LCO No. 11285 1 of 47 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 Section 12-263q of the general statutes, as amended by 1 section 356 of public act 19-117, is repealed and the following is 2 substituted in lieu thereof (Effective from passage): 3 (a) (1) For each calendar quarter commencing on or after July 1, 4 2017, each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 Bill No. LCO No. 11285 2 of 47 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 Bill No. LCO No. 11285 3 of 47 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 Bill No. LCO No. 11285 4 of 47 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 Bill No. LCO No. 11285 5 of 47 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 Bill No. LCO No. 11285 6 of 47 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 Bill No. LCO No. 11285 7 of 47 (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 Bill No. LCO No. 11285 8 of 47 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 Bill No. LCO No. 11285 9 of 47 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 Bill No. LCO No. 11285 10 of 47 (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 Bill No. LCO No. 11285 11 of 47 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 Bill No. LCO No. 11285 12 of 47 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 Bill No. LCO No. 11285 13 of 47 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 Bill No. LCO No. 11285 14 of 47 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 Bill No. LCO No. 11285 15 of 47 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 Bill No. LCO No. 11285 16 of 47 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 Bill No. LCO No. 11285 17 of 47 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 Bill No. LCO No. 11285 18 of 47 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 Bill No. LCO No. 11285 19 of 47 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 Bill No. 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 Bill No. LCO No. 11285 21 of 47 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 Bill No. LCO No. 11285 22 of 47 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 Bill No. 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 Bill No. 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 Bill No. 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 Bill No. 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 Bill No. 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 Bill No. 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 Bill No. LCO No. 11285 29 of 47 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 Bill No. LCO No. 11285 30 of 47 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 Bill No. LCO No. 11285 31 of 47 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