Senate Bill No. 1221
December Special Session, Public Act No. 19-1
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 A L. AND MAKING APPROPRIA TIONS
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
section 356 of public act 19-117, is repealed and the following is
substituted in lieu thereof (Effective from passage):
(a) (1) For each calendar quarter commencing on or after July 1, 2017,
each hospital shall pay a tax on the total net revenue received by such
hospital for the provision of inpatient hospital services and outpatient
hospital services.
(A) On and after July 1, 2017, through June 30, 2026, the rate of tax for
the provision of inpatient hospital services shall be six per cent of each
hospital's audited net revenue for [the] fiscal year 2016 [, as set forth in
subparagraph (C) of this subdivision,] attributable to inpatient hospital
services. Such rate shall apply for fiscal years commencing on or after
July 1, 2026, unless modified through any provision of the general
statutes. Senate Bill No. 1221
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(B) (i) On and after July 1, 2017, and prior to July 1, 2019, the rate of
tax for the provision of outpatient hospital services shall be nine
hundred million dollars less the total tax imposed on all hospitals for
the provision of inpatient hospital services, which sum shall be divided
by the total audited net revenue for [the] fiscal year 2016 [, as set forth
in subparagraph (C) of this subdivision,] attributable to outpatient
hospital services, of all hospitals that are required to pay such tax,
resulting in an effective rate of twelve and three thousand three hundred
twenty-five ten thousandths (12.3325) per cent of each hospital's audited
net revenue for fiscal year 2016 attributable to outpatient hospital
services.
(ii) On and after July 1, 2019, and prior to July 1, 2020, the rate of tax
for the provision of outpatient hospital services shall be eight hundred
ninety million dollars less the total tax imposed on all hospitals for the
provision of inpatient hospital services, which sum shall be divided by
the total audited net revenue for fiscal year 2016 attributable to
outpatient hospital services, of all hospitals that are required to pay such
tax, resulting in an effective rate of twelve and nine hundred forty-two
ten thousandths (12.0942) per cent of each hospital's audited net revenue
for fiscal year 2016 attributable to outpatient hospital services, subject to
any hospital dissolutions or cessation of operations pursuant to
subparagraph (D) of this subdivision or disallowed exemptions
pursuant to subsections (b) and (c) of this section.
(iii) On and after July 1, 2020, and prior to July 1, 2021, the rate of tax
for the provision of outpatient hospital services shall be eight hundred
eighty-two million dollars less the total tax imposed on all hospitals for
the provision of inpatient hospital services, which sum shall be divided
by the total audited net revenue for fiscal year 2016 attributable to
outpatient hospital services, of all hospitals that are required to pay such
tax, resulting in an effective rate of eleven and seven thousand five
hundred three ten thousandths (11.7503) per cent of each hospital's Senate Bill No. 1221
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audited net revenue for fiscal year 2016 attributable to outpatient
hospital services, subject to any hospital dissolutions or cessation of
operations pursuant to subparagraph (D) of this subdivision or
disallowed exemptions pursuant to subsections (b) and (c) of this
section.
(iv) On and after July 1, 2021, and prior to July 1, 2025, the rate of tax
for the provision of outpatient hospital services shall be eight hundred
fifty million dollars less the total tax imposed on all hospitals for the
provision of inpatient hospital services, which sum shall be divided by
the total audited net revenue for fiscal year 2016 attributable to
outpatient hospital services, of all hospitals that are required to pay such
tax, resulting in an effective rate of eleven and nine hundred seventy-six
ten thousandths (11.0976) per cent of each hospital's audited net revenue
for fiscal year 2016 attributable to outpatient hospital services, subject to
any hospital dissolutions or cessation of operations pursuant to
subparagraph (D) of this subdivision or disallowed exemptions
pursuant to subsections (b) and (c) of this section.
(v) On and after July 1, 2025, the rate of tax for the provision of
outpatient hospital services shall be eight hundred twenty million
dollars less the total tax imposed on all hospitals for the provision of
inpatient hospital services, which sum shall be divided by the total
audited net revenue for fiscal year 2016 attributable to outpatient
hospital services, of all hospitals that are required to pay such tax,
resulting in an effective rate of ten and four thousand eight hundred
fifty-eight ten thousandths (10.4858) per cent of each hospital's audited
net revenue for fiscal year 2016 attributable to outpatient hospital
services, subject to any hospital dissolutions or cessation of operations
pursuant to subparagraph (D) of this subdivision or disallowed
exemptions pursuant to subsections (b) and (c) of this section. The rate
set forth in this clause shall apply for fiscal years commencing on or after
July 1, 2026, unless modified through any provision of the general Senate Bill No. 1221
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statutes.
[(C) For the state fiscal years commencing July 1, 2017, and July 1,
2018, the fiscal year upon which the tax shall be imposed under
subparagraphs (A) and (B) of this subdivision shall be fiscal year 2016.
For the biennium commencing July 1, 2019, and for each biennium
thereafter, the fiscal year upon which the tax shall be imposed under
subparagraphs (A) and (B) of this subdivision for each year of the
biennium shall be the fiscal year occurring three years prior to the first
state fiscal year of each biennium.]
(C) (i) For each state fiscal year commencing on or after July 1, 2019,
the total audited net revenue for fiscal year 2016 attributable to inpatient
hospital services, of all hospitals that are required to pay the tax under
this section shall be five billion ninety-seven million eight hundred
twenty thousand one hundred ninety-seven dollars, subject to any
hospital dissolutions or cessation of operations pursuant to
subparagraph (D) of this subdivision or disallowed exemptions
pursuant to subsections (b) and (c) of this section.
(ii) (I) For the state fiscal year commencing on or after July 1, 2019,
and prior to July 1, 2020, the total audited net revenue for fiscal year
2016 attributable to outpatient hospital services, of all hospitals that are
required to pay the tax under this section shall be four billion eight
hundred twenty-nine million eight hundred fifty-nine thousand three
hundred ninety-nine dollars, subject to any hospital dissolutions or
cessation of operations pursuant to subparagraph (D) of this
subdivision or disallowed exemptions pursuant to subsections (b) and
(c) of this section.
(II) For each state fiscal year commencing on or after July 1, 2020, the
total audited net revenue for fiscal year 2016 attributable to outpatient
hospital services, of all hospitals that are required to pay the tax under
this section shall be four billion nine hundred three million one hundred Senate Bill No. 1221
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twenty-seven thousand one hundred thirty-three dollars, subject to any
hospital dissolutions or cessation of operations pursuant to
subparagraph (D) of this subdivision or disallowed exemptions
pursuant to subsections (b) and (c) of this section.
(D) (i) If a hospital or hospitals subject to the tax imposed under this
subdivision merge, consolidate, are acquired or otherwise reorganize,
the surviving hospital shall assume and be liable for the total tax
imposed under this subdivision on the [merging, consolidating or
reorganizing] merged, consolidated, acquired or reorganized hospitals,
including any outstanding liabilities from periods prior to such merger,
consolidation, acquisition or reorganization.
(ii) If a hospital ceases to operate as a hospital for any reason other
than a merger, consolidation, acquisition or reorganization, or ceases for
any reason to be subject to the tax imposed under this subdivision, the
amount of tax due from each taxpayer under this subdivision shall not
be recalculated to take into account such occurrence [but the total
amount of such tax to be collected under subparagraphs (A) and (B) of
this subdivision shall be reduced by the amount of the tax liability
imposed on the hospital that is no longer subject to the tax] for the state
fiscal year in which the hospital dissolves or ceases to operate. The
amount of tax that would be due from the dissolved hospital after its
dissolution or cessation of operations shall not be collected by the
commissioner for the state fiscal year in which such hospital dissolves
or ceases to operate. In the next succeeding state fiscal year after the
hospital dissolves or ceases to operate and in each subsequent state
fiscal year, the total audited net revenue for fiscal year 2016 shall be
reduced by such hospital's audited net revenue for fiscal year 2016 and
the effective rate of the tax due under this section shall be adjusted to
ensure that the total amount of such tax to be collected under
subparagraphs (A) and (B) of this subdivision is redistributed among
the surviving hospitals in proportion to the reduced total audited net Senate Bill No. 1221
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revenue for fiscal year 2016 attributable to inpatient hospital services
and outpatient hospital services, of all hospitals.
(E) (i) [If] For each state fiscal year commencing on or after July 1,
2026, if the Commissioner of Social Services determines for any fiscal
year that the effective rate of tax for the tax imposed on net revenue for
the provision of inpatient hospital services exceeds the rate permitted
under the provisions of 42 CFR 433.68(f), as amended from time to time,
the amount of tax collected that exceeds the permissible amount shall be
refunded to hospitals, in proportion to the amount of net revenue for
the provision of inpatient hospital services upon which the hospitals
were taxed. The effective rate of tax shall be calculated by comparing
the amount of tax paid by hospitals on net revenue for the provision of
inpatient hospital services in a state fiscal year with the amount of net
revenue received by hospitals subject to the tax for the provision of
inpatient hospital services for the equivalent fiscal year.
(ii) On or before July 1, [2020] 2026, and annually thereafter, each
hospital subject to the tax imposed under this subdivision shall report
to the Commissioner of Social Services, in the manner prescribed by and
on forms provided by said commissioner, the amount of tax paid
pursuant to this subsection by such hospital and the amount of net
revenue received by such hospital for the provision of inpatient hospital
services, in the state fiscal year commencing two years prior to each such
reporting date. Not later than ninety days after said commissioner
receives completed reports from all hospitals required to submit such
reports, said commissioner shall notify the Commissioner of Revenue
Services of the amount of any refund due each hospital to be in
compliance with 42 CFR 433.68(f), as amended from time to time. Not
later than thirty days after receiving such notice, the Commissioner of
Revenue Services shall notify the Comptroller of the amount of each
such refund and the Comptroller shall draw an order on the Treasurer
for payment of each such refund. No interest shall be added to any Senate Bill No. 1221
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refund issued pursuant to this subparagraph.
(2) Except as provided in subdivision (3) of this subsection, each
hospital subject to the tax imposed under subdivision (1) of this
subsection shall be required to pay the total amount due in four
quarterly payments consistent with section 12-263s, with the first
quarter commencing with the first day of each state fiscal year and the
last quarter ending on the last day of each state fiscal year. Hospitals
shall make all payments required under this subsection in accordance
with procedures established by and on forms provided by the
commissioner.
(3) (A) For the state fiscal year commencing July 1, 2017, each hospital
required to pay tax on inpatient hospital services or outpatient hospital
services shall make an estimated tax payment on December 15, 2017,
which estimated payment shall be equal to one hundred thirty-three per
cent of the tax due under chapter 211a for the period ending June 30,
2017. If a hospital was not required to pay tax under chapter 211a on
either inpatient hospital services or outpatient hospital services, such
hospital shall make its estimated payment based on its unaudited net
patient revenue.
(B) Each hospital required to pay tax pursuant to this subdivision on
inpatient hospital services or outpatient hospital services shall pay the
remaining balance determined to be due in two equal payments, which
shall be due on April 30, 2018, and July 31, 2018, respectively.
(C) (i) For each state fiscal year commencing on or after July 1, 2017,
[and prior to July 1, 2019,] each hospital required to pay tax on inpatient
hospital services or outpatient hospital services shall calculate the
amount of tax due on forms prescribed by the commissioner by
multiplying the applicable rate set forth in subdivision (1) of this
subsection by its audited net revenue for fiscal year 2016. Senate Bill No. 1221
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(ii) [For each state fiscal year commencing on or after July 1, 2019,
each hospital required to pay tax on inpatient hospital services or
outpatient hospital services shall calculate the amount of tax due on
forms prescribed by the commissioner by multiplying the applicable
rate set forth in subdivision (1) of this subsection by its audited net
revenue for the fiscal year, as set forth in subparagraph (C) of
subdivision (1) of this subsection] For the state fiscal year commencing
July 1, 2019, the payment made for the period ending September 30,
2019, by each hospital required to pay tax on inpatient hospital services
or outpatient hospital services shall be considered an estimated
payment for purposes of the tax due for said state fiscal year. Each
hospital required to pay the tax under this section on inpatient hospital
services or outpatient hospital services shall pay the remaining balance
due in three equal payments, which shall be due on January 31, 2020,
April 30, 2020, and July 31, 2020, respectively.
(D) The commissioner shall apply any payment made by a hospital
in connection with the tax under chapter 211a for the period ending
September 30, 2017, as a partial payment of such hospital's estimated tax
payment due on December 15, 2017, under subparagraph (A) of this
subdivision. The commissioner shall return to a hospital any credit
claimed by such hospital in connection with the tax imposed under
chapter 211a for the period ending September 30, 2017, for assignment
as provided under section 12-263s.
(4) (A) [(i) For each state fiscal year commencing on or after July 1,
2017, and prior to July 1, 2019, each] Each hospital required to pay tax
on inpatient hospital services or outpatient hospital services shall
submit to the commissioner such information as the commissioner
requires in order to calculate the audited net inpatient revenue for fiscal
year 2016, the audited net outpatient revenue for fiscal year 2016 and
the audited net revenue for fiscal year 2016 of all such health care
providers. Such information shall be provided to the commissioner not Senate Bill No. 1221
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later than January 1, 2018. The commissioner shall make additional
requests for information as necessary to fully audit each hospital's net
revenue. Upon completion of the commissioner's examination, the
commissioner shall notify, prior to February 28, 2018, each hospital of
its audited net inpatient revenue for fiscal year 2016, audited net
outpatient revenue for fiscal year 2016 and audited net revenue for fiscal
year 2016.
[(ii) For each state fiscal year commencing on or after July 1, 2019,
each hospital required to pay tax on inpatient hospital services or
outpatient hospital services shall submit to the commissioner biennially
such information as the commissioner requires in order to calculate for
the applicable fiscal year, as set forth in subparagraph (C) of subdivision
(1) of this subsection, the audited net inpatient revenue, the audited net
outpatient revenue and the audited net revenue of all such health care
providers. For the state fiscal year commencing July 1, 2019, such
information shall be provided to the commissioner not later than June
30, 2019. For the biennium commencing July 1, 2021, and each biennium
thereafter, such information shall be provided to the commissioner not
later than January fifteenth of the second year of the biennium
immediately preceding. The commissioner shall make additional
requests for information as necessary to fully audit each hospital's net
revenue. Upon completion of the commissioner's examination, the
commissioner shall notify each hospital of its audited net inpatient
revenue, audited net outpatient revenue and audited net revenue for the
applicable fiscal year, as set forth in subparagraph (C) of subdivision (1)
of this subsection.]
(B) Any hospital that fails to provide the requested information by
the dates specified in subparagraph (A) of this subdivision or fails to
comply with a request for additional information made under this
subdivision shall be subject to a penalty of one thousand dollars per day
for each day the hospital fails to provide the requested information or Senate Bill No. 1221
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additional information.
(C) The commissioner may engage an independent auditor to assist
in the performance of the commissioner's duties and responsibilities
under this subdivision.
(5) Net revenue derived from providing a health care item or service
to a patient shall be taxed only one time under this section.
(6) (A) For purposes of this section:
(i) ["Audited net inpatient revenue for the fiscal year"] "Audited net
inpatient revenue for fiscal year 2016" means the amount of revenue that
the commissioner determines, in accordance with federal law, that a
hospital received for the provision of inpatient hospital services during
the [applicable] 2016 federal fiscal year;
(ii) ["Audited net outpatient revenue for the fiscal year"] "Audited net
outpatient revenue for fiscal year 2016" means the amount of revenue
that the commissioner determines, in accordance with federal law, that
a hospital received for the provision of outpatient hospital services
during the [applicable] 2016 federal fiscal year; and
(iii) ["Audited net revenue for the fiscal year"] "Audited net revenue
for fiscal year 2016" means net revenue, as reported in each hospital's
audited financial [statement] statements, less the amount of revenue
that the commissioner determines, in accordance with federal law, that
a hospital received from other than the provision of inpatient hospital
services and outpatient hospital services. The total audited net revenue
for [the] fiscal year 2016 shall be the sum of all audited net revenue for
the [applicable] 2016 fiscal year for all hospitals required to pay tax on
inpatient hospital services and outpatient hospital services.
(B) For purposes of this section, if a hospital's audited financial
statements for fiscal year 2016 does not report revenue for the entire Senate Bill No. 1221
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fiscal year, such hospital's audited net revenue for fiscal year 2016 shall
be calculated by projecting the amount of revenue such hospital would
have received for the entire fiscal year based proportionally on the
audited net revenue reported on its audited financial statements.
[(B)] (C) Audited net inpatient revenue and audited net outpatient
revenue shall be based on information provided by each hospital
required to pay tax on inpatient hospital services or outpatient hospital
services.
(b) (1) The Commissioner of Social Services shall seek approval from
the Centers for Medicare and Medicaid Services to exempt from the net
revenue tax imposed under subsection (a) of this section the following:
(A) Specialty hospitals; (B) children's general hospitals; and (C)
hospitals operated exclusively by the state other than a short-term
[acute] general hospital operated by the state as a receiver pursuant to
chapter 920. Any hospital for which the Centers for Medicare and
Medicaid Services grants an exemption shall be exempt from the net
revenue tax imposed under subsection (a) of this section. Any hospital
for which the Centers for Medicare and Medicaid Services denies an
exemption shall be deemed to be a hospital for purposes of this section
and shall be required to pay the net revenue tax imposed under
subsection (a) of this section on inpatient hospital services and
outpatient hospital services at the same effective rates set forth in
subsection (a) of this section.
(2) Each hospital shall provide to the Commissioner of Social
Services, upon request, such information as said commissioner may
require to make any computations necessary to seek approval for
exemption under this subsection.
(3) As used in this subsection, (A) "specialty hospital" means a health
care facility, as defined in section 19a-630, other than a facility licensed
by the Department of Public Health as a short-term general hospital or Senate Bill No. 1221
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a short-term children's hospital. "Specialty hospital" includes, but is not
limited to, a psychiatric hospital or a chronic disease hospital, and (B)
"children's general hospital" means a health care facility, as defined in
section 19a-630, that is licensed by the Department of Public Health as a
short-term children's hospital. "Children's general hospital" does not
include a specialty hospital.
(c) [Prior to July 1, 2019, and every three years thereafter] (1) (A) For
each state fiscal year commencing on or after July 1, 2017, and prior to
July 1, 2020, the Commissioner of Social Services shall seek approval
from the Centers for Medicare and Medicaid Services to exempt
financially distressed hospitals from the net revenue tax imposed on
outpatient hospital services. Any such hospital for which the Centers for
Medicare and Medicaid Services grants an exemption shall be exempt
from the net revenue tax imposed on outpatient hospital services under
subsection (a) of this section. Any hospital for which the Centers for
Medicare and Medicaid Services denies an exemption shall be required
to pay the net revenue tax imposed on outpatient hospital services
under subsection (a) of this section.
(B) For purposes of this [subsection] subdivision, "financially
distressed hospital" means a hospital that has experienced over [a] the
five-year period from October 1, 2011, through September 30, 2016, an
average net loss of more than five per cent of aggregate revenue. A
hospital has an average net loss of more than five per cent of aggregate
revenue if such a loss is reflected in the [five most recent] applicable
years of financial reporting that have been made available by the Health
Systems Planning Unit of the Office of Health Strategy for such hospital
in accordance with section 19a-670. [as of the effective date of the request
for approval which effective date shall be July first of the year in which
the request is made] Upon said commissioner's receipt of a
determination by the Centers for Medicare and Medicaid Services that
a hospital is not exempt, the total audited net revenue from the Senate Bill No. 1221
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provision of outpatient hospital services for fiscal year 2016 shall be
increased by such hospital's audited net revenue from the provision of
outpatient hospital services for fiscal year 2016 and the effective rate of
the tax due under this section shall be adjusted to ensure that the total
amount of such tax to be collected under subsection (a) of this section is
redistributed, commencing with the calendar quarter next succeeding
the date of the determination by the Centers for Medicare and Medicaid
Services.
(2) (A) For each state fiscal year commencing on or after July 1, 2020,
the Commissioner of Social Services shall seek approval from the
Centers for Medicare and Medicaid Services to exempt sole community
hospitals from the net revenue tax imposed on outpatient hospital
services. Any such hospital for which the Centers for Medicare and
Medicaid Services grants an exemption shall be exempt from the net
revenue tax imposed on outpatient hospital services under subsection
(a) of this section. Any hospital for which the Centers for Medicare and
Medicaid Services denies an exemption shall be required to pay the net
revenue tax imposed on outpatient hospital services under subsection
(a) of this section.
(B) For purposes of this subdivision, "sole community hospital"
means a hospital that is classified by the Centers for Medicare and
Medicaid Services for purposes of Medicare as a sole community
hospital under 42 CFR 412.92. Upon said commissioner's receipt of a
determination by the Centers for Medicare and Medicaid Services that
a hospital is not exempt, the total audited net revenue from the
provision of outpatient hospital services for fiscal year 2016 shall be
increased by such hospital's audited net revenue from the provision of
outpatient hospital services for fiscal year 2016 and the effective rate of
the tax due under this section shall be adjusted to ensure that the total
amount of such tax to be collected under subsection (a) of this section is
redistributed, commencing with the calendar quarter next succeeding Senate Bill No. 1221
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the date of the determination by the Centers for Medicare and Medicaid
Services.
(3) Upon receipt of a determination by the Centers for Medicare and
Medicaid Services under this subsection that a hospital is not exempt,
said commissioner shall notify all hospitals subject to the tax under this
section of such determination, the corresponding increase to the total
audited net revenue for fiscal year 2016 and the change in any effective
rate of the tax to be collected under subsection (a) of this section through
the state fiscal year 2026. Such notice shall be provided prior to the end
of the calendar quarter next succeeding the date of the determination by
the Centers for Medicare and Medicaid Services. If a state fiscal year has
commenced when such determination is made, the adjusted audited net
revenue for fiscal year 2016 and the change in any effective rate of the
tax to be collected under subsection (a) of this section shall be prorated
to take into account the amount of the tax already paid during the
applicable state fiscal year.
(d) The commissioner shall issue guidance regarding the
administration of the tax on inpatient hospital services and outpatient
hospital services. Such guidance shall be issued upon completion of a
study of the applicable federal law governing the administration of tax
on inpatient hospital services and outpatient hospital services. The
commissioner shall conduct such study in collaboration with the
Commissioner of Social Services, the Secretary of the Office of Policy
and Management, the Connecticut Hospital Association and the
hospitals subject to the tax imposed on inpatient hospital services and
outpatient hospital services.
(e) (1) The commissioner shall determine, in consultation with the
Commissioner of Social Services, the Secretary of the Office of Policy
and Management, the Connecticut Hospital Association and the
hospitals subject to the tax imposed on inpatient hospital services and
outpatient hospital services, if there is any underreporting of revenue Senate Bill No. 1221
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on hospitals' audited financial statements. Such consultation shall only
be as authorized under section 12-15. The commissioner shall issue
guidance, if necessary, to address any such underreporting.
(2) If the commissioner determines, in accordance with this
subsection, that a hospital underreported net revenue on its audited
financial [statement] statements, the amount of underreported net
revenue shall be added to the amount of net revenue reported on such
hospital's audited financial [statement] statements so as to comply with
federal law and the revised net revenue amount shall be used for
purposes of calculating the amount of tax owed by such hospital under
this section. For purposes of this subsection, "underreported net
revenue" means any revenue of a hospital subject to the tax imposed
under this section that is required to be included in net revenue from
the provision of inpatient hospital services and net revenue from the
provision of outpatient hospital services to comply with 42 CFR 433.56,
as amended from time to time, 42 CFR 433.68, as amended from time to
time, and Section 1903(w) of the Social Security Act, as amended from
time to time, but that was not reported on such hospital's audited
financial [statement] statements. Underreported net revenue shall only
include revenue of the hospital subject to such tax.
(f) Nothing in this section shall affect the commissioner's obligations
under section 12-15 regarding disclosure and inspection of returns and
return information.
(g) The provisions of section 17b-8 shall not apply to any exemption
or exemptions sought by the Commissioner of Social Services from the
Centers for Medicare and Medicaid Services under this section.
Sec. 2. (NEW) (Effective from passage) (a) Notwithstanding any other
provision of law, for any tax period commencing on or after the effective
date of this section and prior to July 1, 2026, a nongovernmental licensed
short-term general hospital shall not be subject to any tax or fee that is a Senate Bill No. 1221
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health care related tax, as defined in Section 1903(w) of the Social
Security Act, on such hospital's net revenue from inpatient hospital
services and outpatient hospital services, except for the following: (1)
The tax set forth in section 12-263q of the general statutes, as amended
by this act; and (2) any other applicable tax or fee that is a health care
related tax, as defined in Section 1903(w) of the Social Security Act, in
effect as of the effective date of this section.
(b) Notwithstanding any other provision of law, the tax set forth in
section 12-263q of the general statutes, as amended by this act, shall not
be amended for any tax period commencing prior to July 1, 2026.
(c) Notwithstanding any other provision of law, any tax exemption
that is available to a nongovernmental licensed short-term general
hospital and is in effect as of the effective date of this section, including,
but not limited to, exemptions under chapters 203, 208, 219 and 221 of
the general statutes, shall not be amended, repealed, modified or in any
way restricted for any such hospital for any tax period commencing
prior to July 1, 2026.
(d) Nothing in this section shall preclude:
(1) The amendment or modification of any tax or fee that is applicable
to nongovernmental licensed short-term general hospitals, is in effect as
of the effective date of this section and is not a health care related tax, as
defined in Section 1903(w) of the Social Security Act, provided not more
than fifteen per cent of such amended or modified total tax or fee
imposed is due from such hospitals;
(2) The imposition of any tax or fee that is applicable to
nongovernmental licensed short-term general hospitals, is not in effect
as of the effective date of this section and is not a health care related tax,
as defined in Section 1903(w) of the Social Security Act, provided not
more than fifteen per cent of such new total tax or fee imposed is due Senate Bill No. 1221
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from such hospitals;
(3) The enactment of legislation that modifies the tax set forth in
section 12-263q of the general statutes, as amended by this act, for the
purpose of imposing such tax on a hospital that is not subject to such tax
as of the effective date of this section; or
(4) The amendment or modification of the provisions of section 12-
263i or 12-263r of the general statutes.
Sec. 3. (NEW) (Effective from passage) (a) As used in this section, (1)
"settlement agreement" means the settlement agreement in the matter of
The Connecticut Hospital Association et al. v. Connecticut Department
of Social Services et al., No. HHB-CV16-6035321-S, approved by the
General Assembly pursuant to section 3-125a of the general statutes on
December 18, 2019, and (2) "superior court" means the superior court for
the judicial district of New Britain including the matter of The
Connecticut Hospital Association et al. v. Connecticut Department of
Social Services et al., No. HHB-CV16-6035321-S.
(b) The superior court shall have jurisdiction over the settlement
agreement, including the jurisdiction and authority to adjudicate a
motion filed by the parties to said agreement requesting an order of
approval of said agreement.
(c) Following entry of an order of approval of the settlement
agreement, the superior court shall have continuing jurisdiction over
said agreement, including the jurisdiction and authority to adjudicate a
motion filed by a party to said agreement requesting an order for
enforcement or modification of the settlement agreement in accordance
with the provisions of said agreement. The superior court shall be
authorized to issue orders in response to such motion, in accordance
with the provisions of the settlement agreement, for (1) interim or
temporary relief pending a final decision, (2) declaratory, monetary and Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 18 of 49
permanent equitable relief as needed to enforce the terms of said
agreement, and (3) modification of the settlement agreement in the
manner and within the limits provided in said agreement. Any final
order of the superior court issued pursuant to this section may be
appealed in accordance with law. Sovereign immunity shall not be a
defense to or bar any action, motion, order or relief authorized under
this section.
Sec. 4. (NEW) (Effective from passage) For the state fiscal years ending
June 30, 2020, through June 30, 2026, the tax imposed under section 12-
263q of the general statutes, as amended by this act, on the provision of
inpatient hospital services and outpatient hospital services shall cease
to be imposed if the Centers for Medicare and Medicaid Services (1)
determines that such tax is an impermissible tax under Section 1903(w)
of the Social Security Act, as amended from time to time, or (2) does not
approve the applicable Medicaid state plan amendments necessary for
the state to receive federal financial participation under the Medicaid
program for the payments set forth in subsection (i) of section 17b-239
of the general statutes, as amended by this act, and subsection (c) of
section 17b-239e of the general statutes, as amended by this act. In the
event of such a determination or disapproval, the General Assembly
shall consider, during the next occurring regular or special session,
whichever is sooner, such amendments to the general statutes as are
necessary to comply with federal law regarding such tax.
Sec. 5. Subsections (i) to (l), inclusive, of section 17b-239 of the general
statutes, as amended by section 306 of public act 19-117, are repealed
and the following is substituted in lieu thereof (Effective from passage):
(i) [Not later than fifteen days after passage of this section or
December 1, 2017, whichever is sooner, the commissioner shall publish
public notice of the intent to submit a Medicaid state plan amendment
to provide for the rate increases set forth in this subsection. Not later
than five days after the expiration of the thirty-day public comment Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 19 of 49
period for such Medicaid state plan amendment, the commissioner shall
submit such Medicaid state plan amendment to the Centers for
Medicare and Medicaid Services for approval.] (1) Subject to federal
approval, the commissioner shall increase rates effective January 1,
2018, for hospitals, implementing those increases on the earliest
available date, as follows: [(1)] (A) The diagnosis-related group base rate
for inpatient hospital services provided by [privately operated acute
care] nongovernmental licensed short-term general hospitals shall be
increased by thirty-one and sixty-five-hundredths per cent from the
level in effect on July 1, 2017, and [(2)] (B) the ambulatory payment
classification base conversion factor for outpatient hospital services
provided by [acute care] licensed short-term general hospitals shall be
increased by six and one-half per cent from the level in effect on July 1,
2017. [For dates of service only from January 1, 2018, through June 30,
2018, commencing January 1, 2018, the Commissioner of Social Services
shall pay at the increased rates set forth in this subsection even if each
applicable Medicaid state plan amendment approval has not been
received from the Centers for Medicare and Medicaid Services prior to
January 1, 2018, provided the implementation of such rate increases
remains subject to federal approval and payment of such increases may
later be recovered if federal approval is not obtained. For dates of service
on or after July 1, 2018, the rate increases set forth in this subsection shall
be implemented not later than thirty days after receiving federal
approval of applicable Medicaid state plan amendments. Subject to
continuing approvals from the Centers for Medicare and Medicaid
Services and ongoing compliance with applicable federal Medicaid
requirements, for the fiscal year commencing July 1, 2018, and annually
thereafter, the commissioner shall not remove the rate increases set forth
in this subsection.]
(2) (A) For the purposes of this subsection and subsection (k) of this
section, "settlement agreement" has the same meaning as provided in
section 3 of this act. Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 20 of 49
(B) To the extent required by the settlement agreement, including any
court order issued in accordance with the provisions of section 3 of this
act, for dates of service from January 1, 2020, through June 30, 2026,
applicable payments to nongovernmental licensed short-term general
hospitals located in the state shall be made in accordance with the
relevant requirements of said agreement regarding wage index values,
the inpatient hospital all-patient refined diagnosis-related group base
rate and the outpatient hospital ambulatory payment classification
conversion factor.
(3) (A) To the extent required by the settlement agreement, including
any court order issued in accordance with the provisions of section 3 of
this act, effective January 1, 2020, and each January first thereafter until
and including January 1, 2026, the commissioner shall increase annually
the Medicaid rates payable to nongovernmental licensed short-term
general hospitals located in the state as follows: (i) The inpatient hospital
all-patient refined diagnosis-related group base rate by two per cent; (ii)
the inpatient hospital behavioral health per diem rate, the inpatient
psychiatric services and rehabilitation per diem rates and the inpatient
behavioral health child discharge delay per diem rate, each by two per
cent; (iii) the outpatient hospital ambulatory payment classification
conversion factor by two and two-tenths per cent; and (iv) the revenue
center codes listed on the hospital outpatient flat fee schedule by two
and two-tenths per cent. Each such annual increase shall be calculated
against the rates in effect for the calendar year immediately preceding
such rate increase.
(B) As soon as practicable after the effective date of this section, the
commissioner shall publish public notice of the intent to submit the
Medicaid state plan amendments necessary to provide for the rate
increases set forth in subparagraph (A) of this subdivision. Not later
than fifteen days after the expiration of the thirty-day comment period
for such state plan amendments, the commissioner shall submit such Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 21 of 49
state plan amendments to the Centers for Medicare and Medicaid
Services for approval. The commissioner shall diligently pursue the
federal approvals required for such rate increases. The commissioner
shall implement such rate increases for the dates of service set forth in
subparagraph (A) of this subdivision even if federal approvals are
received after such dates of service, provided the implementation of
such rate increases remains subject to federal approval to the extent
required by the terms of the settlement agreement, including any court
order issued in accordance with the provisions of section 3 of this act. If
federal approvals of such rate increases are not obtained, the payment
of such rate increases may later be recovered by the commissioner by
recoupment against other Medicaid payments due to a hospital or in
any manner authorized by law.
(4) To the extent required by the settlement agreement, including any
court order issued in accordance with the provisions of section 3 of this
act, from July 1, 2019, through June 30, 2026, the commissioner shall not
remove, repeal or reduce the rate increases set forth in this subsection
and appropriations for any payments to nongovernmental licensed
short-term general hospitals based on such rates shall not be subject to
rescissions or holdbacks.
(5) Nothing in this section shall affect the authority of the state to
recover overpayments and collect unpaid liabilities, as authorized by
law. No provision of this subsection shall affect implementation of state-
wide diagnosis-related group base rates in accordance with subsection
(a) of this section.
(j) Except as otherwise specifically required in subsection (i) of this
section, (1) notwithstanding the provisions of this chapter or regulations
adopted thereunder, the Department of Social Services is not required
to increase rates paid, or to set any rates to be paid to or adjust upward
any method of payment to, any hospital based on inflation or based on
any inflationary factor, including, but not limited to, any current Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 22 of 49
payments or adjustments that are being made based on dates of service
in previous years, [. The] and (2) the Department of Social Services shall
not increase or adjust upward any rates or method of payment to
hospitals based on inflation or based on any inflationary factor unless
the approved state budget includes appropriations for such increases or
upward adjustments.
[(k) (1) Effective on or after July 1, 2019, the Commissioner of Social
Services shall implement one or more value -based payment
methodologies in accordance with this subsection in order to improve
health outcomes and reduce unnecessary costs, as determined by the
commissioner. The commissioner may, to the extent determined
necessary by the commissioner, phase in such value-based payment
methodologies over time. Such methodologies may include, but need
not be limited to, methodologies that are designed to: (A) Reduce
inpatient hospital readmissions; (B) reduce unnecessary caesarian
section deliveries, take appropriate actions to reduce preterm deliveries
and improve obstetrical care outcomes; (C) address outpatient infusions
involving high-cost medications by implementing performance-based
payments; and (D) implement such other policies as determined by the
commissioner.
(2) Effective on or after July 1, 2019, the Commissioner of Social
Services shall reduce the total applicable rate payments by fifteen per
cent for each hospital readmission, in addition to any value-based
payment methodology implemented pursuant to subdivision (1) of this
subsection. For purposes of this subdivision, "readmission" means, in
the case of an individual who is discharged from an applicable hospital,
a subsequent admission of the same individual for observation services
provided to the individual for the same or a similar diagnosis or
diagnoses not later than thirty days from the date of such discharge.
Nothing in this subdivision shall preclude the commissioner from
establishing additional value-based payment methodologies regarding Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 23 of 49
readmissions.
(3) Notwithstanding any other provision of the general statutes, each
applicable hospital rate and supplemental payment methodology
designed by the commissioner shall incorporate each value-based
payment methodology established pursuant to this section, including
structuring applicable payment based on each hospital's performance
on the applicable measures for each value-based payment methodology.
(l) Medicaid payments to hospitals shall be made only in compliance
with federal law. If any Medicaid payments to hospitals are not eligible
for federal financial participation, the Department of Social Services
shall adjust payments to hospitals to the extent necessary to ensure that
no Medicaid payments are made to hospitals that are not eligible for
federal financial participation for all applicable payments and for all
applicable time periods. No provision of this section or section 17b-239e,
as amended by this act, shall require the Department of Social Services
to make any Medicaid payments to hospitals that are not eligible for
federal financial participation.]
(k) (1) Subject to any court order issued in accordance with the
provisions of section 3 of this act, the Department of Social Services shall
make payments to nongovernmental licensed short-term general
hospitals to the extent required by the settlement agreement, including,
to the extent applicable, portions of payments for which the federal
financial participation may not be available, such as one-time payments
and payments using state-only funds above the upper payment limit.
For the purposes of this subsection, "upper payment limit" means the
limit on aggregate Medicaid payments to specified groups of facilities
for which Medicaid federal financial participation is available, in
accordance with 42 CFR 447.72 and 42 CFR 447.321, as applicable, each
as amended from time to time.
(2) To the extent required by the settlement agreement, including any Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 24 of 49
court order issued in accordance with the provisions of section 3 of this
act, from July 1, 2019, through June 30, 2026, for nongovernmental
licensed short-term general hospitals located in the state, the
Department of Social Services shall continue to set Medicaid rates for
inpatient hospital services and outpatient hospital services in
accordance with the rate-setting rules and methodologies established in
the Medicaid state plan in effect as of the effective date of this section
and incorporating changes to said plan as required by the settlement
agreement.
Sec. 6. Section 17b-239e of the general statutes, as amended by section
307 of public act 19-117, is repealed and the following is substituted in
lieu thereof (Effective from passage):
(a) [On or before January 1, 2012, the Commissioner of Social Services,
in consultation with the Commissioners of Public Health and Mental
Health and Addiction Services and the Secretary of the Office of Policy
and Management, shall submit to the joint standing committees of the
General Assembly having cognizance of matters relating to human
services and appropriations and the budgets of state agencies a plan
concerning the implementation of a cost neutral acuity-based method
for establishing rates to be paid to hospitals that is phased in over a
period of time.] For the purposes of this section, "settlement agreement"
has the same meaning as provided in section 3 of this act.
(b) [(1)] Subject to federal approval, the Department of Social Services
shall establish supplemental pools for certain hospitals [, as determined
by the department in consultation with the Connecticut Hospital
Association, including, but not limited to, such pools as a supplemental
inpatient pool, a supplemental outpatient pool, a supplemental small
hospital pool, and a supplemental mid-size hospital pool] in accordance
with the terms of the settlement agreement, including any court order
issued in accordance with the provisions of section 3 of this act. Such
pools shall include, but not be limited to, as applicable, general, small Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 25 of 49
hospital, mid-sized hospital and large hospital supplemental pools.
[(2)] (c) (1) The department shall distribute supplemental payments
to applicable hospitals [based on criteria determined by the department
in consultation with the Connecticut Hospital Association, including,
but not limited to, utilization and proportion of total Medicaid
expenditures. Such consultation shall include, at a minimum, that the
department shall send proposed distribution criteria in writing to the
Connecticut Hospital Association not less than thirty days before
making any payments based on such criteria and shall provide an
opportunity to discuss such criteria prior to making any payments
based on such criteria] in accordance with the settlement agreement,
including any court order issued in accordance with the provisions of
section 3 of this act. The commissioner shall diligently pursue the federal
approvals required for the supplemental pools and payments set forth
in this section.
(2) To the extent required by the settlement agreement, including any
court order issued in accordance with the provisions of section 3 of this
act, the Department of Social Services shall pay Medicaid supplemental
payments to nongovernmental licensed short-term general hospitals
located in the state as follows: (A) For the fiscal years ending June 30,
2020, and June 30, 2021, five hundred forty-eight million three hundred
thousand dollars in each such fiscal year; and (B) for the fiscal years
ending June 30, 2022, through June 30, 2026, five hundred sixty-eight
million three hundred thousand dollars in each such fiscal year. For
fiscal years commencing on and after July 1, 2026, the total amount of
supplemental payments paid to such hospitals shall continue at the level
in effect for the prior fiscal year unless modified through any provision
of the general statutes or appropriations act.
(3) From July 1, 2019, through June 30, 2026, the Department of Social
Services shall make supplemental payments to the applicable hospitals
on or before the last day of the first month of each calendar quarter, Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 26 of 49
except that payments scheduled to be made before the effective date of
this section shall be made not later than thirty days after the effective
date of this section.
(4) If a nongovernmental licensed short-term general hospital located
in the state merges or consolidates with or is acquired by another
hospital, such that the hospital does not continue to maintain a separate
short-term general hospital license, the supplemental payments that
would have been paid to the hospital that no longer maintains such
license shall be paid instead to the surviving hospital, beginning with
the first calendar quarter that commences on or after the effective date
of the merger, consolidation or acquisition. If a nongovernmental
licensed short-term general hospital located in the state dissolves, ceases
to operate or otherwise terminates licensed short-term general hospital
services, the supplemental payments that would have been paid to such
hospital shall not be paid to any other hospital for the remainder of the
fiscal year in which such hospital dissolves, ceases operations or
otherwise terminates such services. Commencing with the fiscal year
after the hospital dissolved, ceased to operate or otherwise terminated
such services, the supplemental payments that would have been made
to such hospital shall be redistributed to all other nongovernmental
licensed short-term general hospitals located in the state in accordance
with the distribution methodology set forth in the settlement agreement
for each supplemental pool.
(5) Both the state and federal share of supplemental payments set
forth in this subsection shall be appropriated to the Department of Social
Services. Such supplemental payments shall not be subject to rescissions
or holdbacks. Nothing in this section shall affect the authority of the
state to recover overpayments and collect unpaid liabilities, as
authorized by law.
[(c) Out of the aggregate amount of the supplemental pools described
in subsection (b) of this section, within available appropriations, the Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 27 of 49
following amounts shall be allocated based on each hospital's
performance on quality measures determined by the Department of
Social Services: Fifteen million dollars in the fiscal year ending June 30,
2020, and forty-five million dollars for the fiscal year ending June 30,
2021. Such allocations shall be made proportionally from each of the
supplemental pools established pursuant to subsection (b) of this
section.]
(d) To the extent required by the settlement agreement, including any
court order issued in accordance with the provisions of section 3 of this
act, the commissioner shall make the supplemental payments set forth
in this section effective for the dates of service set forth in this section,
including payment adjustments to reconcile, in accordance with this
section, supplemental payments made to hospitals for the calendar
quarter ending September 30, 2019, as interim payments. Such
reconciliation shall ensure that, after accounting for such payment
adjustments, the actual supplemental payments made to each hospital
shall be the amounts due to each hospital pursuant to the settlement
agreement, even if federal approvals are received after each applicable
date that supplemental payments are required to be made, provided the
supplemental payments remain subject to federal approval. If federal
approval of such payments is not obtained, such payments may later be
recovered by the commissioner by recoupment against other Medicaid
payments due to a hospital or in any manner authorized by law.
Sec. 7. (Effective from passage) The amounts appropriated for the fiscal
years ending June 30, 2020, and June 30, 2021, in section 1 of public act
19-117 regarding the GENERAL FUND are amended to read as follows:
2019-2020 2020-2021
LEGISLATIVE
LEGISLATIVE MANAGEMENT
Personal Services 47,000,000 50,000,000 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 28 of 49
Other Expenses 14,930,000 14,930,000
Equipment 2,172,000 1,172,000
Flag Restoration 65,000 65,000
Minor Capital Improvements 1,800,000
Interim Salary/Caucus Offices 677,642 536,102
Redistricting 475,000 475,000
Old State House 550,000 600,000
Interstate Conference Fund 409,038 425,400
New England Board of Higher
Education
183,750 183,750
AGENCY TOTAL 66,462,430 70,187,252
AUDITORS OF PUBLIC
ACCOUNTS
Personal Services 11,446,794 12,196,119
Other Expenses 272,143 272,143
AGENCY TOTAL 11,718,937 12,468,262
COMMISSION ON WOMEN,
CHILDREN, SENIORS, EQUITY
AND OPPORTUNITY
Personal Services 600,000 636,000
Other Expenses 60,000 60,000
AGENCY TOTAL 660,000 696,000
GENERAL GOVERNMENT
GOVERNOR'S OFFICE
Personal Services 2,043,764 2,154,748
Other Expenses 174,483 174,483
New England Governors' Conference 74,391 74,391
National Governors' Association 106,600 106,600
AGENCY TOTAL 2,399,238 2,510,222
SECRETARY OF THE STATE
Personal Services 2,681,168 2,826,337 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 29 of 49
Other Expenses 1,606,594 1,606,594
Commercial Recording Division 4,672,490 4,819,503
AGENCY TOTAL 8,960,252 9,252,434
LIEUTENANT GOVERNOR'S
OFFICE
Personal Services 618,549 648,244
Other Expenses 57,251 57,251
AGENCY TOTAL 675,800 705,495
ELECTIONS ENFORCEMENT
COMMISSION
Elections Enforcement Commission 3,366,080 3,589,636
OFFICE OF STATE ETHICS
Office of State Ethics 1,515,986 1,610,143
FREEDOM OF INFORMATION
COMMISSION
Freedom of Information Commission 1,618,072 1,707,192
STATE TREASURER
Personal Services 2,903,527 3,052,378
Other Expenses 284,999 124,999
AGENCY TOTAL 3,188,526 3,177,377
STATE COMPTROLLER
Personal Services 23,014,883 24,235,594
Other Expenses 5,200,883 5,199,293
AGENCY TOTAL 28,215,766 29,434,887
DEPARTMENT OF REVENUE
SERVICES
Personal Services 55,899,207 58,985,625
Other Expenses 7,782,623 7,332,623
AGENCY TOTAL 63,681,830 66,318,248 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 30 of 49
OFFICE OF GOVERNMENTAL
ACCOUNTABILITY
Other Expenses 30,662 32,287
Child Fatality Review Panel 101,202 108,354
Contracting Standards Board 167,239 176,909
Judicial Review Council 128,996 132,963
Judicial Selection Commission 86,713 91,816
Office of the Child Advocate 670,062 711,931
Office of the Victim Advocate 406,323 428,651
Board of Firearms Permit Examiners 114,611 121,016
AGENCY TOTAL 1,705,808 1,803,927
OFFICE OF POLICY AND
MANAGEMENT
Personal Services 10,975,537 11,679,172
Other Expenses 1,233,684 1,188,684
Automated Budget System and Data
Base Link
26,776 26,776
Justice Assistance Grants 823,001 826,328
Project Longevity 998,750 998,750
Tax Relief For Elderly Renters 25,020,226 25,020,226
Private Providers 3,000,000 6,000,000
MRDA 500,000 500,000
Reimbursement to Towns for Loss of
Taxes on State Property
54,944,031 54,944,031
Reimbursements to Towns for
Private Tax-Exempt Property
109,889,434 109,889,434
Reimbursement Property Tax -
Disability Exemption
364,713 364,713
Distressed Municipalities 1,500,000 1,500,000
Property Tax Relief Elderly Freeze
Program
40,000 40,000
Property Tax Relief for Veterans 2,708,107 2,708,107
Municipal Revenue Sharing 36,819,135 36,819,135
Municipal Transition 29,917,078 32,331,732
Municipal Stabilization Grant 37,953,335 38,253,335 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 31 of 49
Municipal Restructuring 7,300,000 7,300,000
AGENCY TOTAL 324,013,807 330,390,423
DEPARTMENT OF VETERANS'
AFFAIRS
Personal Services 19,375,575 20,415,930
Other Expenses 2,903,207 2,903,207
SSMF Administration 511,396 511,396
Burial Expenses 6,666 6,666
Headstones 307,834 307,834
AGENCY TOTAL 23,104,678 24,145,033
DEPARTMENT OF
ADMINISTRATIVE SERVICES
Personal Services 48,933,645 51,482,515
Other Expenses 30,143,935 31,181,530
Loss Control Risk Management 92,634 92,634
Employees' Review Board 17,611 17,611
Surety Bonds for State Officials and
Employees
69,000 73,500
Refunds Of Collections 21,453 21,453
Rents and Moving 10,571,577 10,571,577
W. C. Administrator 5,000,000 5,000,000
State Insurance and Risk Mgmt
Operations
12,239,855 12,239,855
IT Services 13,919,176 16,325,576
Firefighters Fund 400,000 400,000
AGENCY TOTAL 121,408,886 127,406,251
ATTORNEY GENERAL
Personal Services 30,379,331 30,870,633
Other Expenses 1,019,910 1,019,910
AGENCY TOTAL 31,399,241 31,890,543
DIVISION OF CRIMINAL JUSTICE
Personal Services 44,746,899 46,809,521 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 32 of 49
Other Expenses 2,394,240 2,394,240
Witness Protection 164,148 164,148
Training And Education 27,398 27,398
Expert Witnesses 135,413 135,413
Medicaid Fraud Control 1,197,897 1,254,282
Criminal Justice Commission 409 409
Cold Case Unit 228,213 228,213
Shooting Taskforce 1,074,222 1,127,052
AGENCY TOTAL 49,968,839 52,140,676
REGULATION AND PROTECTION
DEPARTMENT OF EMERGENCY
SERVICES AND PUBLIC
PROTECTION
Personal Services 142,169,082 145,635,390
Other Expenses 27,882,589 28,349,417
Stress Reduction 25,354 25,354
Fleet Purchase 5,581,737 5,581,737
Workers' Compensation Claims 4,136,817 4,136,817
Criminal Justice Information System 2,684,610 2,684,610
Fire Training School - Willimantic 150,076 150,076
Maintenance of County Base Fire
Radio Network
19,528 19,528
Maintenance of State-Wide Fire
Radio Network
12,997 12,997
Police Association of Connecticut 172,353 172,353
Connecticut State Firefighter's
Association
176,625 176,625
Fire Training School - Torrington 81,367 81,367
Fire Training School - New Haven 48,364 48,364
Fire Training School - Derby 37,139 37,139
Fire Training School - Wolcott 100,162 100,162
Fire Training School - Fairfield 70,395 70,395
Fire Training School - Hartford 169,336 169,336
Fire Training School - Middletown 68,470 68,470 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 33 of 49
Fire Training School - Stamford 55,432 55,432
AGENCY TOTAL 183,642,433 187,575,569
MILITARY DEPARTMENT
Personal Services 2,777,206 2,945,438
Other Expenses 2,171,221 2,171,221
Honor Guards 469,000 469,000
Veteran's Service Bonuses 93,333 93,333
AGENCY TOTAL 5,510,760 5,678,992
DEPARTMENT OF CONSUMER
PROTECTION
Personal Services 13,357,897 14,110,498
Other Expenses 1,153,928 1,148,428
AGENCY TOTAL 14,511,825 15,258,926
LABOR DEPARTMENT
Personal Services 9,094,519 9,610,588
Other Expenses 1,074,985 1,014,985
CETC Workforce 562,744 567,979
Workforce Investment Act 34,614,361 34,614,361
Job Funnels Projects 700,000 700,000
Connecticut's Youth Employment
Program
5,000,040 5,000,096
Jobs First Employment Services 12,521,662 12,562,412
Apprenticeship Program 482,706 499,921
Connecticut Career Resource
Network
111,327 116,385
STRIVE 76,058 76,058
Opportunities for Long Term
Unemployed
3,104,229 3,104,573
Veterans' Opportunity Pilot 233,070 240,823
Second Chance Initiative 311,481 311,594
Cradle To Career 100,000 100,000
New Haven Jobs Funnel 350,000 350,000
Healthcare Apprenticeship Initiative 500,000 500,000 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 34 of 49
Manufacturing Pipeline Initiative 2,001,332 2,003,251
Workforce Training Authority 500,000 500,000
AGENCY TOTAL 71,338,514 71,873,026
COMMISSION ON HUMAN
RIGHTS AND OPPORTUNITIES
Personal Services 6,106,429 6,426,842
Other Expenses 293,958 289,958
Martin Luther King, Jr. Commission 5,977 5,977
AGENCY TOTAL 6,406,364 6,722,777
CONSERVATION AND
DEVELOPMENT
DEPARTMENT OF AGRICULTURE
Personal Services 3,802,309 3,985,079
Other Expenses 800,959 800,959
Senior Food Vouchers 351,939 354,104
Dairy Farmer - Agriculture
Sustainability
1,000,000 1,000,000
WIC Coupon Program for Fresh
Produce
167,938 167,938
AGENCY TOTAL 6,123,145 6,308,080
DEPARTMENT OF ENERGY AND
ENVIRONMENTAL PROTECTION
Personal Services 19,915,349 20,881,883
Other Expenses 469,569 449,569
Mosquito Control 230,354 236,055
State Superfund Site Maintenance 399,577 399,577
Laboratory Fees 129,015 129,015
Dam Maintenance 118,956 124,850
Emergency Spill Response 6,511,519 6,763,389
Solid Waste Management 3,656,481 3,751,297
Underground Storage Tank 890,592 921,535
Clean Air 3,974,654 4,117,754 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 35 of 49
Environmental Conservation 4,856,000 5,010,909
Environmental Quality 8,562,360 8,898,044
Fish Hatcheries 2,115,785 2,161,194
Interstate Environmental
Commission
3,333 3,333
New England Interstate Water
Pollution Commission
26,554 26,554
Northeast Interstate Forest Fire
Compact
3,082 3,082
Connecticut River Valley Flood
Control Commission
30,295 30,295
Thames River Valley Flood Control
Commission
45,151 45,151
AGENCY TOTAL 51,938,626 53,953,486
DEPARTMENT OF ECONOMIC
AND COMMUNITY
DEVELOPMENT
Personal Services 7,374,954 7,773,044
Other Expenses 664,382 664,382
Spanish-American Merchants
Association
452,782 454,694
Office of Military Affairs 194,620 202,411
CCAT-CT Manufacturing Supply
Chain
100,000 100,000
Capital Region Development
Authority
6,249,121 6,249,121
Manufacturing Growth Initiative 150,000 150,000
Hartford 2000 20,000 20,000
AGENCY TOTAL 15,205,859 15,613,652
DEPARTMENT OF HOUSING
Personal Services 1,877,176 1,953,445
Other Expenses 164,893 164,893
Elderly Rental Registry and
Counselors
1,014,722 1,014,722
Homeless Youth 2,292,929 2,292,929 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 36 of 49
Subsidized Assisted Living
Demonstration
2,612,000 2,678,000
Congregate Facilities Operation
Costs
7,189,480 7,189,480
Elderly Congregate Rent Subsidy 1,942,424 1,942,424
Housing/Homeless Services 80,388,870 85,779,130
Housing/Homeless Services -
Municipality
575,226 575,226
AGENCY TOTAL 98,057,720 103,590,249
AGRICULTURAL EXPERIMENT
STATION
Personal Services 5,755,367 6,012,727
Other Expenses 865,032 865,032
Mosquito and Tick Disease
Prevention
512,276 522,880
Wildlife Disease Prevention 95,809 99,149
AGENCY TOTAL 7,228,484 7,499,788
HEALTH
DEPARTMENT OF PUBLIC
HEALTH
Personal Services 34,869,904 36,847,046
Other Expenses 7,639,067 7,618,240
LGBTQ Health and Human Services
Network
250,000 250,000
Community Health Services 1,486,753 1,486,753
Rape Crisis 548,128 548,128
Local and District Departments of
Health
4,210,499 4,210,499
School Based Health Clinics 10,550,187 10,550,187
AGENCY TOTAL 59,554,538 61,510,853
OFFICE OF HEALTH STRATEGY
Personal Services 2,029,556 2,111,198
Other Expenses 1,038,042 38,042 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 37 of 49
AGENCY TOTAL 3,067,598 2,149,240
OFFICE OF THE CHIEF MEDICAL
EXAMINER
Personal Services 5,527,527 5,838,564
Other Expenses 1,442,198 1,442,198
Equipment 23,310 23,310
Medicolegal Investigations 22,150 22,150
AGENCY TOTAL 7,015,185 7,326,222
DEPARTMENT OF
DEVELOPMENTAL SERVICES
Personal Services 200,282,835 209,745,951
Other Expenses 15,133,419 15,069,356
Housing Supports and Services 350,000 1,400,000
Family Support Grants 3,700,840 3,700,840
Clinical Services 2,340,271 2,337,724
Workers' Compensation Claims 14,598,415 15,404,040
Behavioral Services Program 23,044,686 22,571,979
Supplemental Payments for Medical
Services
3,233,467 3,008,132
ID Partnership Initiatives 1,529,000 1,529,000
Emergency Placements 5,630,000 5,630,000
Rent Subsidy Program 4,782,312 4,782,312
Employment Opportunities and Day
Services
277,945,780 289,183,217
AGENCY TOTAL 552,571,025 574,362,551
DEPARTMENT OF MENTAL
HEALTH AND ADDICTION
SERVICES
Personal Services 197,451,035 213,878,173
Other Expenses 25,171,554 25,171,554
Housing Supports and Services 22,966,163 22,966,163
Managed Service System 55,924,095 56,333,880
Legal Services 706,179 706,179 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 38 of 49
Connecticut Mental Health Center 7,848,323 7,848,323
Professional Services 12,900,697 12,900,697
General Assistance Managed Care 40,377,409 40,722,054
Workers' Compensation Claims 14,493,430 15,021,165
Nursing Home Screening 652,784 652,784
Young Adult Services 76,675,067 77,970,521
TBI Community Services 8,385,284 8,452,441
Behavioral Health Medications 6,720,754 6,720,754
Medicaid Adult Rehabilitation
Option
4,184,260 4,184,260
Discharge and Diversion Services 24,216,478 24,216,478
Home and Community Based
Services
20,980,076 22,220,669
Nursing Home Contract 409,594 409,594
Katie Blair House 15,150 15,150
Forensic Services 10,145,246 10,275,522
Grants for Substance Abuse Services 17,913,225 17,913,225
Grants for Mental Health Services 66,316,598 66,316,598
Employment Opportunities 8,791,514 8,791,514
AGENCY TOTAL 623,244,915 643,687,698
PSYCHIATRIC SECURITY REVIEW
BOARD
Personal Services 284,612 299,756
Other Expenses 25,068 25,068
AGENCY TOTAL 309,680 324,824
HUMAN SERVICES
DEPARTMENT OF SOCIAL
SERVICES
Personal Services 132,339,071 139,336,819
Other Expenses 154,204,427 147,663,485
Genetic Tests in Paternity Actions 81,906 81,906
HUSKY B Program 8,870,000 14,830,000 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 39 of 49
Medicaid [2,691,610,660]
2,700,788,825
[2,816,874,660]
2,826,174,660
Old Age Assistance 42,619,500 43,569,500
Aid To The Blind 529,100 523,900
Aid To The Disabled 59,713,700 59,683,700
Temporary Family Assistance -
TANF
59,734,200 58,374,200
Emergency Assistance 1 1
Food Stamp Training Expenses 9,832 9,832
DMHAS-Disproportionate Share 108,935,000 108,935,000
Connecticut Home Care Program 37,040,000 37,830,000
Human Resource Development-
Hispanic Programs
1,546,885 1,546,885
Community Residential Services 622,412,127 638,014,602
Safety Net Services 1,334,544 1,334,544
Refunds Of Collections 94,699 94,699
Services for Persons With Disabilities 276,362 276,362
Nutrition Assistance 749,040 749,040
State Administered General
Assistance
18,062,600 17,722,600
Connecticut Children's Medical
Center
10,125,737 10,125,737
Community Services 1,775,376 1,805,376
Human Services Infrastructure
Community Action Program
3,292,432 3,292,432
Teen Pregnancy Prevention 1,255,827 1,255,827
Domestic Violence Shelters 5,289,049 5,289,049
Hospital Supplemental Payments [453,331,102]
548,331,102
[453,331,102]
548,331,102
Teen Pregnancy Prevention -
Municipality
98,281 98,281
AGENCY TOTAL [4,415,331,458]
4,519,509,623
[4,562,649,539]
4,666,949,539
DEPARTMENT OF
REHABILITATION SERVICES
Personal Services 7,024,983 7,408,609 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 40 of 49
Other Expenses 1,422,517 1,422,517
Educational Aid for Children - Blind
or Visually Impaired
4,145,301 4,337,011
Employment Opportunities – Blind
& Disabled
1,021,990 1,021,990
Vocational Rehabilitation - Disabled 7,279,075 7,279,075
Supplementary Relief and Services 44,847 44,847
Special Training for the Deaf Blind 265,269 265,269
Connecticut Radio Information
Service
70,194 70,194
Independent Living Centers 612,725 612,725
Programs for Senior Citizens 3,278,743 3,278,743
Elderly Nutrition 2,626,390 2,626,390
AGENCY TOTAL 27,792,034 28,367,370
EDUCATION
DEPARTMENT OF EDUCATION
Personal Services 16,689,546 17,534,577
Other Expenses 3,485,381 3,035,381
Development of Mastery Exams
Grades 4, 6, and 8
10,449,592 10,490,334
Primary Mental Health 345,288 345,288
Leadership, Education, Athletics in
Partnership (LEAP)
312,211 312,211
Adult Education Action 194,534 194,534
Connecticut Writing Project 20,250 20,250
Neighborhood Youth Centers 613,866 613,866
Sheff Settlement 10,250,966 10,277,534
Parent Trust Fund Program 267,193 267,193
Regional Vocational-Technical
School System
135,153,018 140,398,647
Commissioner's Network 10,009,398 10,009,398
Local Charter Schools 600,000 690,000
Bridges to Success 27,000 27,000
Talent Development 2,164,593 2,183,986 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 41 of 49
School-Based Diversion Initiative 900,000 900,000
Technical High Schools Other
Expenses
22,668,577 22,668,577
EdSight 1,095,806 1,100,273
Sheff Transportation 44,750,421 45,781,798
Curriculum and Standards 2,215,782 2,215,782
American School For The Deaf 8,357,514 8,357,514
Regional Education Services 262,500 262,500
Family Resource Centers 5,802,710 5,802,710
Charter Schools 120,622,500 124,678,750
Child Nutrition State Match 2,354,000 2,354,000
Health Foods Initiative 4,151,463 4,151,463
Vocational Agriculture 14,952,000 15,124,200
Adult Education 20,383,960 20,383,960
Health and Welfare Services Pupils
Private Schools
3,438,415 3,438,415
Education Equalization Grants 2,054,281,297 2,092,033,975
Bilingual Education 3,177,112 3,177,112
Priority School Districts 30,818,778 30,818,778
Interdistrict Cooperation 1,537,500 1,537,500
School Breakfast Program 2,158,900 2,158,900
Excess Cost - Student Based 140,619,782 140,619,782
Open Choice Program 26,835,214 27,682,027
Magnet Schools 304,204,848 306,033,302
After School Program 5,720,695 5,750,695
Extended School Hours 2,919,883 2,919,883
School Accountability 3,412,207 3,412,207
AGENCY TOTAL 3,018,224,700 3,069,764,302
OFFICE OF EARLY CHILDHOOD
Personal Services 8,655,055 9,156,554
Other Expenses 458,987 458,987
Birth to Three 22,845,964 23,452,407
Evenstart 295,456 295,456
2Gen - TANF 412,500 412,500
Nurturing Families Network 10,278,822 10,278,822 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 42 of 49
Head Start Services 5,083,238 5,083,238
Care4Kids TANF/CCDF 54,627,096 59,527,096
Child Care Quality Enhancements 6,855,033 6,855,033
Early Head Start-Child Care
Partnership
1,130,750 100,000
Early Care and Education 127,848,399 130,548,399
Smart Start 3,325,000 3,325,000
AGENCY TOTAL 241,816,300 249,493,492
STATE LIBRARY
Personal Services 5,098,798 5,364,021
Other Expenses 421,879 421,879
State-Wide Digital Library 1,575,174 1,575,174
Interlibrary Loan Delivery Service 256,795 266,392
Legal/Legislative Library Materials 574,540 574,540
Support Cooperating Library Service
Units
124,402 124,402
Connecticard Payments 703,638 703,638
AGENCY TOTAL 8,755,226 9,030,046
OFFICE OF HIGHER EDUCATION
Personal Services 1,477,763 1,535,334
Other Expenses 166,466 166,466
Minority Advancement Program 1,614,726 1,619,090
National Service Act 239,668 244,912
Minority Teacher Incentive Program 570,134 570,134
Roberta B. Willis Scholarship Fund 33,388,637 33,388,637
AGENCY TOTAL 37,457,394 37,524,573
UNIVERSITY OF CONNECTICUT
Operating Expenses 198,083,555 208,979,109
Workers' Compensation Claims 2,271,228 2,271,228
AGENCY TOTAL 200,354,783 211,250,337
UNIVERSITY OF CONNECTICUT
HEALTH CENTER
Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 43 of 49
Operating Expenses 109,785,175 116,556,690
AHEC 375,179 375,832
Workers' Compensation Claims 2,670,431 2,917,484
Bioscience 15,400,000 16,000,000
AGENCY TOTAL 128,230,785 135,850,006
TEACHERS' RETIREMENT BOARD
Personal Services 1,631,971 1,722,838
Other Expenses 431,727 544,727
Retirement Contributions 1,208,783,000 1,248,029,000
Retirees Health Service Cost 26,001,300 29,849,400
Municipal Retiree Health Insurance
Costs
5,532,120 5,535,640
AGENCY TOTAL 1,242,380,118 1,285,681,605
CONNECTICUT STATE COLLEGES
AND UNIVERSITIES
Workers' Compensation Claims 3,289,276 3,289,276
Charter Oak State College 3,112,823 3,284,028
Community Tech College System 141,440,942 149,218,817
Connecticut State University 145,330,562 153,315,495
Board of Regents 387,053 408,341
Developmental Services 8,912,702 8,912,702
Outcomes-Based Funding Incentive 1,202,027 1,202,027
Institute for Municipal and Regional
Policy
400,000 400,000
AGENCY TOTAL 304,075,385 320,030,686
CORRECTIONS
DEPARTMENT OF CORRECTION
Personal Services 393,516,245 412,958,209
Other Expenses 65,729,965 69,596,565
Workers' Compensation Claims 30,008,856 31,115,914
Inmate Medical Services 85,640,077 107,970,535
Board of Pardons and Paroles 6,567,994 6,927,233 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 44 of 49
STRIDE 73,342 73,342
Aid to Paroled and Discharged
Inmates
3,000 3,000
Legal Services To Prisoners 797,000 797,000
Volunteer Services 87,725 87,725
Community Support Services 34,129,544 34,129,544
AGENCY TOTAL 616,553,748 663,659,067
DEPARTMENT OF CHILDREN
AND FAMILIES
Personal Services 269,468,513 279,496,655
Other Expenses 28,964,687 29,160,237
Workers' Compensation Claims 10,470,082 10,158,413
Family Support Services 946,451 946,451
Differential Response System 13,120,002 15,812,975
Regional Behavioral Health
Consultation
1,646,024 1,646,024
Health Assessment and Consultation 1,415,723 1,415,723
Grants for Psychiatric Clinics for
Children
16,182,464 16,182,464
Day Treatment Centers for Children 7,275,589 7,275,589
Child Abuse and Neglect
Intervention
9,874,101 9,874,101
Community Based Prevention
Programs
7,527,785 7,527,785
Family Violence Outreach and
Counseling
3,745,395 3,745,395
Supportive Housing 19,886,064 19,886,064
No Nexus Special Education 1,904,652 1,952,268
Family Preservation Services 6,593,987 6,593,987
Substance Abuse Treatment 8,629,640 8,629,640
Child Welfare Support Services 2,560,026 2,560,026
Board and Care for Children -
Adoption
102,078,733 104,750,134
Board and Care for Children - Foster 136,196,712 135,981,796
Board and Care for Children - Short-
term and Residential
89,246,759 88,983,554 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 45 of 49
Individualized Family Supports 5,885,205 5,885,205
Community Kidcare 44,221,621 44,103,938
Covenant to Care 161,412 161,412
Juvenile Review Boards 1,315,147 1,315,147
Youth Transition and Success
Programs
450,000 450,000
Youth Service Bureau Enhancement 1,093,973 1,093,973
Youth Service Bureaus 2,626,772 2,626,772
AGENCY TOTAL 793,487,519 808,215,728
JUDICIAL
JUDICIAL DEPARTMENT
Personal Services 339,801,606 353,827,190
Other Expenses 60,439,025 60,339,025
Forensic Sex Evidence Exams 1,348,010 1,348,010
Alternative Incarceration Program 50,257,733 50,257,733
Justice Education Center, Inc. 469,714 469,714
Juvenile Alternative Incarceration 20,063,056 20,063,056
Probate Court 7,200,000 12,500,000
Workers' Compensation Claims 6,042,106 6,042,106
Youthful Offender Services 9,725,677 9,725,677
Victim Security Account 8,792 8,792
Children of Incarcerated Parents 493,728 493,728
Legal Aid 1,397,144 1,397,144
Youth Violence Initiative 1,939,758 1,939,758
Youth Services Prevention 3,311,078 3,311,078
Children's Law Center 92,445 92,445
Juvenile Planning 430,000 430,000
Juvenile Justice Outreach Services 19,961,142 19,455,142
Board and Care for Children - Short-
term and Residential
7,798,474 7,732,474
AGENCY TOTAL 530,779,488 549,433,072
PUBLIC DEFENDER SERVICES
COMMISSION
Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 46 of 49
Personal Services 40,153,930 42,299,163
Other Expenses 1,181,163 1,181,163
Assigned Counsel - Criminal 22,442,284 22,442,284
Expert Witnesses 2,875,604 2,875,604
Training And Education 119,748 119,748
AGENCY TOTAL 66,772,729 68,917,962
NON-FUNCTIONAL
DEBT SERVICE - STATE
TREASURER
Debt Service 1,896,900,160 1,967,208,185
UConn 2000 - Debt Service 212,225,089 221,406,539
CHEFA Day Care Security 5,500,000 5,500,000
Pension Obligation Bonds - TRB 118,400,521 118,400,521
Municipal Restructuring 45,666,625 56,314,629
AGENCY TOTAL 2,278,692,395 2,368,829,874
STATE COMPTROLLER -
MISCELLANEOUS
Nonfunctional - Change to Accruals 11,111,545 22,326,243
STATE COMPTROLLER - FRINGE
BENEFITS
Unemployment Compensation 6,132,100 4,974,400
Higher Education Alternative
Retirement System
11,034,700 24,034,700
Pensions and Retirements - Other
Statutory
1,974,003 2,029,134
Judges and Compensation
Commissioners Retirement
27,010,989 28,522,111
Insurance - Group Life 8,514,800 8,770,200
Employers Social Security Tax 208,540,754 218,208,651
State Employees Health Service Cost 678,375,327 715,320,807
Retired State Employees Health
Service Cost
776,021,000 847,309,000 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 47 of 49
Tuition Reimbursement - Training
and Travel
3,475,000 3,508,500
Other Post Employment Benefits 95,764,285 83,648,639
SERS Defined Contribution Match 2,150,171 3,257,268
State Employees Retirement
Contributions - Normal Cost
168,330,352 149,045,118
State Employees Retirement
Contributions - UAL
1,143,138,185 1,246,717,529
AGENCY TOTAL 3,130,461,666 3,335,346,057
RESERVE FOR SALARY
ADJUSTMENTS
Reserve For Salary Adjustments 18,226,900 23,893,500
WORKERS' COMPENSATION
CLAIMS - ADMINISTRATIVE
SERVICES
Workers' Compensation Claims 7,982,375 8,259,800
TOTAL - GENERAL FUND [19,528,277,395]
19,632,455,560
[20,291,393,193]
20,395,693,193
LESS:
Unallocated Lapse -29,015,570 -26,215,570
Unallocated Lapse - Judicial -5,000,000 -5,000,000
Statewide Hiring Reduction -
Executive
-7,000,000 -7,000,000
Contracting Savings Initiatives -5,000,000 -15,000,000
Pension and Healthcare Savings -163,200,000 -256,200,000
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
(Effective from passage): Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 48 of 49
The appropriations in section 1 of [this act] public act 19-117, as
amended by section 7 of this act, are supported by the GENERAL FUND
revenue estimates as follows:
2019-2020 2020-2021
TAXES
Personal Income
Withholding $6,910,500,000 $7,168,500,000
Estimates and Finals 2,762,500,000 2,836,900,000
Sales and Use 4,444,100,000 4,588,400,000
Corporations 1,099,800,000 1,082,500,000
Pass-Through Entities 850,000,000 850,000,000
Public Service 237,700,000 244,700,000
Inheritance and Estate 165,800,000 146,300,000
Insurance Companies 203,300,000 205,800,000
Cigarettes 344,700,000 326,900,000
Real Estate Conveyance 217,400,000 230,600,000
Alcoholic Beverages 68,900,000 69,700,000
Admissions and Dues 41,900,000 41,500,000
Health Provider Tax [1,050,100,000]
1,040,100,000
[1,051,600,000]
1,033,600,000
Miscellaneous 48,400,000 48,000,000
TOTAL TAXES [18,445,100,000]
18,435,100,000
[18,891,400,000]
18,873,400,000
Refunds of Taxes [(1,309,300,000)]
(1,379,300,000)
(1,378,900,000)
Earned Income Tax Credit (97,300,000) (100,600,000)
R & D Credit Exchange (5,100,000) (5,200,000)
NET TOTAL TAX REVENUE [17,033,400,000]
16,953,400,000
[17,406,700,000]
17,388,700,000
OTHER REVENUE
Transfers-Special Revenue 368,000,000 376,600,000
Indian Gaming Payments 226,000,000 225,400,000
Licenses, Permits, Fees 341,200,000 384,300,000 Senate Bill No. 1221
Dec. Sp. Sess., Public Act No. 19-1 49 of 49
Sales of Commodities and Services 30,200,000 31,000,000
Rents, Fines and Escheats 158,500,000 160,900,000
Investment Income 52,600,000 52,900,000
Miscellaneous 178,100,000 181,700,000
Refunds of Payments (66,400,000) (67,700,000)
NET TOTAL OTHER REVENUE 1,288,200,000 1,345,100,000
OTHER SOURCES
Federal Grants [1,526,000,000]
1,588,900,000
[1,508,600,000]
1,571,500,000
Transfer From Tobacco Settlement 136,000,000 114,500,000
Transfers To/From Other Funds [(205,100,000)]
(104,500,000)
[74,800,000]
134,200,000
NET TOTAL OTHER SOURCES [1,456,900,000]
1,620,400,000
[1,697,900,000]
1,820,200,000
Transfer to Budget Reserve Fund -
Volatility Cap (318,300,000) (301,500,000)
TOTAL GENERAL FUND
REVENUE
[19,460,200,000]
19,543,700,000
[20,148,200,000]
20,252,500,000
Approved: December 19, 2019