exempt from the net 305 
revenue tax imposed under subsection (a) of this section. Any hospital 306 
for which the Centers for Medicare and Medicaid Services denies an 307 
exemption shall be deemed to be a hospital for purposes of this section 308 
and shall be required to pay the net revenue tax imposed under 309 
subsection (a) of this section on inpatient hospital services and 310 
outpatient hospital services at the same effective rates set forth in 311 
subsection (a) of this section. 312 
(2) Each hospital shall provide to the Commissioner of Social 313 
Services, upon request, such information as said commissioner may 314 
require to make any computations necessary to seek approval for 315 
exemption under this subsection. 316 
(3) As used in this subsection, (A) "specialty hospital" means a 317 
health care facility, as defined in section 19a-630, other than a facility 318 
licensed by the Department of Public Health as a short-term general 319 
hospital or a short-term children's hospital. "Specialty hospital" 320 
includes, but is not limited to, a psychiatric hospital or a chronic 321 
disease hospital, and (B) "children's general hospital" means a health 322 
care facility, as defined in section 19a-630, that is licensed by the 323 
Department of Public Health as a short-term children's hospital. 324 
"Children's general hospital" does not include a specialty hospital. 325 
(c) [Prior to July 1, 2019, and every three years thereafter] (1) (A) For 326     
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each state fiscal year commencing on or after July 1, 2017, and prior to 327 
July 1, 2020, the Commissioner of Social Services shall seek approval 328 
from the Centers for Medicare and Medicaid Services to exempt 329 
financially distressed hospitals from the net revenue tax imposed on 330 
outpatient hospital services. Any such hospital for which the Centers 331 
for Medicare and Medicaid Services grants an exemption shall be 332 
exempt from the net revenue tax imposed on outpatient hospital 333 
services under subsection (a) of this section. Any hospital for which the 334 
Centers for Medicare and Medicaid Services denies an exemption shall 335 
be required to pay the net revenue tax imposed on outpatient hospital 336 
services under subsection (a) of this section.  337 
(B) For purposes of this [subsection] subdivision, "financially 338 
distressed hospital" means a hospital that has experienced over [a] the 339 
five-year period from October 1, 2011, through September 30, 2016, an 340 
average net loss of more than five per cent of aggregate revenue. A 341 
hospital has an average net loss of more than five per cent of aggregate 342 
revenue if such a loss is reflected in the [five most recent] applicable 343 
years of financial reporting that have been made available by the 344 
Health Systems Planning Unit of the Office of Health Strategy for such 345 
hospital in accordance with section 19a-670. [as of the effective date of 346 
the request for approval which effective date shall be July first of the 347 
year in which the request is made] Upon said commissioner's receipt 348 
of a determination by the Centers for Medicare and Medicaid Services 349 
that a hospital is not exempt, the total audited net revenue from the 350 
provision of outpatient hospital services for fiscal year 2016 shall be 351 
increased by such hospital's audited net revenue from the provision of 352 
outpatient hospital services for fiscal year 2016 and the effective rate of 353 
the tax due under this section shall be adjusted to ensure that the total 354 
amount of such tax to be collected under subsection (a) of this section 355 
is redistributed, commencing with the calendar quarter next 356 
succeeding the date of the determination by the Centers for Medicare 357 
and Medicaid Services. 358 
(2) (A) For each state fiscal year commencing on or after July 1, 2020, 359     
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the Commissioner of Social Services shall seek approval from the 360 
Centers for Medicare and Medicaid Services to exempt sole 361 
community hospitals from the net revenue tax imposed on outpatient 362 
hospital services. Any such hospital for which the Centers for 363 
Medicare and Medicaid Services grants an exemption shall be exempt 364 
from the net revenue tax imposed on outpatient hospital services 365 
under subsection (a) of this section. Any hospital for which the Centers 366 
for Medicare and Medicaid Services denies an exemption shall be 367 
required to pay the net revenue tax imposed on outpatient hospital 368 
services under subsection (a) of this section. 369 
(B) For purposes of this subdivision, "sole community hospital" 370 
means a hospital that is classified by the Centers for Medicare and 371 
Medicaid Services for purposes of Medicare as a sole community 372 
hospital under 42 CFR 412.92. Upon said commissioner's receipt of a 373 
determination by the Centers for Medicare and Medicaid Services that 374 
a hospital is not exempt, the total audited net revenue from the 375 
provision of outpatient hospital services for fiscal year 2016 shall be 376 
increased by such hospital's audited net revenue from the provision of 377 
outpatient hospital services for fiscal year 2016 and the effective rate of 378 
the tax due under this section shall be adjusted to ensure that the total 379 
amount of such tax to be collected under subsection (a) of this section 380 
is redistributed, commencing with the calendar quarter next 381 
succeeding the date of the determination by the Centers for Medicare 382 
and Medicaid Services. 383 
(3) Upon receipt of a determination by the Centers for Medicare and 384 
Medicaid Services under this subsection that a hospital is not exempt, 385 
said commissioner shall notify all hospitals subject to the tax under 386 
this section of such determination, the corresponding increase to the 387 
total audited net revenue for fiscal year 2016 and the change in any 388 
effective rate of the tax to be collected under subsection (a) of this 389 
section through the state fiscal year 2026. Such notice shall be provided 390 
prior to the end of the calendar quarter next succeeding the date of the 391 
determination by the Centers for Medicare and Medicaid Services. If a 392     
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state fiscal year has commenced when such determination is made, the 393 
adjusted audited net revenue for fiscal year 2016 and the change in any 394 
effective rate of the tax to be collected under subsection (a) of this 395 
section shall be prorated to take into account the amount of the tax 396 
already paid during the applicable state fiscal year. 397 
(d) The commissioner shall issue guidance regarding the 398 
administration of the tax on inpatient hospital services and outpatient 399 
hospital services. Such guidance shall be issued upon completion of a 400 
study of the applicable federal law governing the administration of tax 401 
on inpatient hospital services and outpatient hospital services. The 402 
commissioner shall conduct such study in collaboration with the 403 
Commissioner of Social Services, the Secretary of the Office of Policy 404 
and Management, the Connecticut Hospital Association and the 405 
hospitals subject to the tax imposed on inpatient hospital services and 406 
outpatient hospital services. 407 
(e) (1) The commissioner shall determine, in consultation with the 408 
Commissioner of Social Services, the Secretary of the Office of Policy 409 
and Management, the Connecticut Hospital Association and the 410 
hospitals subject to the tax imposed on inpatient hospital services and 411 
outpatient hospital services, if there is any underreporting of revenue 412 
on hospitals' audited financial statements. Such consultation shall only 413 
be as authorized under section 12-15. The commissioner shall issue 414 
guidance, if necessary, to address any such underreporting. 415 
(2) If the commissioner determines, in accordance with this 416 
subsection, that a hospital underreported net revenue on its audited 417 
financial [statement] statements, the amount of underreported net 418 
revenue shall be added to the amount of net revenue reported on such 419 
hospital's audited financial [statement] statements so as to comply 420 
with federal law and the revised net revenue amount shall be used for 421 
purposes of calculating the amount of tax owed by such hospital under 422 
this section. For purposes of this subsection, "underreported net 423 
revenue" means any revenue of a hospital subject to the tax imposed 424     
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under this section that is required to be included in net revenue from 425 
the provision of inpatient hospital services and net revenue from the 426 
provision of outpatient hospital services to comply with 42 CFR 433.56, 427 
as amended from time to time, 42 CFR 433.68, as amended from time 428 
to time, and Section 1903(w) of the Social Security Act, as amended 429 
from time to time, but that was not reported on such hospital's audited 430 
financial [statement] statements. Underreported net revenue shall only 431 
include revenue of the hospital subject to such tax. 432 
(f) Nothing in this section shall affect the commissioner's obligations 433 
under section 12-15 regarding disclosure and inspection of returns and 434 
return information. 435 
(g) The provisions of section 17b-8 shall not apply to any exemption 436 
or exemptions sought by the Commissioner of Social Services from the 437 
Centers for Medicare and Medicaid Services under this section.  438 
Sec. 2. (NEW) (Effective from passage) (a) Notwithstanding any other 439 
provision of law, for any tax period commencing on or after the 440 
effective date of this section and prior to July 1, 2026, a 441 
nongovernmental licensed short-term general hospital shall not be 442 
subject to any tax or fee that is a health care related tax, as defined in 443 
Section 1903(w) of the Social Security Act, on such hospital's net 444 
revenue from inpatient hospital services and outpatient hospital 445 
services, except for the following: (1) The tax set forth in section 12-446 
263q of the general statutes, as amended by this act; and (2) any other 447 
applicable tax or fee that is a health care related tax, as defined in 448 
Section 1903(w) of the Social Security Act, in effect as of the effective 449 
date of this section.  450 
(b) Notwithstanding any other provision of law, the tax set forth in 451 
section 12-263q of the general statutes, as amended by this act, shall 452 
not be amended for any tax period commencing prior to July 1, 2026. 453 
(c) Notwithstanding any other provision of law, any tax exemption 454 
that is available to a nongovernmental licensed short-term general 455     
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hospital and is in effect as of the effective date of this section, 456 
including, but not limited to, exemptions under chapters 203, 208, 219 457 
and 221 of the general statutes, shall not be amended, repealed, 458 
modified or in any way restricted for any such hospital for any tax 459 
period commencing prior to July 1, 2026. 460 
(d) Nothing in this section shall preclude: 461 
(1) The amendment or modification of any tax or fee that is 462 
applicable to nongovernmental licensed short-term general hospitals, 463 
is in effect as of the effective date of this section and is not a health care 464 
related tax, as defined in Section 1903(w) of the Social Security Act, 465 
provided not more than fifteen per cent of such amended or modified 466 
total tax or fee imposed is due from such hospitals; 467 
(2) The imposition of any tax or fee that is applicable to 468 
nongovernmental licensed short-term general hospitals, is not in effect 469 
as of the effective date of this section and is not a health care related 470 
tax, as defined in Section 1903(w) of the Social Security Act, provided 471 
not more than fifteen per cent of such new total tax or fee imposed is 472 
due from such hospitals; 473 
(3) The enactment of legislation that modifies the tax set forth in 474 
section 12-263q of the general statutes, as amended by this act, for the 475 
purpose of imposing such tax on a hospital that is not subject to such 476 
tax as of the effective date of this section; or 477 
(4) The amendment or modification of the provisions of section 12-478 
263i or 12-263r of the general statutes. 479 
Sec. 3. (NEW) (Effective from passage) (a) As used in this section, (1) 480 
"settlement agreement" means the settlement agreement in the matter 481 
of The Connecticut Hospital Association et al. v. Connecticut 482 
Department of Social Services et al., No. HHB-CV16-6035321-S, 483 
approved by the General Assembly pursuant to section 3-125a of the 484 
general statutes on December 18, 2019, and (2) "superior court" means 485     
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the superior court for the judicial district of New Britain including the 486 
matter of The Connecticut Hospital Association et al. v. Connecticut 487 
Department of Social Services et al., No. HHB-CV16-6035321-S. 488 
(b) The superior court shall have jurisdiction over the settlement 489 
agreement, including the jurisdiction and authority to adjudicate a 490 
motion filed by the parties to said agreement requesting an order of 491 
approval of said agreement. 492 
(c) Following entry of an order of approval of the settlement 493 
agreement, the superior court shall have continuing jurisdiction over 494 
said agreement, including the jurisdiction and authority to adjudicate a 495 
motion filed by a party to said agreement requesting an order for 496 
enforcement or modification of the settlement agreement in accordance 497 
with the provisions of said agreement. The superior court shall be 498 
authorized to issue orders in response to such motion, in accordance 499 
with the provisions of the settlement agreement, for (1) interim or 500 
temporary relief pending a final decision, (2) declaratory, monetary 501 
and permanent equitable relief as needed to enforce the terms of said 502 
agreement, and (3) modification of the settlement agreement in the 503 
manner and within the limits provided in said agreement. Any final 504 
order of the superior court issued pursuant to this section may be 505 
appealed in accordance with law. Sovereign immunity shall not be a 506 
defense to or bar any action, motion, order or relief authorized under 507 
this section. 508 
Sec. 4. (NEW) (Effective from passage) For the state fiscal years ending 509 
June 30, 2020, through June 30, 2026, the tax imposed under section 12-510 
263q of the general statutes, as amended by this act, on the provision of 511 
inpatient hospital services and outpatient hospital services shall cease 512 
to be imposed if the Centers for Medicare and Medicaid Services (1) 513 
determines that such tax is an impermissible tax under Section 1903(w) 514 
of the Social Security Act, as amended from time to time, or (2) does 515 
not approve the applicable Medicaid state plan amendments necessary 516 
for the state to receive federal financial participation under the 517     
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Medicaid program for the payments set forth in subsection (i) of 518 
section 17b-239 of the general statutes, as amended by this act, and 519 
subsection (c) of section 17b-239e of the general statutes, as amended 520 
by this act. In the event of such a determination or disapproval, the 521 
General Assembly shall consider, during the next occurring regular or 522 
special session, whichever is sooner, such amendments to the general 523 
statutes as are necessary to comply with federal law regarding such 524 
tax. 525 
Sec. 5. Subsections (i) to (l), inclusive, of section 17b-239 of the 526 
general statutes, as amended by section 306 of public act 19-117, are 527 
repealed and the following is substituted in lieu thereof (Effective from 528 
passage): 529 
(i) [Not later than fifteen days after passage of this section or 530 
December 1, 2017, whichever is sooner, the commissioner shall publish 531 
public notice of the intent to submit a Medicaid state plan amendment 532 
to provide for the rate increases set forth in this subsection. Not later 533 
than five days after the expiration of the thirty-day public comment 534 
period for such Medicaid state plan amendment, the commissioner 535 
shall submit such Medicaid state plan amendment to the Centers for 536 
Medicare and Medicaid Services for approval.] (1) Subject to federal 537 
approval, the commissioner shall increase rates effective January 1, 538 
2018, for hospitals, implementing those increases on the earliest 539 
available date, as follows: [(1)] (A) The diagnosis-related group base 540 
rate for inpatient hospital services provided by [privately operated 541 
acute care] nongovernmental licensed short-term general hospitals 542 
shall be increased by thirty-one and sixty-five-hundredths per cent 543 
from the level in effect on July 1, 2017, and [(2)] (B) the ambulatory 544 
payment classification base conversion factor for outpatient hospital 545 
services provided by [acute care] licensed short-term general hospitals 546 
shall be increased by six and one-half per cent from the level in effect 547 
on July 1, 2017. [For dates of service only from January 1, 2018, through 548 
June 30, 2018, commencing January 1, 2018, the Commissioner of Social 549 
Services shall pay at the increased rates set forth in this subsection 550     
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even if each applicable Medicaid state plan amendment approval has 551 
not been received from the Centers for Medicare and Medicaid 552 
Services prior to January 1, 2018, provided the implementation of such 553 
rate increases remains subject to federal approval and payment of such 554 
increases may later be recovered if federal approval is not obtained. 555 
For dates of service on or after July 1, 2018, the rate increases set forth 556 
in this subsection shall be implemented not later than thirty days after 557 
receiving federal approval of applicable Medicaid state plan 558 
amendments. Subject to continuing approvals from the Centers for 559 
Medicare and Medicaid Services and ongoing compliance with 560 
applicable federal Medicaid requirements, for the fiscal year 561 
commencing July 1, 2018, and annually thereafter, the commissioner 562 
shall not remove the rate increases set forth in this subsection.]  563 
(2) (A) For the purposes of this subsection and subsection (k) of this 564 
section, "settlement agreement" has the same meaning as provided in 565 
section 3 of this act. 566 
(B) To the extent required by the settlement agreement, including 567 
any court order issued in accordance with the provisions of section 3 of 568 
this act, for dates of service from January 1, 2020, through June 30, 569 
2026, applicable payments to nongovernmental licensed short-term 570 
general hospitals located in the state shall be made in accordance with 571 
the relevant requirements of said agreement regarding wage index 572 
values, the inpatient hospital all-patient refined diagnosis-related 573 
group base rate and the outpatient hospital ambulatory payment 574 
classification conversion factor. 575 
(3) (A) To the extent required by the settlement agreement, 576 
including any court order issued in accordance with the provisions of 577 
section 3 of this act, effective January 1, 2020, and each January first 578 
thereafter until and including January 1, 2026, the commissioner shall 579 
increase annually the Medicaid rates payable to nongovernmental 580 
licensed short-term general hospitals located in the state as follows: (i) 581 
The inpatient hospital all-patient refined diagnosis-related group base 582     
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LCO No. 11285   	20 of 47 
 
rate by two per cent; (ii) the inpatient hospital behavioral health per 583 
diem rate, the inpatient psychiatric services and rehabilitation per 584 
diem rates and the inpatient behavioral health child discharge delay 585 
per diem rate, each by two per cent; (iii) the outpatient hospital 586 
ambulatory payment classification conversion factor by two and two-587 
tenths per cent; and (iv) the revenue center codes listed on the hospital 588 
outpatient flat fee schedule by two and two-tenths per cent. Each such 589 
annual increase shall be calculated against the rates in effect for the 590 
calendar year immediately preceding such rate increase. 591 
(B) As soon as practicable after the effective date of this section, the 592 
commissioner shall publish public notice of the intent to submit the 593 
Medicaid state plan amendments necessary to provide for the rate 594 
increases set forth in subparagraph (A) of this subdivision. Not later 595 
than fifteen days after the expiration of the thirty-day comment period 596 
for such state plan amendments, the commissioner shall submit such 597 
state plan amendments to the Centers for Medicare and Medicaid 598 
Services for approval. The commissioner shall diligently pursue the 599 
federal approvals required for such rate increases. The commissioner 600 
shall implement such rate increases for the dates of service set forth in 601 
subparagraph (A) of this subdivision even if federal approvals are 602 
received after such dates of service, provided the implementation of 603 
such rate increases remains subject to federal approval to the extent 604 
required by the terms of the settlement agreement, including any court 605 
order issued in accordance with the provisions of section 3 of this act. 606 
If federal approvals of such rate increases are not obtained, the 607 
payment of such rate increases may later be recovered by the 608 
commissioner by recoupment against other Medicaid payments due to 609 
a hospital or in any manner authorized by law.  610 
(4) To the extent required by the settlement agreement, including 611 
any court order issued in accordance with the provisions of section 3 of 612 
this act, from July 1, 2019, through June 30, 2026, the commissioner 613 
shall not remove, repeal or reduce the rate increases set forth in this 614 
subsection and appropriations for any payments to nongovernmental 615     
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licensed short-term general hospitals based on such rates shall not be 616 
subject to rescissions or holdbacks.  617 
(5) Nothing in this section shall affect the authority of the state to 618 
recover overpayments and collect unpaid liabilities, as authorized by 619 
law. No provision of this subsection shall affect implementation of 620 
state-wide diagnosis-related group base rates in accordance with 621 
subsection (a) of this section. 622 
(j) Except as otherwise specifically required in subsection (i) of this 623 
section, (1) notwithstanding the provisions of this chapter or 624 
regulations adopted thereunder, the Department of Social Services is 625 
not required to increase rates paid, or to set any rates to be paid to or 626 
adjust upward any method of payment to, any hospital based on 627 
inflation or based on any inflationary factor, including, but not limited 628 
to, any current payments or adjustments that are being made based on 629 
dates of service in previous years, [. The] and (2) the Department of 630 
Social Services shall not increase or adjust upward any rates or method 631 
of payment to hospitals based on inflation or based on any inflationary 632 
factor unless the approved state budget includes appropriations for 633 
such increases or upward adjustments.  634 
[(k) (1) Effective on or after July 1, 2019, the Commissioner of Social 635 
Services shall implement one or more value -based payment 636 
methodologies in accordance with this subsection in order to improve 637 
health outcomes and reduce unnecessary costs, as determined by the 638 
commissioner. The commissioner may, to the extent determined 639 
necessary by the commissioner, phase in such value-based payment 640 
methodologies over time. Such methodologies may include, but need 641 
not be limited to, methodologies that are designed to: (A) Reduce 642 
inpatient hospital readmissions; (B) reduce unnecessary caesarian 643 
section deliveries, take appropriate actions to reduce preterm 644 
deliveries and improve obstetrical care outcomes; (C) address 645 
outpatient infusions involving high-cost medications by implementing 646 
performance-based payments; and (D) implement such other policies 647     
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as determined by the commissioner. 648 
(2) Effective on or after July 1, 2019, the Commissioner of Social 649 
Services shall reduce the total applicable rate payments by fifteen per 650 
cent for each hospital readmission, in addition to any value-based 651 
payment methodology implemented pursuant to subdivision (1) of 652 
this subsection. For purposes of this subdivision, "readmission" means, 653 
in the case of an individual who is discharged from an applicable 654 
hospital, a subsequent admission of the same individual for 655 
observation services provided to the individual for the same or a 656 
similar diagnosis or diagnoses not later than thirty days from the date 657 
of such discharge. Nothing in this subdivision shall preclude the 658 
commissioner from establishing additional value-based payment 659 
methodologies regarding readmissions. 660 
(3) Notwithstanding any other provision of the general statutes, 661 
each applicable hospital rate and supplemental payment methodology 662 
designed by the commissioner shall incorporate each value-based 663 
payment methodology established pursuant to this section, including 664 
structuring applicable payment based on each hospital's performance 665 
on the applicable measures for each value -based payment 666 
methodology. 667 
(l) Medicaid payments to hospitals shall be made only in 668 
compliance with federal law. If any Medicaid payments to hospitals 669 
are not eligible for federal financial participation, the Department of 670 
Social Services shall adjust payments to hospitals to the extent 671 
necessary to ensure that no Medicaid payments are made to hospitals 672 
that are not eligible for federal financial participation for all applicable 673 
payments and for all applicable time periods. No provision of this 674 
section or section 17b-239e, as amended by this act, shall require the 675 
Department of Social Services to make any Medicaid payments to 676 
hospitals that are not eligible for federal financial participation.] 677 
(k) (1) Subject to any court order issued in accordance with the 678     
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LCO No. 11285   	23 of 47 
 
provisions of section 3 of this act, the Department of Social Services 679 
shall make payments to nongovernmental licensed short-term general 680 
hospitals to the extent required by the settlement agreement, 681 
including, to the extent applicable, portions of payments for which the 682 
federal financial participation may not be available, such as one-time 683 
payments and payments using state-only funds above the upper 684 
payment limit. For the purposes of this subsection, "upper payment 685 
limit" means the limit on aggregate Medicaid payments to specified 686 
groups of facilities for which Medicaid federal financial participation is 687 
available, in accordance with 42 CFR 447.72 and 42 CFR 447.321, as 688 
applicable, each as amended from time to time. 689 
(2) To the extent required by the settlement agreement, including 690 
any court order issued in accordance with the provisions of section 3 of 691 
this act, from July 1, 2019, through June 30, 2026, for nongovernmental 692 
licensed short-term general hospitals located in the state, the 693 
Department of Social Services shall continue to set Medicaid rates for 694 
inpatient hospital services and outpatient hospital services in 695 
accordance with the rate-setting rules and methodologies established 696 
in the Medicaid state plan in effect as of the effective date of this 697 
section and incorporating changes to said plan as required by the 698 
settlement agreement. 699 
Sec. 6. Section 17b-239e of the general statutes, as amended by 700 
section 307 of public act 19-117, is repealed and the following is 701 
substituted in lieu thereof (Effective from passage): 702 
(a) [On or before January 1, 2012, the Commissioner of Social 703 
Services, in consultation with the Commissioners of Public Health and 704 
Mental Health and Addiction Services and the Secretary of the Office 705 
of Policy and Management, shall submit to the joint standing 706 
committees of the General Assembly having cognizance of matters 707 
relating to human services and appropriations and the budgets of state 708 
agencies a plan concerning the implementation of a cost neutral acuity-709 
based method for establishing rates to be paid to hospitals that is 710     
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LCO No. 11285   	24 of 47 
 
phased in over a period of time.] For the purposes of this section, 711 
"settlement agreement" has the same meaning as provided in section 3 712 
of this act.  713 
(b) [(1)] Subject to federal approval, the Department of Social 714 
Services shall establish supplemental pools for certain hospitals [, as 715 
determined by the department in consultation with the Connecticut 716 
Hospital Association, including, but not limited to, such pools as a 717 
supplemental inpatient pool, a supplemental outpatient pool, a 718 
supplemental small hospital pool, and a supplemental mid-size 719 
hospital pool] in accordance with the terms of the settlement 720 
agreement, including any court order issued in accordance with the 721 
provisions of section 3 of this act. Such pools shall include, but not be 722 
limited to, as applicable, general, small hospital, mid-sized hospital 723 
and large hospital supplemental pools. 724 
[(2)] (c) (1) The department shall distribute supplemental payments 725 
to applicable hospitals [based on criteria determined by the 726 
department in consultation with the Connecticut Hospital Association, 727 
including, but not limited to, utilization and proportion of total 728 
Medicaid expenditures. Such consultation shall include, at a minimum, 729 
that the department shall send proposed distribution criteria in writing 730 
to the Connecticut Hospital Association not less than thirty days before 731 
making any payments based on such criteria and shall provide an 732 
opportunity to discuss such criteria prior to making any payments 733 
based on such criteria] in accordance with the settlement agreement, 734 
including any court order issued in accordance with the provisions of 735 
section 3 of this act. The commissioner shall diligently pursue the 736 
federal approvals required for the supplemental pools and payments 737 
set forth in this section.  738 
(2) To the extent required by the settlement agreement, including 739 
any court order issued in accordance with the provisions of section 3 of 740 
this act, the Department of Social Services shall pay Medicaid 741 
supplemental payments to nongovernmental licensed short-term 742     
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LCO No. 11285   	25 of 47 
 
general hospitals located in the state as follows: (A) For the fiscal years 743 
ending June 30, 2020, and June 30, 2021, five hundred forty-eight 744 
million three hundred thousand dollars in each such fiscal year; and 745 
(B) for the fiscal years ending June 30, 2022, through June 30, 2026, five 746 
hundred sixty-eight million three hundred thousand dollars in each 747 
such fiscal year. For fiscal years commencing on and after July 1, 2026, 748 
the total amount of supplemental payments paid to such hospitals 749 
shall continue at the level in effect for the prior fiscal year unless 750 
modified through any provision of the general statutes or 751 
appropriations act. 752 
(3) From July 1, 2019, through June 30, 2026, the Department of 753 
Social Services shall make supplemental payments to the applicable 754 
hospitals on or before the last day of the first month of each calendar 755 
quarter, except that payments scheduled to be made before the 756 
effective date of this section shall be made not later than thirty days 757 
after the effective date of this section. 758 
(4) If a nongovernmental licensed short-term general hospital 759 
located in the state merges or consolidates with or is acquired by 760 
another hospital, such that the hospital does not continue to maintain a 761 
separate short-term general hospital license, the supplemental 762 
payments that would have been paid to the hospital that no longer 763 
maintains such license shall be paid instead to the surviving hospital, 764 
beginning with the first calendar quarter that commences on or after 765 
the effective date of the merger, consolidation or acquisition. If a 766 
nongovernmental licensed short-term general hospital located in the 767 
state dissolves, ceases to operate or otherwise terminates licensed 768 
short-term general hospital services, the supplemental payments that 769 
would have been paid to such hospital shall not be paid to any other 770 
hospital for the remainder of the fiscal year in which such hospital 771 
dissolves, ceases operations or otherwise terminates such services. 772 
Commencing with the fiscal year after the hospital dissolved, ceased to 773 
operate or otherwise terminated such services, the supplemental 774 
payments that would have been made to such hospital shall be 775     
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LCO No. 11285   	26 of 47 
 
redistributed to all other nongovernmental licensed short-term general 776 
hospitals located in the state in accordance with the distribution 777 
methodology set forth in the settlement agreement for each 778 
supplemental pool. 779 
(5) Both the state and federal share of supplemental payments set 780 
forth in this subsection shall be appropriated to the Department of 781 
Social Services. Such supplemental payments shall not be subject to 782 
rescissions or holdbacks. Nothing in this section shall affect the 783 
authority of the state to recover overpayments and collect unpaid 784 
liabilities, as authorized by law. 785 
[(c) Out of the aggregate amount of the supplemental pools 786 
described in subsection (b) of this section, within available 787 
appropriations, the following amounts shall be allocated based on each 788 
hospital's performance on quality measures determined by the 789 
Department of Social Services: Fifteen million dollars in the fiscal year 790 
ending June 30, 2020, and forty-five million dollars for the fiscal year 791 
ending June 30, 2021. Such allocations shall be made proportionally 792 
from each of the supplemental pools established pursuant to 793 
subsection (b) of this section.] 794 
(d) To the extent required by the settlement agreement, including 795 
any court order issued in accordance with the provisions of section 3 of 796 
this act, the commissioner shall make the supplemental payments set 797 
forth in this section effective for the dates of service set forth in this 798 
section, including payment adjustments to reconcile, in accordance 799 
with this section, supplemental payments made to hospitals for the 800 
calendar quarter ending September 30, 2019, as interim payments. 801 
Such reconciliation shall ensure that, after accounting for such 802 
payment adjustments, the actual supplemental payments made to each 803 
hospital shall be the amounts due to each hospital pursuant to the 804 
settlement agreement, even if federal approvals are received after each 805 
applicable date that supplemental payments are required to be made, 806 
provided the supplemental payments remain subject to federal 807     
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LCO No. 11285   	27 of 47 
 
approval. If federal approval of such payments is not obtained, such 808 
payments may later be recovered by the commissioner by recoupment 809 
against other Medicaid payments due to a hospital or in any manner 810 
authorized by law. 811 
Sec. 7. (Effective from passage) The amounts appropriated for the 812 
fiscal years ending June 30, 2020, and June 30, 2021, in section 1 of 813 
public act 19-117 regarding the GENERAL FUND are amended to read 814 
as follows: 815 
T1   	2019-2020 2020-2021 
T2  LEGISLATIVE   
T3     
T4  LEGISLATIVE MANAGEMENT   
T5  Personal Services 	47,000,000 50,000,000 
T6  Other Expenses 	14,930,000 14,930,000 
T7  Equipment 	2,172,000 1,172,000 
T8  Flag Restoration 	65,000 65,000 
T9  Minor Capital Improvements  1,800,000 
T10  Interim Salary/Caucus Offices 	677,642 536,102 
T11  Redistricting 	475,000 475,000 
T12  Old State House 	550,000 600,000 
T13  Interstate Conference Fund 	409,038 425,400 
T14  New England Board of Higher Education 183,750 183,750 
T15  AGENCY TOTAL 	66,462,430 70,187,252 
T16     
T17  AUDITORS OF PUBLIC ACCOUNTS   
T18  Personal Services 	11,446,794 12,196,119 
T19  Other Expenses 	272,143 272,143 
T20  AGENCY TOTAL 	11,718,937 12,468,262 
T21     
T22  COMMISSION ON WOMEN, 
CHILDREN, SENIORS, EQUITY AND 
OPPORTUNITY 
  
T23  Personal Services 	600,000 636,000 
T24  Other Expenses 	60,000 60,000 
T25  AGENCY TOTAL 	660,000 696,000     
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LCO No. 11285   	28 of 47 
 
T26     
T27  GENERAL GOVERNMENT   
T28     
T29  GOVERNOR'S OFFICE   
T30  Personal Services 	2,043,764 2,154,748 
T31  Other Expenses 	174,483 174,483 
T32  New England Governors' Conference 74,391 74,391 
T33  National Governors' Association 	106,600 106,600 
T34  AGENCY TOTAL 	2,399,238 2,510,222 
T35     
T36  SECRETARY OF THE STATE   
T37  Personal Services 	2,681,168 2,826,337 
T38  Other Expenses 	1,606,594 1,606,594 
T39  Commercial Recording Division 	4,672,490 4,819,503 
T40  AGENCY TOTAL 	8,960,252 9,252,434 
T41     
T42  LIEUTENANT GOVERNOR'S OFFICE   
T43  Personal Services 	618,549 648,244 
T44  Other Expenses 	57,251 57,251 
T45  AGENCY TOTAL 	675,800 705,495 
T46     
T47  ELECTIONS ENFORCEMENT 
COMMISSION 
  
T48  Elections Enforcement Commission 3,366,080 3,589,636 
T49     
T50  OFFICE OF STATE ETHICS   
T51  Office of State Ethics 	1,515,986 1,610,143 
T52     
T53  FREEDOM OF INFORMATION 
COMMISSION 
  
T54  Freedom of Information Commission 1,618,072 1,707,192 
T55     
T56  STATE TREASURER   
T57  Personal Services 	2,903,527 3,052,378 
T58  Other Expenses 	284,999 124,999 
T59  AGENCY TOTAL 	3,188,526 3,177,377 
T60         
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T61  STATE COMPTROLLER   
T62  Personal Services 	23,014,883 24,235,594 
T63  Other Expenses 	5,200,883 5,199,293 
T64  AGENCY TOTAL 	28,215,766 29,434,887 
T65     
T66  DEPARTMENT OF REVENUE SERVICES   
T67  Personal Services 	55,899,207 58,985,625 
T68  Other Expenses 	7,782,623 7,332,623 
T69  AGENCY TOTAL 	63,681,830 66,318,248 
T70     
T71  OFFICE OF GOVERNMENTAL 
ACCOUNTABILITY 
  
T72  Other Expenses 	30,662 32,287 
T73  Child Fatality Review Panel 	101,202 108,354 
T74  Contracting Standards Board 	167,239 176,909 
T75  Judicial Review Council 	128,996 132,963 
T76  Judicial Selection Commission 	86,713 91,816 
T77  Office of the Child Advocate 	670,062 711,931 
T78  Office of the Victim Advocate 	406,323 428,651 
T79  Board of Firearms Permit Examiners 114,611 121,016 
T80  AGENCY TOTAL 	1,705,808 1,803,927 
T81     
T82  OFFICE OF POLICY AND 
MANAGEMENT 
  
T83  Personal Services 	10,975,537 11,679,172 
T84  Other Expenses 	1,233,684 1,188,684 
T85  Automated Budget System and Data Base 
Link 
26,776 26,776 
T86  Justice Assistance Grants 	823,001 826,328 
T87  Project Longevity 	998,750 998,750 
T88  Tax Relief For Elderly Renters 	25,020,226 25,020,226 
T89  Private Providers 	3,000,000 6,000,000 
T90  MRDA 	500,000 500,000 
T91  Reimbursement to Towns for Loss of 
Taxes on State Property 
54,944,031 54,944,031 
T92  Reimbursements to Towns for Private 
Tax-Exempt Property 
109,889,434 109,889,434     
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T93  Reimbursement Property Tax - Disability 
Exemption 
364,713 364,713 
T94  Distressed Municipalities 	1,500,000 1,500,000 
T95  Property Tax Relief Elderly Freeze 
Program 
40,000 40,000 
T96  Property Tax Relief for Veterans 	2,708,107 2,708,107 
T97  Municipal Revenue Sharing 	36,819,135 36,819,135 
T98  Municipal Transition 	29,917,078 32,331,732 
T99  Municipal Stabilization Grant 	37,953,335 38,253,335 
T100  Municipal Restructuring 	7,300,000 7,300,000 
T101  AGENCY TOTAL 	324,013,807 330,390,423 
T102     
T103  DEPARTMENT OF VETERANS' AFFAIRS   
T104  Personal Services 	19,375,575 20,415,930 
T105  Other Expenses 	2,903,207 2,903,207 
T106  SSMF Administration 	511,396 511,396 
T107  Burial Expenses 	6,666 6,666 
T108  Headstones 	307,834 307,834 
T109  AGENCY TOTAL 	23,104,678 24,145,033 
T110     
T111  DEPARTMENT OF ADMINISTRATIVE 
SERVICES 
  
T112  Personal Services 	48,933,645 51,482,515 
T113  Other Expenses 	30,143,935 31,181,530 
T114  Loss Control Risk Management 	92,634 92,634 
T115  Employees' Review Board 	17,611 17,611 
T116  Surety Bonds for State Officials and 
Employees 
69,000 73,500 
T117  Refunds Of Collections 	21,453 21,453 
T118  Rents and Moving 	10,571,577 10,571,577 
T119  W. C. Administrator 	5,000,000 5,000,000 
T120  State Insurance and Risk Mgmt 
Operations 
12,239,855 12,239,855 
T121  IT Services 	13,919,176 16,325,576 
T122  Firefighters Fund 	400,000 400,000 
T123  AGENCY TOTAL 	121,408,886 127,406,251 
T124     
T125  ATTORNEY GENERAL       
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T126  Personal Services 	30,379,331 30,870,633 
T127  Other Expenses 	1,019,910 1,019,910 
T128  AGENCY TOTAL 	31,399,241 31,890,543 
T129     
T130  DIVISION OF CRIMINAL JUSTICE   
T131  Personal Services 	44,746,899 46,809,521 
T132  Other Expenses 	2,394,240 2,394,240 
T133  Witness Protection 	164,148 164,148 
T134  Training And Education 	27,398 27,398 
T135  Expert Witnesses 	135,413 135,413 
T136  Medicaid Fraud Control 	1,197,897 1,254,282 
T137  Criminal Justice Commission 	409 409 
T138  Cold Case Unit 	228,213 228,213 
T139  Shooting Taskforce 	1,074,222 1,127,052 
T140  AGENCY TOTAL 	49,968,839 52,140,676 
T141     
T142  REGULATION AND PROTECTION   
T143     
T144  DEPARTMENT OF EMERGENCY 
SERVICES AND PUBLIC PROTECTION 
  
T145  Personal Services 	142,169,082 145,635,390 
T146  Other Expenses 	27,882,589 28,349,417 
T147  Stress Reduction 	25,354 25,354 
T148  Fleet Purchase 	5,581,737 5,581,737 
T149  Workers' Compensation Claims 	4,136,817 4,136,817 
T150  Criminal Justice Information System 2,684,610 2,684,610 
T151  Fire Training School - Willimantic 	150,076 150,076 
T152  Maintenance of County Base Fire Radio 
Network 
19,528 19,528 
T153  Maintenance of State-Wide Fire Radio 
Network 
12,997 12,997 
T154  Police Association of Connecticut 	172,353 172,353 
T155  Connecticut State Firefighter's Association 176,625 176,625 
T156  Fire Training School - Torrington 	81,367 81,367 
T157  Fire Training School - New Haven 	48,364 48,364 
T158  Fire Training School - Derby 	37,139 37,139 
T159  Fire Training School - Wolcott 	100,162 100,162     
Bill No.  
 
 
 
LCO No. 11285   	32 of 47 
 
T160  Fire Training School - Fairfield 	70,395 70,395 
T161  Fire Training School - Hartford 	169,336 169,336 
T162  Fire Training School - Middletown 	68,470 68,470 
T163  Fire Training School - Stamford 	55,432 55,432 
T164  AGENCY TOTAL 	183,642,433 187,575,569 
T165     
T166  MILITARY DEPARTMENT   
T167  Personal Services 	2,777,206 2,945,438 
T168  Other Expenses 	2,171,221 2,171,221 
T169  Honor Guards 	469,000 469,000 
T170  Veteran's Service Bonuses 	93,333 93,333 
T171  AGENCY TOTAL 	5,510,760 5,678,992 
T172     
T173  DEPARTMENT OF CONSUMER 
PROTECTION 
  
T174  Personal Services 	13,357,897 14,110,498 
T175  Other Expenses 	1,153,928 1,148,428 
T176  AGENCY TOTAL 	14,511,825 15,258,926 
T177     
T178  LABOR DEPARTMENT   
T179  Personal Services 	9,094,519 9,610,588 
T180  Other Expenses 	1,074,985 1,014,985 
T181  CETC Workforce 	562,744 567,979 
T182  Workforce Investment Act 	34,614,361 34,614,361 
T183  Job Funnels Projects 	700,000 700,000 
T184  Connecticut's Youth Employment 
Program 
5,000,040 5,000,096 
T185  Jobs First Employment Services 	12,521,662 12,562,412 
T186  Apprenticeship Program 	482,706 499,921 
T187  Connecticut Career Resource Network 111,327 116,385 
T188  STRIVE 	76,058 76,058 
T189  Opportunities for Long Term 
Unemployed 
3,104,229 3,104,573 
T190  Veterans' Opportunity Pilot 	233,070 240,823 
T191  Second Chance Initiative 	311,481 311,594 
T192  Cradle To Career 	100,000 100,000 
T193  New Haven Jobs Funnel 	350,000 350,000     
Bill No.  
 
 
 
LCO No. 11285   	33 of 47 
 
T194  Healthcare Apprenticeship Initiative 500,000 500,000 
T195  Manufacturing Pipeline Initiative 	2,001,332 2,003,251 
T196  Workforce Training Authority 	500,000 500,000 
T197  AGENCY TOTAL 	71,338,514 71,873,026 
T198     
T199  COMMISSION ON HUMAN RIGHTS 
AND OPPORTUNITIES 
  
T200  Personal Services 	6,106,429 6,426,842 
T201  Other Expenses 	293,958 289,958 
T202  Martin Luther King, Jr. Commission 	5,977 5,977 
T203  AGENCY TOTAL 	6,406,364 6,722,777 
T204     
T205  CONSERVATION AND DEVELOPMENT   
T206     
T207  DEPARTMENT OF AGRICULTURE   
T208  Personal Services 	3,802,309 3,985,079 
T209  Other Expenses 	800,959 800,959 
T210  Senior Food Vouchers 	351,939 354,104 
T211  Dairy Farmer - Agriculture Sustainability 1,000,000 1,000,000 
T212  WIC Coupon Program for Fresh Produce 167,938 167,938 
T213  AGENCY TOTAL 	6,123,145 6,308,080 
T214     
T215  DEPARTMENT OF ENERGY AND 
ENVIRONMENTAL PROTECTION 
  
T216  Personal Services 	19,915,349 20,881,883 
T217  Other Expenses 	469,569 449,569 
T218  Mosquito Control 	230,354 236,055 
T219  State Superfund Site Maintenance 	399,577 399,577 
T220  Laboratory Fees 	129,015 129,015 
T221  Dam Maintenance 	118,956 124,850 
T222  Emergency Spill Response 	6,511,519 6,763,389 
T223  Solid Waste Management 	3,656,481 3,751,297 
T224  Underground Storage Tank 	890,592 921,535 
T225  Clean Air 	3,974,654 4,117,754 
T226  Environmental Conservation 	4,856,000 5,010,909 
T227  Environmental Quality 	8,562,360 8,898,044 
T228  Fish Hatcheries 	2,115,785 2,161,194     
Bill No.  
 
 
 
LCO No. 11285   	34 of 47 
 
T229  Interstate Environmental Commission 	3,333 3,333 
T230  New England Interstate Water Pollution 
Commission 
26,554 26,554 
T231  Northeast Interstate Forest Fire Compact 3,082 3,082 
T232  Connecticut River Valley Flood Control 
Commission 
30,295 30,295 
T233  Thames River Valley Flood Control 
Commission 
45,151 45,151 
T234  AGENCY TOTAL 	51,938,626 53,953,486 
T235     
T236  DEPARTMENT OF ECONOMIC AND 
COMMUNITY DEVELOPMENT 
  
T237  Personal Services 	7,374,954 7,773,044 
T238  Other Expenses 	664,382 664,382 
T239  Spanish-American Merchants Association 452,782 454,694 
T240  Office of Military Affairs 	194,620 202,411 
T241  CCAT-CT Manufacturing Supply Chain 100,000 100,000 
T242  Capital Region Development Authority 6,249,121 6,249,121 
T243  Manufacturing Growth Initiative 	150,000 150,000 
T244  Hartford 2000 	20,000 20,000 
T245  AGENCY TOTAL 	15,205,859 15,613,652 
T246     
T247  DEPARTMENT OF HOUSING   
T248  Personal Services 	1,877,176 1,953,445 
T249  Other Expenses 	164,893 164,893 
T250  Elderly Rental Registry and Counselors 1,014,722 1,014,722 
T251  Homeless Youth 	2,292,929 2,292,929 
T252  Subsidized Assisted Living Demonstration 2,612,000 2,678,000 
T253  Congregate Facilities Operation Costs 7,189,480 7,189,480 
T254  Elderly Congregate Rent Subsidy 	1,942,424 1,942,424 
T255  Housing/Homeless Services 	80,388,870 85,779,130 
T256  Housing/Homeless Services  - 
Municipality 
575,226 575,226 
T257  AGENCY TOTAL 	98,057,720 103,590,249 
T258     
T259  AGRICULTURAL EXPERIMENT 
STATION 
  
T260  Personal Services 	5,755,367 6,012,727     
Bill No.  
 
 
 
LCO No. 11285   	35 of 47 
 
T261  Other Expenses 	865,032 865,032 
T262  Mosquito and Tick Disease Prevention 512,276 522,880 
T263  Wildlife Disease Prevention 	95,809 99,149 
T264  AGENCY TOTAL 	7,228,484 7,499,788 
T265     
T266  HEALTH   
T267     
T268  DEPARTMENT OF PUBLIC HEALTH   
T269  Personal Services 	34,869,904 36,847,046 
T270  Other Expenses 	7,639,067 7,618,240 
T271  LGBTQ Health and Human Services 
Network 
250,000 250,000 
T272  Community Health Services 	1,486,753 1,486,753 
T273  Rape Crisis 	548,128 548,128 
T274  Local and District Departments of Health 4,210,499 4,210,499 
T275  School Based Health Clinics 	10,550,187 10,550,187 
T276  AGENCY TOTAL 	59,554,538 61,510,853 
T277     
T278  OFFICE OF HEALTH STRATEGY   
T279  Personal Services 	2,029,556 2,111,198 
T280  Other Expenses 	1,038,042 38,042 
T281  AGENCY TOTAL 	3,067,598 2,149,240 
T282     
T283  OFFICE OF THE CHIEF MEDICAL 
EXAMINER 
  
T284  Personal Services 	5,527,527 5,838,564 
T285  Other Expenses 	1,442,198 1,442,198 
T286  Equipment 	23,310 23,310 
T287  Medicolegal Investigations 	22,150 22,150 
T288  AGENCY TOTAL 	7,015,185 7,326,222 
T289     
T290  DEPARTMENT OF DEVELOPMENTAL 
SERVICES 
  
T291  Personal Services 	200,282,835 209,745,951 
T292  Other Expenses 	15,133,419 15,069,356 
T293  Housing Supports and Services 	350,000 1,400,000 
T294  Family Support Grants 	3,700,840 3,700,840     
Bill No.  
 
 
 
LCO No. 11285   	36 of 47 
 
T295  Clinical Services 	2,340,271 2,337,724 
T296  Workers' Compensation Claims 	14,598,415 15,404,040 
T297  Behavioral Services Program 	23,044,686 22,571,979 
T298  Supplemental Payments for Medical 
Services 
3,233,467 3,008,132 
T299  ID Partnership Initiatives 	1,529,000 1,529,000 
T300  Emergency Placements 	5,630,000 5,630,000 
T301  Rent Subsidy Program 	4,782,312 4,782,312 
T302  Employment Opportunities and Day 
Services 
277,945,780 289,183,217 
T303  AGENCY TOTAL 	552,571,025 574,362,551 
T304     
T305  DEPARTMENT OF MENTAL HEALTH 
AND ADDICTION SERVICES 
  
T306  Personal Services 	197,451,035 213,878,173 
T307  Other Expenses 	25,171,554 25,171,554 
T308  Housing Supports and Services 	22,966,163 22,966,163 
T309  Managed Service System 	55,924,095 56,333,880 
T310  Legal Services 	706,179 706,179 
T311  Connecticut Mental Health Center 	7,848,323 7,848,323 
T312  Professional Services 	12,900,697 12,900,697 
T313  General Assistance Managed Care 40,377,409 40,722,054 
T314  Workers' Compensation Claims 	14,493,430 15,021,165 
T315  Nursing Home Screening 	652,784 652,784 
T316  Young Adult Services 	76,675,067 77,970,521 
T317  TBI Community Services 	8,385,284 8,452,441 
T318  Behavioral Health Medications 	6,720,754 6,720,754 
T319  Medicaid Adult Rehabilitation Option 4,184,260 4,184,260 
T320  Discharge and Diversion Services 24,216,478 24,216,478 
T321  Home and Community Based Services 20,980,076 22,220,669 
T322  Nursing Home Contract 	409,594 409,594 
T323  Katie Blair House 	15,150 15,150 
T324  Forensic Services 	10,145,246 10,275,522 
T325  Grants for Substance Abuse Services 17,913,225 17,913,225 
T326  Grants for Mental Health Services 66,316,598 66,316,598 
T327  Employment Opportunities 	8,791,514 8,791,514 
T328  AGENCY TOTAL 	623,244,915 643,687,698     
Bill No.  
 
 
 
LCO No. 11285   	37 of 47 
 
T329     
T330  PSYCHIATRIC SECURITY REVIEW 
BOARD 
  
T331  Personal Services 	284,612 299,756 
T332  Other Expenses 	25,068 25,068 
T333  AGENCY TOTAL 	309,680 324,824 
T334     
T335  HUMAN SERVICES   
T336     
T337  DEPARTMENT OF SOCIAL SERVICES   
T338  Personal Services 	132,339,071 139,336,819 
T339  Other Expenses 	154,204,427 147,663,485 
T340  Genetic Tests in Paternity Actions 	81,906 81,906 
T341  HUSKY B Program 	8,870,000 14,830,000 
T342  Medicaid 	[2,691,610,660] 
2,700,788,825 
[2,816,874,660] 
2,826,174,660 
T343  Old Age Assistance 	42,619,500 43,569,500 
T344  Aid To The Blind 	529,100 523,900 
T345  Aid To The Disabled 	59,713,700 59,683,700 
T346  Temporary Family Assistance - TANF 59,734,200 58,374,200 
T347  Emergency Assistance 	1 1 
T348  Food Stamp Training Expenses 	9,832 9,832 
T349  DMHAS-Disproportionate Share 108,935,000 108,935,000 
T350  Connecticut Home Care Program 37,040,000 37,830,000 
T351  Human Resource Development-Hispanic 
Programs 
1,546,885 1,546,885 
T352  Community Residential Services 622,412,127 638,014,602 
T353  Safety Net Services 	1,334,544 1,334,544 
T354  Refunds Of Collections 	94,699 94,699 
T355  Services for Persons With Disabilities 276,362 276,362 
T356  Nutrition Assistance 	749,040 749,040 
T357  State Administered General Assistance 18,062,600 17,722,600 
T358  Connecticut Children's Medical Center 10,125,737 10,125,737 
T359  Community Services 	1,775,376 1,805,376 
T360  Human Services Infrastructure 
Community Action Program 
3,292,432 3,292,432 
T361  Teen Pregnancy Prevention 	1,255,827 1,255,827 
T362  Domestic Violence Shelters 	5,289,049 5,289,049     
Bill No.  
 
 
 
LCO No. 11285   	38 of 47 
 
T363  Hospital Supplemental Payments [453,331,102] 
548,331,102 
[453,331,102] 
548,331,102 
T364  Teen Pregnancy Prevention - Municipality 98,281 98,281 
T365  AGENCY TOTAL 	[4,415,331,458] 
4,519,509,623 
[4,562,649,539] 
4,666,949,539 
T366     
T367  DEPARTMENT OF REHABILITATION 
SERVICES 
  
T368  Personal Services 	7,024,983 7,408,609 
T369  Other Expenses 	1,422,517 1,422,517 
T370  Educational Aid for Children - Blind or 
Visually Impaired 
4,145,301 4,337,011 
T371  Employment Opportunities – Blind & 
Disabled 
1,021,990 1,021,990 
T372  Vocational Rehabilitation - Disabled 7,279,075 7,279,075 
T373  Supplementary Relief and Services 	44,847 44,847 
T374  Special Training for the Deaf Blind 	265,269 265,269 
T375  Connecticut Radio Information Service 70,194 70,194 
T376  Independent Living Centers 	612,725 612,725 
T377  Programs for Senior Citizens 	3,278,743 3,278,743 
T378  Elderly Nutrition 	2,626,390 2,626,390 
T379  AGENCY TOTAL 	27,792,034 28,367,370 
T380     
T381  EDUCATION   
T382     
T383  DEPARTMENT OF EDUCATION   
T384  Personal Services 	16,689,546 17,534,577 
T385  Other Expenses 	3,485,381 3,035,381 
T386  Development of Mastery Exams Grades 4, 
6, and 8 
10,449,592 10,490,334 
T387  Primary Mental Health 	345,288 345,288 
T388  Leadership, Education, Athletics in 
Partnership (LEAP) 
312,211 312,211 
T389  Adult Education Action 	194,534 194,534 
T390  Connecticut Writing Project 	20,250 20,250 
T391  Neighborhood Youth Centers 	613,866 613,866 
T392  Sheff Settlement 	10,250,966 10,277,534 
T393  Parent Trust Fund Program 	267,193 267,193     
Bill No.  
 
 
 
LCO No. 11285   	39 of 47 
 
T394  Regional Vocational-Technical School 
System 
135,153,018 140,398,647 
T395  Commissioner's Network 	10,009,398 10,009,398 
T396  Local Charter Schools 	600,000 690,000 
T397  Bridges to Success 	27,000 27,000 
T398  Talent Development 	2,164,593 2,183,986 
T399  School-Based Diversion Initiative 	900,000 900,000 
T400  Technical High Schools Other Expenses 22,668,577 22,668,577 
T401  EdSight 	1,095,806 1,100,273 
T402  Sheff Transportation 	44,750,421 45,781,798 
T403  Curriculum and Standards 	2,215,782 2,215,782 
T404  American School For The Deaf 	8,357,514 8,357,514 
T405  Regional Education Services 	262,500 262,500 
T406  Family Resource Centers 	5,802,710 5,802,710 
T407  Charter Schools 	120,622,500 124,678,750 
T408  Child Nutrition State Match 	2,354,000 2,354,000 
T409  Health Foods Initiative 	4,151,463 4,151,463 
T410  Vocational Agriculture 	14,952,000 15,124,200 
T411  Adult Education 	20,383,960 20,383,960 
T412  Health and Welfare Services Pupils 
Private Schools 
3,438,415 3,438,415 
T413  Education Equalization Grants 2,054,281,297 2,092,033,975 
T414  Bilingual Education 	3,177,112 3,177,112 
T415  Priority School Districts 	30,818,778 30,818,778 
T416  Interdistrict Cooperation 	1,537,500 1,537,500 
T417  School Breakfast Program 	2,158,900 2,158,900 
T418  Excess Cost - Student Based 	140,619,782 140,619,782 
T419  Open Choice Program 	26,835,214 27,682,027 
T420  Magnet Schools 	304,204,848 306,033,302 
T421  After School Program 	5,720,695 5,750,695 
T422  Extended School Hours 	2,919,883 2,919,883 
T423  School Accountability 	3,412,207 3,412,207 
T424  AGENCY TOTAL 	3,018,224,700 3,069,764,302 
T425     
T426  OFFICE OF EARLY CHILDHOOD   
T427  Personal Services 	8,655,055 9,156,554 
T428  Other Expenses 	458,987 458,987     
Bill No.  
 
 
 
LCO No. 11285   	40 of 47 
 
T429  Birth to Three 	22,845,964 23,452,407 
T430  Evenstart 	295,456 295,456 
T431  2Gen - TANF 	412,500 412,500 
T432  Nurturing Families Network 	10,278,822 10,278,822 
T433  Head Start Services 	5,083,238 5,083,238 
T434  Care4Kids TANF/CCDF 	54,627,096 59,527,096 
T435  Child Care Quality Enhancements 	6,855,033 6,855,033 
T436  Early Head Start-Child Care Partnership 1,130,750 100,000 
T437  Early Care and Education 	127,848,399 130,548,399 
T438  Smart Start 	3,325,000 3,325,000 
T439  AGENCY TOTAL 	241,816,300 249,493,492 
T440     
T441  STATE LIBRARY   
T442  Personal Services 	5,098,798 5,364,021 
T443  Other Expenses 	421,879 421,879 
T444  State-Wide Digital Library 	1,575,174 1,575,174 
T445  Interlibrary Loan Delivery Service 	256,795 266,392 
T446  Legal/Legislative Library Materials 	574,540 574,540 
T447  Support Cooperating Library Service 
Units 
124,402 124,402 
T448  Connecticard Payments 	703,638 703,638 
T449  AGENCY TOTAL 	8,755,226 9,030,046 
T450     
T451  OFFICE OF HIGHER EDUCATION   
T452  Personal Services 	1,477,763 1,535,334 
T453  Other Expenses 	166,466 166,466 
T454  Minority Advancement Program 	1,614,726 1,619,090 
T455  National Service Act 	239,668 244,912 
T456  Minority Teacher Incentive Program 570,134 570,134 
T457  Roberta B. Willis Scholarship Fund 33,388,637 33,388,637 
T458  AGENCY TOTAL 	37,457,394 37,524,573 
T459     
T460  UNIVERSITY OF CONNECTICUT   
T461  Operating Expenses 	198,083,555 208,979,109 
T462  Workers' Compensation Claims 	2,271,228 2,271,228 
T463  AGENCY TOTAL 	200,354,783 211,250,337 
T464         
Bill No.  
 
 
 
LCO No. 11285   	41 of 47 
 
T465  UNIVERSITY OF CONNECTICUT 
HEALTH CENTER 
  
T466  Operating Expenses 	109,785,175 116,556,690 
T467  AHEC 	375,179 375,832 
T468  Workers' Compensation Claims 	2,670,431 2,917,484 
T469  Bioscience 	15,400,000 16,000,000 
T470  AGENCY TOTAL 	128,230,785 135,850,006 
T471     
T472  TEACHERS' RETIREMENT BOARD   
T473  Personal Services 	1,631,971 1,722,838 
T474  Other Expenses 	431,727 544,727 
T475  Retirement Contributions 	1,208,783,000 1,248,029,000 
T476  Retirees Health Service Cost 	26,001,300 29,849,400 
T477  Municipal Retiree Health Insurance Costs 5,532,120 5,535,640 
T478  AGENCY TOTAL 	1,242,380,118 1,285,681,605 
T479     
T480  CONNECTICUT STATE COLLEGES 
AND UNIVERSITIES 
  
T481  Workers' Compensation Claims 	3,289,276 3,289,276 
T482  Charter Oak State College 	3,112,823 3,284,028 
T483  Community Tech College System 141,440,942 149,218,817 
T484  Connecticut State University 	145,330,562 153,315,495 
T485  Board of Regents 	387,053 408,341 
T486  Developmental Services 	8,912,702 8,912,702 
T487  Outcomes-Based Funding Incentive 1,202,027 1,202,027 
T488  Institute for Municipal and Regional 
Policy 
400,000 400,000 
T489  AGENCY TOTAL 	304,075,385 320,030,686 
T490     
T491  CORRECTIONS   
T492     
T493  DEPARTMENT OF CORRECTION   
T494  Personal Services 	393,516,245 412,958,209 
T495  Other Expenses 	65,729,965 69,596,565 
T496  Workers' Compensation Claims 	30,008,856 31,115,914 
T497  Inmate Medical Services 	85,640,077 107,970,535 
T498  Board of Pardons and Paroles 	6,567,994 6,927,233     
Bill No.  
 
 
 
LCO No. 11285   	42 of 47 
 
T499  STRIDE 	73,342 73,342 
T500  Aid to Paroled and Discharged Inmates 3,000 3,000 
T501  Legal Services To Prisoners 	797,000 797,000 
T502  Volunteer Services 	87,725 87,725 
T503  Community Support Services 	34,129,544 34,129,544 
T504  AGENCY TOTAL 	616,553,748 663,659,067 
T505     
T506  DEPARTMENT OF CHILDREN AND 
FAMILIES 
  
T507  Personal Services 	269,468,513 279,496,655 
T508  Other Expenses 	28,964,687 29,160,237 
T509  Workers' Compensation Claims 	10,470,082 10,158,413 
T510  Family Support Services 	946,451 946,451 
T511  Differential Response System 	13,120,002 15,812,975 
T512  Regional Behavioral Health Consultation 1,646,024 1,646,024 
T513  Health Assessment and Consultation 1,415,723 1,415,723 
T514  Grants for Psychiatric Clinics for Children 16,182,464 16,182,464 
T515  Day Treatment Centers for Children 7,275,589 7,275,589 
T516  Child Abuse and Neglect Intervention 9,874,101 9,874,101 
T517  Community Based Prevention Programs 7,527,785 7,527,785 
T518  Family Violence Outreach and Counseling 3,745,395 3,745,395 
T519  Supportive Housing 	19,886,064 19,886,064 
T520  No Nexus Special Education 	1,904,652 1,952,268 
T521  Family Preservation Services 	6,593,987 6,593,987 
T522  Substance Abuse Treatment 	8,629,640 8,629,640 
T523  Child Welfare Support Services 	2,560,026 2,560,026 
T524  Board and Care for Children - Adoption 102,078,733 104,750,134 
T525  Board and Care for Children - Foster 136,196,712 135,981,796 
T526  Board and Care for Children - Short-term 
and Residential 
89,246,759 88,983,554 
T527  Individualized Family Supports 	5,885,205 5,885,205 
T528  Community Kidcare 	44,221,621 44,103,938 
T529  Covenant to Care 	161,412 161,412 
T530  Juvenile Review Boards 	1,315,147 1,315,147 
T531  Youth Transition and Success Programs 450,000 450,000 
T532  Youth Service Bureau Enhancement 1,093,973 1,093,973 
T533  Youth Service Bureaus 	2,626,772 2,626,772     
Bill No.  
 
 
 
LCO No. 11285   	43 of 47 
 
T534  AGENCY TOTAL 	793,487,519 808,215,728 
T535     
T536  JUDICIAL   
T537     
T538  JUDICIAL DEPARTMENT   
T539  Personal Services 	339,801,606 353,827,190 
T540  Other Expenses 	60,439,025 60,339,025 
T541  Forensic Sex Evidence Exams 	1,348,010 1,348,010 
T542  Alternative Incarceration Program 50,257,733 50,257,733 
T543  Justice Education Center, Inc. 	469,714 469,714 
T544  Juvenile Alternative Incarceration 20,063,056 20,063,056 
T545  Probate Court 	7,200,000 12,500,000 
T546  Workers' Compensation Claims 	6,042,106 6,042,106 
T547  Youthful Offender Services 	9,725,677 9,725,677 
T548  Victim Security Account 	8,792 8,792 
T549  Children of Incarcerated Parents 	493,728 493,728 
T550  Legal Aid 	1,397,144 1,397,144 
T551  Youth Violence Initiative 	1,939,758 1,939,758 
T552  Youth Services Prevention 	3,311,078 3,311,078 
T553  Children's Law Center 	92,445 92,445 
T554  Juvenile Planning 	430,000 430,000 
T555  Juvenile Justice Outreach Services 19,961,142 19,455,142 
T556  Board and Care for Children - Short-term 
and Residential 
7,798,474 7,732,474 
T557  AGENCY TOTAL 	530,779,488 549,433,072 
T558     
T559  PUBLIC DEFENDER SERVICES 
COMMISSION 
  
T560  Personal Services 	40,153,930 42,299,163 
T561  Other Expenses 	1,181,163 1,181,163 
T562  Assigned Counsel - Criminal 	22,442,284 22,442,284 
T563  Expert Witnesses 	2,875,604 2,875,604 
T564  Training And Education 	119,748 119,748 
T565  AGENCY TOTAL 	66,772,729 68,917,962 
T566     
T567  NON-FUNCTIONAL   
T568         
Bill No.  
 
 
 
LCO No. 11285   	44 of 47 
 
T569  DEBT SERVICE - STATE TREASURER   
T570  Debt Service 	1,896,900,160 1,967,208,185 
T571  UConn 2000 - Debt Service 	212,225,089 221,406,539 
T572  CHEFA Day Care Security 	5,500,000 5,500,000 
T573  Pension Obligation Bonds - TRB 	118,400,521 118,400,521 
T574  Municipal Restructuring 	45,666,625 56,314,629 
T575  AGENCY TOTAL 	2,278,692,395 2,368,829,874 
T576     
T577  STATE COMPTROLLER - 
MISCELLANEOUS 
  
T578  Nonfunctional - Change to Accruals 11,111,545 22,326,243 
T579     
T580  STATE COMPTROLLER - FRINGE 
BENEFITS 
  
T581  Unemployment Compensation 	6,132,100 4,974,400 
T582  Higher Education Alternative Retirement 
System 
11,034,700 24,034,700 
T583  Pensions and Retirements - Other 
Statutory 
1,974,003 2,029,134 
T584  Judges and Compensation Commissioners 
Retirement 
27,010,989 28,522,111 
T585  Insurance - Group Life 	8,514,800 8,770,200 
T586  Employers Social Security Tax 	208,540,754 218,208,651 
T587  State Employees Health Service Cost 678,375,327 715,320,807 
T588  Retired State Employees Health Service 
Cost 
776,021,000 847,309,000 
T589  Tuition Reimbursement - Training and 
Travel 
3,475,000 3,508,500 
T590  Other Post Employment Benefits 	95,764,285 83,648,639 
T591  SERS Defined Contribution Match 	2,150,171 3,257,268 
T592  State Employees Retirement Contributions 
- Normal Cost 
168,330,352 149,045,118 
T593  State Employees Retirement Contributions 
- UAL 
1,143,138,185 1,246,717,529 
T594  AGENCY TOTAL 	3,130,461,666 3,335,346,057 
T595     
T596  RESERVE FOR SALARY ADJUSTMENTS   
T597  Reserve For Salary Adjustments 	18,226,900 23,893,500     
Bill No.  
 
 
 
LCO No. 11285   	45 of 47 
 
T598     
T599  WORKERS' COMPENSATION CLAIMS - 
ADMINISTRATIVE SERVICES 
  
T600  Workers' Compensation Claims 	7,982,375 8,259,800 
T601     
T602  TOTAL - GENERAL FUND 	[19,528,277,395] 
19,632,455,560 
[20,291,393,193] 
20,395,693,193 
T603     
T604  LESS:   
T605     
T606  Unallocated Lapse 	-29,015,570 -26,215,570 
T607  Unallocated Lapse - Judicial 	-5,000,000 -5,000,000 
T608  Statewide Hiring Reduction - Executive -7,000,000 -7,000,000 
T609  Contracting Savings Initiatives 	-5,000,000 -15,000,000 
T610  Pension and Healthcare Savings -163,200,000 -256,200,000 
T611     
T612  NET - GENERAL FUND 	[19,319,061,825] 
19,423,239,990 
[19,981,977,623] 
20,086,277,623 
 
Sec. 8. Section 386 of public act 19-117 is amended to read as follows 816 
(Effective from passage): 817 
The appropriations in section 1 of [this act] public act 19-117, as 818 
amended by section 7 of this act, are supported by the GENERAL 819 
FUND revenue estimates as follows: 820 
T613   	2019-2020 2020-2021 
T614  TAXES   
T615  Personal Income   
T616   Withholding 	$6,910,500,000  $7,168,500,000  
T617   Estimates and Finals 	2,762,500,000 2,836,900,000 
T618  Sales and Use 	4,444,100,000 4,588,400,000 
T619  Corporations 	1,099,800,000 1,082,500,000 
T620  Pass-Through Entities 	850,000,000 850,000,000 
T621  Public Service 	237,700,000 244,700,000 
T622  Inheritance and Estate 	165,800,000 146,300,000 
T623  Insurance Companies 	203,300,000 205,800,000     
Bill No.  
 
 
 
LCO No. 11285   	46 of 47 
 
T624  Cigarettes 	344,700,000 326,900,000 
T625  Real Estate Conveyance 	217,400,000 230,600,000 
T626  Alcoholic Beverages 	68,900,000 69,700,000 
T627  Admissions and Dues 	41,900,000 41,500,000 
T628  Health Provider Tax 	[1,050,100,000] 
1,040,100,000 
[1,051,600,000] 
1,033,600,000 
T629  Miscellaneous 	48,400,000 48,000,000 
T630  TOTAL TAXES 	[18,445,100,000] 
18,435,100,000 
[18,891,400,000] 
18,873,400,000 
T631     
T632  Refunds of Taxes 	[(1,309,300,000)] 
(1,379,300,000) 
(1,378,900,000) 
 
T633  Earned Income Tax Credit 	(97,300,000) (100,600,000) 
T634  R & D Credit Exchange 	(5,100,000) (5,200,000) 
T635  NET TOTAL TAX REVENUE [17,033,400,000] 
16,953,400,000 
[17,406,700,000] 
17,388,700,000 
T636     
T637  OTHER REVENUE   
T638  Transfers-Special Revenue 	368,000,000 376,600,000 
T639  Indian Gaming Payments 	226,000,000 225,400,000 
T640  Licenses, Permits, Fees 	341,200,000 384,300,000 
T641  Sales of Commodities and Services 30,200,000 31,000,000 
T642  Rents, Fines and Escheats 	158,500,000 160,900,000 
T643  Investment Income 	52,600,000 52,900,000 
T644  Miscellaneous 	178,100,000 181,700,000 
T645  Refunds of Payments 	(66,400,000) (67,700,000) 
T646  NET TOTAL OTHER REVENUE 1,288,200,000 1,345,100,000 
T647     
T648  OTHER SOURCES   
T649  Federal Grants 	[1,526,000,000] 
1,588,900,000 
[1,508,600,000] 
1,571,500,000 
T650  Transfer From Tobacco Settlement 136,000,000 114,500,000 
T651  Transfers To/From Other Funds [(205,100,000)] 
(104,500,000) 
[74,800,000] 
134,200,000 
T652  NET TOTAL OTHER SOURCES [1,456,900,000] 
1,620,400,000 
[1,697,900,000] 
1,820,200,000 
T653         
Bill No.  
 
 
 
LCO No. 11285   	47 of 47 
 
T654  Transfer to Budget Reserve Fund -  
  Volatility Cap 	(318,300,000) (301,500,000) 
T655     
T656  TOTAL GENERAL FUND REVENUE [19,460,200,000] 
19,543,700,000 
[20,148,200,000] 
20,252,500,000 
 
This act shall take effect as follows and shall amend the following 
sections: 
 
Section 1 from passage 12-263q 
Sec. 2 from passage New section 
Sec. 3 from passage New section 
Sec. 4 from passage New section 
Sec. 5 from passage 17b-239(i) to (l) 
Sec. 6 from passage 17b-239e 
Sec. 7 from passage New section 
Sec. 8 from passage PA 19-117, Sec. 386