Connecticut 2019 Regular Session

Connecticut Senate Bill SB01221 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
	1	+
	2	+
	3	+	LCO No. 11285 1 of 47
	4	+
	5	+	General Assembly Bill No. 1221
	6	+	December Special Session,
	7	+	2019
	8	+
	9	+	LCO No. 11285
	10	+
	11	+
	12	+	Referred to Committee on No Committee
	13	+
	14	+
	15	+	Introduced by:
	16	+	SEN. LOONEY, 11
	17	+	th
	18	+	Dist.
	19	+	REP. ARESIMOWICZ, 30
	20	+	th
	21	+	Dist.
	22	+	SEN. FASANO, 34
	23	+	th
	24	+	Dist.
	25	+	REP. KLARIDES, 114
	26	+	th
	27	+	Dist.
1	28
2	29
3	30
4		-	Senate Bill No. 1221
5	31
6		-	December Special Session, Public Act No. 19-1
7	32
8	33
9	34		AN ACT CONCERNING IM PLEMENTATION OF THE APPROVED
10	35		SETTLEMENT AGREEMENT IN THE CONNECTICUT HOSPITAL
11		-	ASSOCIATION ET AL. V . CONNECTICUT DEPART MENT OF
12		-	SOCIAL SERVICES ET A L. AND MAKING APPROPRIA TIONS
13		-	THEREFOR.
	36	+	ASSOCIATION ET AL. V. CONNECTICUT DEPART MENT OF SOCIAL
	37	+	SERVICES ET AL. AND MAKING APPROPR IATIONS THEREFOR.
14	38		Be it enacted by the Senate and House of Representatives in General
15	39		Assembly convened:
16		-	Section 1. Section 12-263q of the general statutes, as amended by
17		-	section 356 of public act 19-117, is repealed and the following is
18		-	substituted in lieu thereof (Effective from passage):
19		-	(a) (1) For each calendar quarter commencing on or after July 1, 2017,
20		-	each hospital shall pay a tax on the total net revenue received by such
21		-	hospital for the provision of inpatient hospital services and outpatient
22		-	hospital services.
23		-	(A) On and after July 1, 2017, through June 30, 2026, the rate of tax for
24		-	the provision of inpatient hospital services shall be six per cent of each
25		-	hospital's audited net revenue for [the] fiscal year 2016 [, as set forth in
26		-	subparagraph (C) of this subdivision,] attributable to inpatient hospital
27		-	services. Such rate shall apply for fiscal years commencing on or after
28		-	July 1, 2026, unless modified through any provision of the general
29		-	statutes. Senate Bill No. 1221
30	40
31		-	Dec. Sp. Sess., Public Act No. 19-1 2 of 49
	41	+	Section 1. Section 12-263q of the general statutes, as amended by 1
	42	+	section 356 of public act 19-117, is repealed and the following is 2
	43	+	substituted in lieu thereof (Effective from passage): 3
	44	+	(a) (1) For each calendar quarter commencing on or after July 1, 4
	45	+	2017, each hospital shall pay a tax on the total net revenue received by 5
	46	+	such hospital for the provision of inpatient hospital services and 6
	47	+	outpatient hospital services. 7
	48	+	(A) On and after July 1, 2017, through June 30, 2026, the rate of tax 8
	49	+	for the provision of inpatient hospital services shall be six per cent of 9
	50	+	Bill No.
32	51
33		-	(B) (i) On and after July 1, 2017, and prior to July 1, 2019, the rate of
34		-	tax for the provision of outpatient hospital services shall be nine
35		-	hundred million dollars less the total tax imposed on all hospitals for
36		-	the provision of inpatient hospital services, which sum shall be divided
37		-	by the total audited net revenue for [the] fiscal year 2016 [, as set forth
38		-	in subparagraph (C) of this subdivision,] attributable to outpatient
39		-	hospital services, of all hospitals that are required to pay such tax,
40		-	resulting in an effective rate of twelve and three thousand three hundred
41		-	twenty-five ten thousandths (12.3325) per cent of each hospital's audited
42		-	net revenue for fiscal year 2016 attributable to outpatient hospital
43		-	services.
44		-	(ii) On and after July 1, 2019, and prior to July 1, 2020, the rate of tax
45		-	for the provision of outpatient hospital services shall be eight hundred
46		-	ninety million dollars less the total tax imposed on all hospitals for the
47		-	provision of inpatient hospital services, which sum shall be divided by
48		-	the total audited net revenue for fiscal year 2016 attributable to
49		-	outpatient hospital services, of all hospitals that are required to pay such
50		-	tax, resulting in an effective rate of twelve and nine hundred forty-two
51		-	ten thousandths (12.0942) per cent of each hospital's audited net revenue
52		-	for fiscal year 2016 attributable to outpatient hospital services, subject to
53		-	any hospital dissolutions or cessation of operations pursuant to
54		-	subparagraph (D) of this subdivision or disallowed exemptions
55		-	pursuant to subsections (b) and (c) of this section.
56		-	(iii) On and after July 1, 2020, and prior to July 1, 2021, the rate of tax
57		-	for the provision of outpatient hospital services shall be eight hundred
58		-	eighty-two million dollars less the total tax imposed on all hospitals for
59		-	the provision of inpatient hospital services, which sum shall be divided
60		-	by the total audited net revenue for fiscal year 2016 attributable to
61		-	outpatient hospital services, of all hospitals that are required to pay such
62		-	tax, resulting in an effective rate of eleven and seven thousand five
63		-	hundred three ten thousandths (11.7503) per cent of each hospital's Senate Bill No. 1221
64	52
65		-	Dec. Sp. Sess., Public Act No. 19-1 3 of 49
66	53
67		-	audited net revenue for fiscal year 2016 attributable to outpatient
68		-	hospital services, subject to any hospital dissolutions or cessation of
69		-	operations pursuant to subparagraph (D) of this subdivision or
70		-	disallowed exemptions pursuant to subsections (b) and (c) of this
71		-	section.
72		-	(iv) On and after July 1, 2021, and prior to July 1, 2025, the rate of tax
73		-	for the provision of outpatient hospital services shall be eight hundred
74		-	fifty million dollars less the total tax imposed on all hospitals for the
75		-	provision of inpatient hospital services, which sum shall be divided by
76		-	the total audited net revenue for fiscal year 2016 attributable to
77		-	outpatient hospital services, of all hospitals that are required to pay such
78		-	tax, resulting in an effective rate of eleven and nine hundred seventy-six
79		-	ten thousandths (11.0976) per cent of each hospital's audited net revenue
80		-	for fiscal year 2016 attributable to outpatient hospital services, subject to
81		-	any hospital dissolutions or cessation of operations pursuant to
82		-	subparagraph (D) of this subdivision or disallowed exemptions
83		-	pursuant to subsections (b) and (c) of this section.
84		-	(v) On and after July 1, 2025, the rate of tax for the provision of
85		-	outpatient hospital services shall be eight hundred twenty million
86		-	dollars less the total tax imposed on all hospitals for the provision of
87		-	inpatient hospital services, which sum shall be divided by the total
88		-	audited net revenue for fiscal year 2016 attributable to outpatient
89		-	hospital services, of all hospitals that are required to pay such tax,
90		-	resulting in an effective rate of ten and four thousand eight hundred
91		-	fifty-eight ten thousandths (10.4858) per cent of each hospital's audited
92		-	net revenue for fiscal year 2016 attributable to outpatient hospital
93		-	services, subject to any hospital dissolutions or cessation of operations
94		-	pursuant to subparagraph (D) of this subdivision or disallowed
95		-	exemptions pursuant to subsections (b) and (c) of this section. The rate
96		-	set forth in this clause shall apply for fiscal years commencing on or after
97		-	July 1, 2026, unless modified through any provision of the general Senate Bill No. 1221
	54	+	LCO No. 11285 2 of 47
98	55
99		-	Dec. Sp. Sess., Public Act No. 19-1 4 of 49
	56	+	each hospital's audited net revenue for [the] fiscal year 2016 [, as set 10
	57	+	forth in subparagraph (C) of this subdivision,] attributable to inpatient 11
	58	+	hospital services. Such rate shall apply for fiscal years commencing on 12
	59	+	or after July 1, 2026, unless modified through any provision of the 13
	60	+	general statutes. 14
	61	+	(B) (i) On and after July 1, 2017, and prior to July 1, 2019, the rate of 15
	62	+	tax for the provision of outpatient hospital services shall be nine 16
	63	+	hundred million dollars less the total tax imposed on all hospitals for 17
	64	+	the provision of inpatient hospital services, which sum shall be 18
	65	+	divided by the total audited net revenue for [the] fiscal year 2016 [, as 19
	66	+	set forth in subparagraph (C) of this subdivision,] attributable to 20
	67	+	outpatient hospital services, of all hospitals that are required to pay 21
	68	+	such tax, resulting in an effective rate of twelve and three thousand 22
	69	+	three hundred twenty-five ten thousandths (12.3325) per cent of each 23
	70	+	hospital's audited net revenue for fiscal year 2016 attributable to 24
	71	+	outpatient hospital services. 25
	72	+	(ii) On and after July 1, 2019, and prior to July 1, 2020, the rate of tax 26
	73	+	for the provision of outpatient hospital services shall be eight hundred 27
	74	+	ninety million dollars less the total tax imposed on all hospitals for the 28
	75	+	provision of inpatient hospital services, which sum shall be divided by 29
	76	+	the total audited net revenue for fiscal year 2016 attributable to 30
	77	+	outpatient hospital services, of all hospitals that are required to pay 31
	78	+	such tax, resulting in an effective rate of twelve and nine hundred 32
	79	+	forty-two ten thousandths (12.0942) per cent of each hospital's audited 33
	80	+	net revenue for fiscal year 2016 attributable to outpatient hospital 34
	81	+	services, subject to any hospital dissolutions or cessation of operations 35
	82	+	pursuant to subparagraph (D) of this subdivision or disallowed 36
	83	+	exemptions pursuant to subsections (b) and (c) of this section. 37
	84	+	(iii) On and after July 1, 2020, and prior to July 1, 2021, the rate of 38
	85	+	tax for the provision of outpatient hospital services shall be eight 39
	86	+	hundred eighty-two million dollars less the total tax imposed on all 40
	87	+	hospitals for the provision of inpatient hospital services, which sum 41
	88	+	Bill No.
100	89
101		-	statutes.
102		-	[(C) For the state fiscal years commencing July 1, 2017, and July 1,
103		-	2018, the fiscal year upon which the tax shall be imposed under
104		-	subparagraphs (A) and (B) of this subdivision shall be fiscal year 2016.
105		-	For the biennium commencing July 1, 2019, and for each biennium
106		-	thereafter, the fiscal year upon which the tax shall be imposed under
107		-	subparagraphs (A) and (B) of this subdivision for each year of the
108		-	biennium shall be the fiscal year occurring three years prior to the first
109		-	state fiscal year of each biennium.]
110		-	(C) (i) For each state fiscal year commencing on or after July 1, 2019,
111		-	the total audited net revenue for fiscal year 2016 attributable to inpatient
112		-	hospital services, of all hospitals that are required to pay the tax under
113		-	this section shall be five billion ninety-seven million eight hundred
114		-	twenty thousand one hundred ninety-seven dollars, subject to any
115		-	hospital dissolutions or cessation of operations pursuant to
116		-	subparagraph (D) of this subdivision or disallowed exemptions
117		-	pursuant to subsections (b) and (c) of this section.
118		-	(ii) (I) For the state fiscal year commencing on or after July 1, 2019,
119		-	and prior to July 1, 2020, the total audited net revenue for fiscal year
120		-	2016 attributable to outpatient hospital services, of all hospitals that are
121		-	required to pay the tax under this section shall be four billion eight
122		-	hundred twenty-nine million eight hundred fifty-nine thousand three
123		-	hundred ninety-nine dollars, subject to any hospital dissolutions or
124		-	cessation of operations pursuant to subparagraph (D) of this
125		-	subdivision or disallowed exemptions pursuant to subsections (b) and
126		-	(c) of this section.
127		-	(II) For each state fiscal year commencing on or after July 1, 2020, the
128		-	total audited net revenue for fiscal year 2016 attributable to outpatient
129		-	hospital services, of all hospitals that are required to pay the tax under
130		-	this section shall be four billion nine hundred three million one hundred Senate Bill No. 1221
131	90
132		-	Dec. Sp. Sess., Public Act No. 19-1 5 of 49
133	91
134		-	twenty-seven thousand one hundred thirty-three dollars, subject to any
135		-	hospital dissolutions or cessation of operations pursuant to
136		-	subparagraph (D) of this subdivision or disallowed exemptions
137		-	pursuant to subsections (b) and (c) of this section.
138		-	(D) (i) If a hospital or hospitals subject to the tax imposed under this
139		-	subdivision merge, consolidate, are acquired or otherwise reorganize,
140		-	the surviving hospital shall assume and be liable for the total tax
141		-	imposed under this subdivision on the [merging, consolidating or
142		-	reorganizing] merged, consolidated, acquired or reorganized hospitals,
143		-	including any outstanding liabilities from periods prior to such merger,
144		-	consolidation, acquisition or reorganization.
145		-	(ii) If a hospital ceases to operate as a hospital for any reason other
146		-	than a merger, consolidation, acquisition or reorganization, or ceases for
147		-	any reason to be subject to the tax imposed under this subdivision, the
148		-	amount of tax due from each taxpayer under this subdivision shall not
149		-	be recalculated to take into account such occurrence [but the total
150		-	amount of such tax to be collected under subparagraphs (A) and (B) of
151		-	this subdivision shall be reduced by the amount of the tax liability
152		-	imposed on the hospital that is no longer subject to the tax] for the state
153		-	fiscal year in which the hospital dissolves or ceases to operate. The
154		-	amount of tax that would be due from the dissolved hospital after its
155		-	dissolution or cessation of operations shall not be collected by the
156		-	commissioner for the state fiscal year in which such hospital dissolves
157		-	or ceases to operate. In the next succeeding state fiscal year after the
158		-	hospital dissolves or ceases to operate and in each subsequent state
159		-	fiscal year, the total audited net revenue for fiscal year 2016 shall be
160		-	reduced by such hospital's audited net revenue for fiscal year 2016 and
161		-	the effective rate of the tax due under this section shall be adjusted to
162		-	ensure that the total amount of such tax to be collected under
163		-	subparagraphs (A) and (B) of this subdivision is redistributed among
164		-	the surviving hospitals in proportion to the reduced total audited net Senate Bill No. 1221
	92	+	LCO No. 11285 3 of 47
165	93
166		-	Dec. Sp. Sess., Public Act No. 19-1 6 of 49
	94	+	shall be divided by the total audited net revenue for fiscal year 2016 42
	95	+	attributable to outpatient hospital services, of all hospitals that are 43
	96	+	required to pay such tax, resulting in an effective rate of eleven and 44
	97	+	seven thousand five hundred three ten thousandths (11.7503) per cent 45
	98	+	of each hospital's audited net revenue for fiscal year 2016 attributable 46
	99	+	to outpatient hospital services, subject to any hospital dissolutions or 47
	100	+	cessation of operations pursuant to subparagraph (D) of this 48
	101	+	subdivision or disallowed exemptions pursuant to subsections (b) and 49
	102	+	(c) of this section. 50
	103	+	(iv) On and after July 1, 2021, and prior to July 1, 2025, the rate of tax 51
	104	+	for the provision of outpatient hospital services shall be eight hundred 52
	105	+	fifty million dollars less the total tax imposed on all hospitals for the 53
	106	+	provision of inpatient hospital services, which sum shall be divided by 54
	107	+	the total audited net revenue for fiscal year 2016 attributable to 55
	108	+	outpatient hospital services, of all hospitals that are required to pay 56
	109	+	such tax, resulting in an effective rate of eleven and nine hundred 57
	110	+	seventy-six ten thousandths (11.0976) per cent of each hospital's 58
	111	+	audited net revenue for fiscal year 2016 attributable to outpatient 59
	112	+	hospital services, subject to any hospital dissolutions or cessation of 60
	113	+	operations pursuant to subparagraph (D) of this subdivision or 61
	114	+	disallowed exemptions pursuant to subsections (b) and (c) of this 62
	115	+	section. 63
	116	+	(v) On and after July 1, 2025, the rate of tax for the provision of 64
	117	+	outpatient hospital services shall be eight hundred twenty million 65
	118	+	dollars less the total tax imposed on all hospitals for the provision of 66
	119	+	inpatient hospital services, which sum shall be divided by the total 67
	120	+	audited net revenue for fiscal year 2016 attributable to outpatient 68
	121	+	hospital services, of all hospitals that are required to pay such tax, 69
	122	+	resulting in an effective rate of ten and four thousand eight hundred 70
	123	+	fifty-eight ten thousandths (10.4858) per cent of each hospital's audited 71
	124	+	net revenue for fiscal year 2016 attributable to outpatient hospital 72
	125	+	services, subject to any hospital dissolutions or cessation of operations 73
	126	+	pursuant to subparagraph (D) of this subdivision or disallowed 74
	127	+	Bill No.
167	128
168		-	revenue for fiscal year 2016 attributable to inpatient hospital services
169		-	and outpatient hospital services, of all hospitals.
170		-	(E) (i) [If] For each state fiscal year commencing on or after July 1,
171		-	2026, if the Commissioner of Social Services determines for any fiscal
172		-	year that the effective rate of tax for the tax imposed on net revenue for
173		-	the provision of inpatient hospital services exceeds the rate permitted
174		-	under the provisions of 42 CFR 433.68(f), as amended from time to time,
175		-	the amount of tax collected that exceeds the permissible amount shall be
176		-	refunded to hospitals, in proportion to the amount of net revenue for
177		-	the provision of inpatient hospital services upon which the hospitals
178		-	were taxed. The effective rate of tax shall be calculated by comparing
179		-	the amount of tax paid by hospitals on net revenue for the provision of
180		-	inpatient hospital services in a state fiscal year with the amount of net
181		-	revenue received by hospitals subject to the tax for the provision of
182		-	inpatient hospital services for the equivalent fiscal year.
183		-	(ii) On or before July 1, [2020] 2026, and annually thereafter, each
184		-	hospital subject to the tax imposed under this subdivision shall report
185		-	to the Commissioner of Social Services, in the manner prescribed by and
186		-	on forms provided by said commissioner, the amount of tax paid
187		-	pursuant to this subsection by such hospital and the amount of net
188		-	revenue received by such hospital for the provision of inpatient hospital
189		-	services, in the state fiscal year commencing two years prior to each such
190		-	reporting date. Not later than ninety days after said commissioner
191		-	receives completed reports from all hospitals required to submit such
192		-	reports, said commissioner shall notify the Commissioner of Revenue
193		-	Services of the amount of any refund due each hospital to be in
194		-	compliance with 42 CFR 433.68(f), as amended from time to time. Not
195		-	later than thirty days after receiving such notice, the Commissioner of
196		-	Revenue Services shall notify the Comptroller of the amount of each
197		-	such refund and the Comptroller shall draw an order on the Treasurer
198		-	for payment of each such refund. No interest shall be added to any Senate Bill No. 1221
199	129
200		-	Dec. Sp. Sess., Public Act No. 19-1 7 of 49
201	130
202		-	refund issued pursuant to this subparagraph.
203		-	(2) Except as provided in subdivision (3) of this subsection, each
204		-	hospital subject to the tax imposed under subdivision (1) of this
205		-	subsection shall be required to pay the total amount due in four
206		-	quarterly payments consistent with section 12-263s, with the first
207		-	quarter commencing with the first day of each state fiscal year and the
208		-	last quarter ending on the last day of each state fiscal year. Hospitals
209		-	shall make all payments required under this subsection in accordance
210		-	with procedures established by and on forms provided by the
211		-	commissioner.
212		-	(3) (A) For the state fiscal year commencing July 1, 2017, each hospital
213		-	required to pay tax on inpatient hospital services or outpatient hospital
214		-	services shall make an estimated tax payment on December 15, 2017,
215		-	which estimated payment shall be equal to one hundred thirty-three per
216		-	cent of the tax due under chapter 211a for the period ending June 30,
217		-	2017. If a hospital was not required to pay tax under chapter 211a on
218		-	either inpatient hospital services or outpatient hospital services, such
219		-	hospital shall make its estimated payment based on its unaudited net
220		-	patient revenue.
221		-	(B) Each hospital required to pay tax pursuant to this subdivision on
222		-	inpatient hospital services or outpatient hospital services shall pay the
223		-	remaining balance determined to be due in two equal payments, which
224		-	shall be due on April 30, 2018, and July 31, 2018, respectively.
225		-	(C) (i) For each state fiscal year commencing on or after July 1, 2017,
226		-	[and prior to July 1, 2019,] each hospital required to pay tax on inpatient
227		-	hospital services or outpatient hospital services shall calculate the
228		-	amount of tax due on forms prescribed by the commissioner by
229		-	multiplying the applicable rate set forth in subdivision (1) of this
230		-	subsection by its audited net revenue for fiscal year 2016. Senate Bill No. 1221
	131	+	LCO No. 11285 4 of 47
231	132
232		-	Dec. Sp. Sess., Public Act No. 19-1 8 of 49
	133	+	exemptions pursuant to subsections (b) and (c) of this section. The rate 75
	134	+	set forth in this clause shall apply for fiscal years commencing on or 76
	135	+	after July 1, 2026, unless modified through any provision of the general 77
	136	+	statutes. 78
	137	+	[(C) For the state fiscal years commencing July 1, 2017, and July 1, 79
	138	+	2018, the fiscal year upon which the tax shall be imposed under 80
	139	+	subparagraphs (A) and (B) of this subdivision shall be fiscal year 2016. 81
	140	+	For the biennium commencing July 1, 2019, and for each biennium 82
	141	+	thereafter, the fiscal year upon which the tax shall be imposed under 83
	142	+	subparagraphs (A) and (B) of this subdivision for each year of the 84
	143	+	biennium shall be the fiscal year occurring three years prior to the first 85
	144	+	state fiscal year of each biennium.] 86
	145	+	(C) (i) For each state fiscal year commencing on or after July 1, 2019, 87
	146	+	the total audited net revenue for fiscal year 2016 attributable to 88
	147	+	inpatient hospital services, of all hospitals that are required to pay the 89
	148	+	tax under this section shall be five billion ninety-seven million eight 90
	149	+	hundred twenty thousand one hundred ninety-seven dollars, subject 91
	150	+	to any hospital dissolutions or cessation of operations pursuant to 92
	151	+	subparagraph (D) of this subdivision or disallowed exemptions 93
	152	+	pursuant to subsections (b) and (c) of this section. 94
	153	+	(ii) (I) For the state fiscal year commencing on or after July 1, 2019, 95
	154	+	and prior to July 1, 2020, the total audited net revenue for fiscal year 96
	155	+	2016 attributable to outpatient hospital services, of all hospitals that are 97
	156	+	required to pay the tax under this section shall be four billion eight 98
	157	+	hundred twenty-nine million eight hundred fifty-nine thousand three 99
	158	+	hundred ninety-nine dollars, subject to any hospital dissolutions or 100
	159	+	cessation of operations pursuant to subparagraph (D) of this 101
	160	+	subdivision or disallowed exemptions pursuant to subsections (b) and 102
	161	+	(c) of this section. 103
	162	+	(II) For each state fiscal year commencing on or after July 1, 2020, 104
	163	+	the total audited net revenue for fiscal year 2016 attributable to 105
	164	+	Bill No.
233	165
234		-	(ii) [For each state fiscal year commencing on or after July 1, 2019,
235		-	each hospital required to pay tax on inpatient hospital services or
236		-	outpatient hospital services shall calculate the amount of tax due on
237		-	forms prescribed by the commissioner by multiplying the applicable
238		-	rate set forth in subdivision (1) of this subsection by its audited net
239		-	revenue for the fiscal year, as set forth in subparagraph (C) of
240		-	subdivision (1) of this subsection] For the state fiscal year commencing
241		-	July 1, 2019, the payment made for the period ending September 30,
242		-	2019, by each hospital required to pay tax on inpatient hospital services
243		-	or outpatient hospital services shall be considered an estimated
244		-	payment for purposes of the tax due for said state fiscal year. Each
245		-	hospital required to pay the tax under this section on inpatient hospital
246		-	services or outpatient hospital services shall pay the remaining balance
247		-	due in three equal payments, which shall be due on January 31, 2020,
248		-	April 30, 2020, and July 31, 2020, respectively.
249		-	(D) The commissioner shall apply any payment made by a hospital
250		-	in connection with the tax under chapter 211a for the period ending
251		-	September 30, 2017, as a partial payment of such hospital's estimated tax
252		-	payment due on December 15, 2017, under subparagraph (A) of this
253		-	subdivision. The commissioner shall return to a hospital any credit
254		-	claimed by such hospital in connection with the tax imposed under
255		-	chapter 211a for the period ending September 30, 2017, for assignment
256		-	as provided under section 12-263s.
257		-	(4) (A) [(i) For each state fiscal year commencing on or after July 1,
258		-	2017, and prior to July 1, 2019, each] Each hospital required to pay tax
259		-	on inpatient hospital services or outpatient hospital services shall
260		-	submit to the commissioner such information as the commissioner
261		-	requires in order to calculate the audited net inpatient revenue for fiscal
262		-	year 2016, the audited net outpatient revenue for fiscal year 2016 and
263		-	the audited net revenue for fiscal year 2016 of all such health care
264		-	providers. Such information shall be provided to the commissioner not Senate Bill No. 1221
265	166
266		-	Dec. Sp. Sess., Public Act No. 19-1 9 of 49
267	167
268		-	later than January 1, 2018. The commissioner shall make additional
269		-	requests for information as necessary to fully audit each hospital's net
270		-	revenue. Upon completion of the commissioner's examination, the
271		-	commissioner shall notify, prior to February 28, 2018, each hospital of
272		-	its audited net inpatient revenue for fiscal year 2016, audited net
273		-	outpatient revenue for fiscal year 2016 and audited net revenue for fiscal
274		-	year 2016.
275		-	[(ii) For each state fiscal year commencing on or after July 1, 2019,
276		-	each hospital required to pay tax on inpatient hospital services or
277		-	outpatient hospital services shall submit to the commissioner biennially
278		-	such information as the commissioner requires in order to calculate for
279		-	the applicable fiscal year, as set forth in subparagraph (C) of subdivision
280		-	(1) of this subsection, the audited net inpatient revenue, the audited net
281		-	outpatient revenue and the audited net revenue of all such health care
282		-	providers. For the state fiscal year commencing July 1, 2019, such
283		-	information shall be provided to the commissioner not later than June
284		-	30, 2019. For the biennium commencing July 1, 2021, and each biennium
285		-	thereafter, such information shall be provided to the commissioner not
286		-	later than January fifteenth of the second year of the biennium
287		-	immediately preceding. The commissioner shall make additional
288		-	requests for information as necessary to fully audit each hospital's net
289		-	revenue. Upon completion of the commissioner's examination, the
290		-	commissioner shall notify each hospital of its audited net inpatient
291		-	revenue, audited net outpatient revenue and audited net revenue for the
292		-	applicable fiscal year, as set forth in subparagraph (C) of subdivision (1)
293		-	of this subsection.]
294		-	(B) Any hospital that fails to provide the requested information by
295		-	the dates specified in subparagraph (A) of this subdivision or fails to
296		-	comply with a request for additional information made under this
297		-	subdivision shall be subject to a penalty of one thousand dollars per day
298		-	for each day the hospital fails to provide the requested information or Senate Bill No. 1221
	168	+	LCO No. 11285 5 of 47
299	169
300		-	Dec. Sp. Sess., Public Act No. 19-1 10 of 49
	170	+	outpatient hospital services, of all hospitals that are required to pay the 106
	171	+	tax under this section shall be four billion nine hundred three million 107
	172	+	one hundred twenty-seven thousand one hundred thirty-three dollars, 108
	173	+	subject to any hospital dissolutions or cessation of operations pursuant 109
	174	+	to subparagraph (D) of this subdivision or disallowed exemptions 110
	175	+	pursuant to subsections (b) and (c) of this section. 111
	176	+	(D) (i) If a hospital or hospitals subject to the tax imposed under this 112
	177	+	subdivision merge, consolidate, are acquired or otherwise reorganize, 113
	178	+	the surviving hospital shall assume and be liable for the total tax 114
	179	+	imposed under this subdivision on the [merging, consolidating or 115
	180	+	reorganizing] merged, consolidated, acquired or reorganized hospitals, 116
	181	+	including any outstanding liabilities from periods prior to such 117
	182	+	merger, consolidation, acquisition or reorganization. 118
	183	+	(ii) If a hospital ceases to operate as a hospital for any reason other 119
	184	+	than a merger, consolidation, acquisition or reorganization, or ceases 120
	185	+	for any reason to be subject to the tax imposed under this subdivision, 121
	186	+	the amount of tax due from each taxpayer under this subdivision shall 122
	187	+	not be recalculated to take into account such occurrence [but the total 123
	188	+	amount of such tax to be collected under subparagraphs (A) and (B) of 124
	189	+	this subdivision shall be reduced by the amount of the tax liability 125
	190	+	imposed on the hospital that is no longer subject to the tax] for the 126
	191	+	state fiscal year in which the hospital dissolves or ceases to operate. 127
	192	+	The amount of tax that would be due from the dissolved hospital after 128
	193	+	its dissolution or cessation of operations shall not be collected by the 129
	194	+	commissioner for the state fiscal year in which such hospital dissolves 130
	195	+	or ceases to operate. In the next succeeding state fiscal year after the 131
	196	+	hospital dissolves or ceases to operate and in each subsequent state 132
	197	+	fiscal year, the total audited net revenue for fiscal year 2016 shall be 133
	198	+	reduced by such hospital's audited net revenue for fiscal year 2016 and 134
	199	+	the effective rate of the tax due under this section shall be adjusted to 135
	200	+	ensure that the total amount of such tax to be collected under 136
	201	+	subparagraphs (A) and (B) of this subdivision is redistributed among 137
	202	+	the surviving hospitals in proportion to the reduced total audited net 138
	203	+	Bill No.
301	204
302		-	additional information.
303		-	(C) The commissioner may engage an independent auditor to assist
304		-	in the performance of the commissioner's duties and responsibilities
305		-	under this subdivision.
306		-	(5) Net revenue derived from providing a health care item or service
307		-	to a patient shall be taxed only one time under this section.
308		-	(6) (A) For purposes of this section:
309		-	(i) ["Audited net inpatient revenue for the fiscal year"] "Audited net
310		-	inpatient revenue for fiscal year 2016" means the amount of revenue that
311		-	the commissioner determines, in accordance with federal law, that a
312		-	hospital received for the provision of inpatient hospital services during
313		-	the [applicable] 2016 federal fiscal year;
314		-	(ii) ["Audited net outpatient revenue for the fiscal year"] "Audited net
315		-	outpatient revenue for fiscal year 2016" means the amount of revenue
316		-	that the commissioner determines, in accordance with federal law, that
317		-	a hospital received for the provision of outpatient hospital services
318		-	during the [applicable] 2016 federal fiscal year; and
319		-	(iii) ["Audited net revenue for the fiscal year"] "Audited net revenue
320		-	for fiscal year 2016" means net revenue, as reported in each hospital's
321		-	audited financial [statement] statements, less the amount of revenue
322		-	that the commissioner determines, in accordance with federal law, that
323		-	a hospital received from other than the provision of inpatient hospital
324		-	services and outpatient hospital services. The total audited net revenue
325		-	for [the] fiscal year 2016 shall be the sum of all audited net revenue for
326		-	the [applicable] 2016 fiscal year for all hospitals required to pay tax on
327		-	inpatient hospital services and outpatient hospital services.
328		-	(B) For purposes of this section, if a hospital's audited financial
329		-	statements for fiscal year 2016 does not report revenue for the entire Senate Bill No. 1221
330	205
331		-	Dec. Sp. Sess., Public Act No. 19-1 11 of 49
332	206
333		-	fiscal year, such hospital's audited net revenue for fiscal year 2016 shall
334		-	be calculated by projecting the amount of revenue such hospital would
335		-	have received for the entire fiscal year based proportionally on the
336		-	audited net revenue reported on its audited financial statements.
337		-	[(B)] (C) Audited net inpatient revenue and audited net outpatient
338		-	revenue shall be based on information provided by each hospital
339		-	required to pay tax on inpatient hospital services or outpatient hospital
340		-	services.
341		-	(b) (1) The Commissioner of Social Services shall seek approval from
342		-	the Centers for Medicare and Medicaid Services to exempt from the net
343		-	revenue tax imposed under subsection (a) of this section the following:
344		-	(A) Specialty hospitals; (B) children's general hospitals; and (C)
345		-	hospitals operated exclusively by the state other than a short-term
346		-	[acute] general hospital operated by the state as a receiver pursuant to
347		-	chapter 920. Any hospital for which the Centers for Medicare and
348		-	Medicaid Services grants an exemption shall be exempt from the net
349		-	revenue tax imposed under subsection (a) of this section. Any hospital
350		-	for which the Centers for Medicare and Medicaid Services denies an
351		-	exemption shall be deemed to be a hospital for purposes of this section
352		-	and shall be required to pay the net revenue tax imposed under
353		-	subsection (a) of this section on inpatient hospital services and
354		-	outpatient hospital services at the same effective rates set forth in
355		-	subsection (a) of this section.
356		-	(2) Each hospital shall provide to the Commissioner of Social
357		-	Services, upon request, such information as said commissioner may
358		-	require to make any computations necessary to seek approval for
359		-	exemption under this subsection.
360		-	(3) As used in this subsection, (A) "specialty hospital" means a health
361		-	care facility, as defined in section 19a-630, other than a facility licensed
362		-	by the Department of Public Health as a short-term general hospital or Senate Bill No. 1221
	207	+	LCO No. 11285 6 of 47
363	208
364		-	Dec. Sp. Sess., Public Act No. 19-1 12 of 49
	209	+	revenue for fiscal year 2016 attributable to inpatient hospital services 139
	210	+	and outpatient hospital services, of all hospitals. 140
	211	+	(E) (i) [If] For each state fiscal year commencing on or after July 1, 141
	212	+	2026, if the Commissioner of Social Services determines for any fiscal 142
	213	+	year that the effective rate of tax for the tax imposed on net revenue for 143
	214	+	the provision of inpatient hospital services exceeds the rate permitted 144
	215	+	under the provisions of 42 CFR 433.68(f), as amended from time to 145
	216	+	time, the amount of tax collected that exceeds the permissible amount 146
	217	+	shall be refunded to hospitals, in proportion to the amount of net 147
	218	+	revenue for the provision of inpatient hospital services upon which the 148
	219	+	hospitals were taxed. The effective rate of tax shall be calculated by 149
	220	+	comparing the amount of tax paid by hospitals on net revenue for the 150
	221	+	provision of inpatient hospital services in a state fiscal year with the 151
	222	+	amount of net revenue received by hospitals subject to the tax for the 152
	223	+	provision of inpatient hospital services for the equivalent fiscal year. 153
	224	+	(ii) On or before July 1, [2020] 2026, and annually thereafter, each 154
	225	+	hospital subject to the tax imposed under this subdivision shall report 155
	226	+	to the Commissioner of Social Services, in the manner prescribed by 156
	227	+	and on forms provided by said commissioner, the amount of tax paid 157
	228	+	pursuant to this subsection by such hospital and the amount of net 158
	229	+	revenue received by such hospital for the provision of inpatient 159
	230	+	hospital services, in the state fiscal year commencing two years prior to 160
	231	+	each such reporting date. Not later than ninety days after said 161
	232	+	commissioner receives completed reports from all hospitals required to 162
	233	+	submit such reports, said commissioner shall notify the Commissioner 163
	234	+	of Revenue Services of the amount of any refund due each hospital to 164
	235	+	be in compliance with 42 CFR 433.68(f), as amended from time to time. 165
	236	+	Not later than thirty days after receiving such notice, the 166
	237	+	Commissioner of Revenue Services shall notify the Comptroller of the 167
	238	+	amount of each such refund and the Comptroller shall draw an order 168
	239	+	on the Treasurer for payment of each such refund. No interest shall be 169
	240	+	added to any refund issued pursuant to this subparagraph. 170
	241	+	Bill No.
365	242
366		-	a short-term children's hospital. "Specialty hospital" includes, but is not
367		-	limited to, a psychiatric hospital or a chronic disease hospital, and (B)
368		-	"children's general hospital" means a health care facility, as defined in
369		-	section 19a-630, that is licensed by the Department of Public Health as a
370		-	short-term children's hospital. "Children's general hospital" does not
371		-	include a specialty hospital.
372		-	(c) [Prior to July 1, 2019, and every three years thereafter] (1) (A) For
373		-	each state fiscal year commencing on or after July 1, 2017, and prior to
374		-	July 1, 2020, the Commissioner of Social Services shall seek approval
375		-	from the Centers for Medicare and Medicaid Services to exempt
376		-	financially distressed hospitals from the net revenue tax imposed on
377		-	outpatient hospital services. Any such hospital for which the Centers for
378		-	Medicare and Medicaid Services grants an exemption shall be exempt
379		-	from the net revenue tax imposed on outpatient hospital services under
380		-	subsection (a) of this section. Any hospital for which the Centers for
381		-	Medicare and Medicaid Services denies an exemption shall be required
382		-	to pay the net revenue tax imposed on outpatient hospital services
383		-	under subsection (a) of this section.
384		-	(B) For purposes of this [subsection] subdivision, "financially
385		-	distressed hospital" means a hospital that has experienced over [a] the
386		-	five-year period from October 1, 2011, through September 30, 2016, an
387		-	average net loss of more than five per cent of aggregate revenue. A
388		-	hospital has an average net loss of more than five per cent of aggregate
389		-	revenue if such a loss is reflected in the [five most recent] applicable
390		-	years of financial reporting that have been made available by the Health
391		-	Systems Planning Unit of the Office of Health Strategy for such hospital
392		-	in accordance with section 19a-670. [as of the effective date of the request
393		-	for approval which effective date shall be July first of the year in which
394		-	the request is made] Upon said commissioner's receipt of a
395		-	determination by the Centers for Medicare and Medicaid Services that
396		-	a hospital is not exempt, the total audited net revenue from the Senate Bill No. 1221
397	243
398		-	Dec. Sp. Sess., Public Act No. 19-1 13 of 49
399	244
400		-	provision of outpatient hospital services for fiscal year 2016 shall be
401		-	increased by such hospital's audited net revenue from the provision of
402		-	outpatient hospital services for fiscal year 2016 and the effective rate of
403		-	the tax due under this section shall be adjusted to ensure that the total
404		-	amount of such tax to be collected under subsection (a) of this section is
405		-	redistributed, commencing with the calendar quarter next succeeding
406		-	the date of the determination by the Centers for Medicare and Medicaid
407		-	Services.
408		-	(2) (A) For each state fiscal year commencing on or after July 1, 2020,
409		-	the Commissioner of Social Services shall seek approval from the
410		-	Centers for Medicare and Medicaid Services to exempt sole community
411		-	hospitals from the net revenue tax imposed on outpatient hospital
412		-	services. Any such hospital for which the Centers for Medicare and
413		-	Medicaid Services grants an exemption shall be exempt from the net
414		-	revenue tax imposed on outpatient hospital services under subsection
415		-	(a) of this section. Any hospital for which the Centers for Medicare and
416		-	Medicaid Services denies an exemption shall be required to pay the net
417		-	revenue tax imposed on outpatient hospital services under subsection
418		-	(a) of this section.
419		-	(B) For purposes of this subdivision, "sole community hospital"
420		-	means a hospital that is classified by the Centers for Medicare and
421		-	Medicaid Services for purposes of Medicare as a sole community
422		-	hospital under 42 CFR 412.92. Upon said commissioner's receipt of a
423		-	determination by the Centers for Medicare and Medicaid Services that
424		-	a hospital is not exempt, the total audited net revenue from the
425		-	provision of outpatient hospital services for fiscal year 2016 shall be
426		-	increased by such hospital's audited net revenue from the provision of
427		-	outpatient hospital services for fiscal year 2016 and the effective rate of
428		-	the tax due under this section shall be adjusted to ensure that the total
429		-	amount of such tax to be collected under subsection (a) of this section is
430		-	redistributed, commencing with the calendar quarter next succeeding Senate Bill No. 1221
	245	+	LCO No. 11285 7 of 47
431	246
432		-	Dec. Sp. Sess., Public Act No. 19-1 14 of 49
	247	+	(2) Except as provided in subdivision (3) of this subsection, each 171
	248	+	hospital subject to the tax imposed under subdivision (1) of this 172
	249	+	subsection shall be required to pay the total amount due in four 173
	250	+	quarterly payments consistent with section 12-263s, with the first 174
	251	+	quarter commencing with the first day of each state fiscal year and the 175
	252	+	last quarter ending on the last day of each state fiscal year. Hospitals 176
	253	+	shall make all payments required under this subsection in accordance 177
	254	+	with procedures established by and on forms provided by the 178
	255	+	commissioner. 179
	256	+	(3) (A) For the state fiscal year commencing July 1, 2017, each 180
	257	+	hospital required to pay tax on inpatient hospital services or outpatient 181
	258	+	hospital services shall make an estimated tax payment on December 182
	259	+	15, 2017, which estimated payment shall be equal to one hundred 183
	260	+	thirty-three per cent of the tax due under chapter 211a for the period 184
	261	+	ending June 30, 2017. If a hospital was not required to pay tax under 185
	262	+	chapter 211a on either inpatient hospital services or outpatient hospital 186
	263	+	services, such hospital shall make its estimated payment based on its 187
	264	+	unaudited net patient revenue. 188
	265	+	(B) Each hospital required to pay tax pursuant to this subdivision on 189
	266	+	inpatient hospital services or outpatient hospital services shall pay the 190
	267	+	remaining balance determined to be due in two equal payments, which 191
	268	+	shall be due on April 30, 2018, and July 31, 2018, respectively. 192
	269	+	(C) (i) For each state fiscal year commencing on or after July 1, 2017, 193
	270	+	[and prior to July 1, 2019,] each hospital required to pay tax on 194
	271	+	inpatient hospital services or outpatient hospital services shall 195
	272	+	calculate the amount of tax due on forms prescribed by the 196
	273	+	commissioner by multiplying the applicable rate set forth in 197
	274	+	subdivision (1) of this subsection by its audited net revenue for fiscal 198
	275	+	year 2016. 199
	276	+	(ii) [For each state fiscal year commencing on or after July 1, 2019, 200
	277	+	each hospital required to pay tax on inpatient hospital services or 201
	278	+	Bill No.
433	279
434		-	the date of the determination by the Centers for Medicare and Medicaid
435		-	Services.
436		-	(3) Upon receipt of a determination by the Centers for Medicare and
437		-	Medicaid Services under this subsection that a hospital is not exempt,
438		-	said commissioner shall notify all hospitals subject to the tax under this
439		-	section of such determination, the corresponding increase to the total
440		-	audited net revenue for fiscal year 2016 and the change in any effective
441		-	rate of the tax to be collected under subsection (a) of this section through
442		-	the state fiscal year 2026. Such notice shall be provided prior to the end
443		-	of the calendar quarter next succeeding the date of the determination by
444		-	the Centers for Medicare and Medicaid Services. If a state fiscal year has
445		-	commenced when such determination is made, the adjusted audited net
446		-	revenue for fiscal year 2016 and the change in any effective rate of the
447		-	tax to be collected under subsection (a) of this section shall be prorated
448		-	to take into account the amount of the tax already paid during the
449		-	applicable state fiscal year.
450		-	(d) The commissioner shall issue guidance regarding the
451		-	administration of the tax on inpatient hospital services and outpatient
452		-	hospital services. Such guidance shall be issued upon completion of a
453		-	study of the applicable federal law governing the administration of tax
454		-	on inpatient hospital services and outpatient hospital services. The
455		-	commissioner shall conduct such study in collaboration with the
456		-	Commissioner of Social Services, the Secretary of the Office of Policy
457		-	and Management, the Connecticut Hospital Association and the
458		-	hospitals subject to the tax imposed on inpatient hospital services and
459		-	outpatient hospital services.
460		-	(e) (1) The commissioner shall determine, in consultation with the
461		-	Commissioner of Social Services, the Secretary of the Office of Policy
462		-	and Management, the Connecticut Hospital Association and the
463		-	hospitals subject to the tax imposed on inpatient hospital services and
464		-	outpatient hospital services, if there is any underreporting of revenue Senate Bill No. 1221
465	280
466		-	Dec. Sp. Sess., Public Act No. 19-1 15 of 49
467	281
468		-	on hospitals' audited financial statements. Such consultation shall only
469		-	be as authorized under section 12-15. The commissioner shall issue
470		-	guidance, if necessary, to address any such underreporting.
471		-	(2) If the commissioner determines, in accordance with this
472		-	subsection, that a hospital underreported net revenue on its audited
473		-	financial [statement] statements, the amount of underreported net
474		-	revenue shall be added to the amount of net revenue reported on such
475		-	hospital's audited financial [statement] statements so as to comply with
476		-	federal law and the revised net revenue amount shall be used for
477		-	purposes of calculating the amount of tax owed by such hospital under
478		-	this section. For purposes of this subsection, "underreported net
479		-	revenue" means any revenue of a hospital subject to the tax imposed
480		-	under this section that is required to be included in net revenue from
481		-	the provision of inpatient hospital services and net revenue from the
482		-	provision of outpatient hospital services to comply with 42 CFR 433.56,
483		-	as amended from time to time, 42 CFR 433.68, as amended from time to
484		-	time, and Section 1903(w) of the Social Security Act, as amended from
485		-	time to time, but that was not reported on such hospital's audited
486		-	financial [statement] statements. Underreported net revenue shall only
487		-	include revenue of the hospital subject to such tax.
488		-	(f) Nothing in this section shall affect the commissioner's obligations
489		-	under section 12-15 regarding disclosure and inspection of returns and
490		-	return information.
491		-	(g) The provisions of section 17b-8 shall not apply to any exemption
492		-	or exemptions sought by the Commissioner of Social Services from the
493		-	Centers for Medicare and Medicaid Services under this section.
494		-	Sec. 2. (NEW) (Effective from passage) (a) Notwithstanding any other
495		-	provision of law, for any tax period commencing on or after the effective
496		-	date of this section and prior to July 1, 2026, a nongovernmental licensed
497		-	short-term general hospital shall not be subject to any tax or fee that is a Senate Bill No. 1221
	282	+	LCO No. 11285 8 of 47
498	283
499		-	Dec. Sp. Sess., Public Act No. 19-1 16 of 49
	284	+	outpatient hospital services shall calculate the amount of tax due on 202
	285	+	forms prescribed by the commissioner by multiplying the applicable 203
	286	+	rate set forth in subdivision (1) of this subsection by its audited net 204
	287	+	revenue for the fiscal year, as set forth in subparagraph (C) of 205
	288	+	subdivision (1) of this subsection] For the state fiscal year commencing 206
	289	+	July 1, 2019, the payment made for the period ending September 30, 207
	290	+	2019, by each hospital required to pay tax on inpatient hospital 208
	291	+	services or outpatient hospital services shall be considered an 209
	292	+	estimated payment for purposes of the tax due for said state fiscal 210
	293	+	year. Each hospital required to pay the tax under this section on 211
	294	+	inpatient hospital services or outpatient hospital services shall pay the 212
	295	+	remaining balance due in three equal payments, which shall be due on 213
	296	+	January 31, 2020, April 30, 2020, and July 31, 2020, respectively. 214
	297	+	(D) The commissioner shall apply any payment made by a hospital 215
	298	+	in connection with the tax under chapter 211a for the period ending 216
	299	+	September 30, 2017, as a partial payment of such hospital's estimated 217
	300	+	tax payment due on December 15, 2017, under subparagraph (A) of 218
	301	+	this subdivision. The commissioner shall return to a hospital any credit 219
	302	+	claimed by such hospital in connection with the tax imposed under 220
	303	+	chapter 211a for the period ending September 30, 2017, for assignment 221
	304	+	as provided under section 12-263s. 222
	305	+	(4) (A) [(i) For each state fiscal year commencing on or after July 1, 223
	306	+	2017, and prior to July 1, 2019, each] Each hospital required to pay tax 224
	307	+	on inpatient hospital services or outpatient hospital services shall 225
	308	+	submit to the commissioner such information as the commissioner 226
	309	+	requires in order to calculate the audited net inpatient revenue for 227
	310	+	fiscal year 2016, the audited net outpatient revenue for fiscal year 2016 228
	311	+	and the audited net revenue for fiscal year 2016 of all such health care 229
	312	+	providers. Such information shall be provided to the commissioner not 230
	313	+	later than January 1, 2018. The commissioner shall make additional 231
	314	+	requests for information as necessary to fully audit each hospital's net 232
	315	+	revenue. Upon completion of the commissioner's examination, the 233
	316	+	commissioner shall notify, prior to February 28, 2018, each hospital of 234
	317	+	Bill No.
500	318
501		-	health care related tax, as defined in Section 1903(w) of the Social
502		-	Security Act, on such hospital's net revenue from inpatient hospital
503		-	services and outpatient hospital services, except for the following: (1)
504		-	The tax set forth in section 12-263q of the general statutes, as amended
505		-	by this act; and (2) any other applicable tax or fee that is a health care
506		-	related tax, as defined in Section 1903(w) of the Social Security Act, in
507		-	effect as of the effective date of this section.
508		-	(b) Notwithstanding any other provision of law, the tax set forth in
509		-	section 12-263q of the general statutes, as amended by this act, shall not
510		-	be amended for any tax period commencing prior to July 1, 2026.
511		-	(c) Notwithstanding any other provision of law, any tax exemption
512		-	that is available to a nongovernmental licensed short-term general
513		-	hospital and is in effect as of the effective date of this section, including,
514		-	but not limited to, exemptions under chapters 203, 208, 219 and 221 of
515		-	the general statutes, shall not be amended, repealed, modified or in any
516		-	way restricted for any such hospital for any tax period commencing
517		-	prior to July 1, 2026.
518		-	(d) Nothing in this section shall preclude:
519		-	(1) The amendment or modification of any tax or fee that is applicable
520		-	to nongovernmental licensed short-term general hospitals, is in effect as
521		-	of the effective date of this section and is not a health care related tax, as
522		-	defined in Section 1903(w) of the Social Security Act, provided not more
523		-	than fifteen per cent of such amended or modified total tax or fee
524		-	imposed is due from such hospitals;
525		-	(2) The imposition of any tax or fee that is applicable to
526		-	nongovernmental licensed short-term general hospitals, is not in effect
527		-	as of the effective date of this section and is not a health care related tax,
528		-	as defined in Section 1903(w) of the Social Security Act, provided not
529		-	more than fifteen per cent of such new total tax or fee imposed is due Senate Bill No. 1221
530	319
531		-	Dec. Sp. Sess., Public Act No. 19-1 17 of 49
532	320
533		-	from such hospitals;
534		-	(3) The enactment of legislation that modifies the tax set forth in
535		-	section 12-263q of the general statutes, as amended by this act, for the
536		-	purpose of imposing such tax on a hospital that is not subject to such tax
537		-	as of the effective date of this section; or
538		-	(4) The amendment or modification of the provisions of section 12-
539		-	263i or 12-263r of the general statutes.
540		-	Sec. 3. (NEW) (Effective from passage) (a) As used in this section, (1)
541		-	"settlement agreement" means the settlement agreement in the matter of
542		-	The Connecticut Hospital Association et al. v. Connecticut Department
543		-	of Social Services et al., No. HHB-CV16-6035321-S, approved by the
544		-	General Assembly pursuant to section 3-125a of the general statutes on
545		-	December 18, 2019, and (2) "superior court" means the superior court for
546		-	the judicial district of New Britain including the matter of The
547		-	Connecticut Hospital Association et al. v. Connecticut Department of
548		-	Social Services et al., No. HHB-CV16-6035321-S.
549		-	(b) The superior court shall have jurisdiction over the settlement
550		-	agreement, including the jurisdiction and authority to adjudicate a
551		-	motion filed by the parties to said agreement requesting an order of
552		-	approval of said agreement.
553		-	(c) Following entry of an order of approval of the settlement
554		-	agreement, the superior court shall have continuing jurisdiction over
555		-	said agreement, including the jurisdiction and authority to adjudicate a
556		-	motion filed by a party to said agreement requesting an order for
557		-	enforcement or modification of the settlement agreement in accordance
558		-	with the provisions of said agreement. The superior court shall be
559		-	authorized to issue orders in response to such motion, in accordance
560		-	with the provisions of the settlement agreement, for (1) interim or
561		-	temporary relief pending a final decision, (2) declaratory, monetary and Senate Bill No. 1221
	321	+	LCO No. 11285 9 of 47
562	322
563		-	Dec. Sp. Sess., Public Act No. 19-1 18 of 49
	323	+	its audited net inpatient revenue for fiscal year 2016, audited net 235
	324	+	outpatient revenue for fiscal year 2016 and audited net revenue for 236
	325	+	fiscal year 2016. 237
	326	+	[(ii) For each state fiscal year commencing on or after July 1, 2019, 238
	327	+	each hospital required to pay tax on inpatient hospital services or 239
	328	+	outpatient hospital services shall submit to the commissioner 240
	329	+	biennially such information as the commissioner requires in order to 241
	330	+	calculate for the applicable fiscal year, as set forth in subparagraph (C) 242
	331	+	of subdivision (1) of this subsection, the audited net inpatient revenue, 243
	332	+	the audited net outpatient revenue and the audited net revenue of all 244
	333	+	such health care providers. For the state fiscal year commencing July 1, 245
	334	+	2019, such information shall be provided to the commissioner not later 246
	335	+	than June 30, 2019. For the biennium commencing July 1, 2021, and 247
	336	+	each biennium thereafter, such information shall be provided to the 248
	337	+	commissioner not later than January fifteenth of the second year of the 249
	338	+	biennium immediately preceding. The commissioner shall make 250
	339	+	additional requests for information as necessary to fully audit each 251
	340	+	hospital's net revenue. Upon completion of the commissioner's 252
	341	+	examination, the commissioner shall notify each hospital of its audited 253
	342	+	net inpatient revenue, audited net outpatient revenue and audited net 254
	343	+	revenue for the applicable fiscal year, as set forth in subparagraph (C) 255
	344	+	of subdivision (1) of this subsection.] 256
	345	+	(B) Any hospital that fails to provide the requested information by 257
	346	+	the dates specified in subparagraph (A) of this subdivision or fails to 258
	347	+	comply with a request for additional information made under this 259
	348	+	subdivision shall be subject to a penalty of one thousand dollars per 260
	349	+	day for each day the hospital fails to provide the requested 261
	350	+	information or additional information. 262
	351	+	(C) The commissioner may engage an independent auditor to assist 263
	352	+	in the performance of the commissioner's duties and responsibilities 264
	353	+	under this subdivision. 265
	354	+	Bill No.
564	355
565		-	permanent equitable relief as needed to enforce the terms of said
566		-	agreement, and (3) modification of the settlement agreement in the
567		-	manner and within the limits provided in said agreement. Any final
568		-	order of the superior court issued pursuant to this section may be
569		-	appealed in accordance with law. Sovereign immunity shall not be a
570		-	defense to or bar any action, motion, order or relief authorized under
571		-	this section.
572		-	Sec. 4. (NEW) (Effective from passage) For the state fiscal years ending
573		-	June 30, 2020, through June 30, 2026, the tax imposed under section 12-
574		-	263q of the general statutes, as amended by this act, on the provision of
575		-	inpatient hospital services and outpatient hospital services shall cease
576		-	to be imposed if the Centers for Medicare and Medicaid Services (1)
577		-	determines that such tax is an impermissible tax under Section 1903(w)
578		-	of the Social Security Act, as amended from time to time, or (2) does not
579		-	approve the applicable Medicaid state plan amendments necessary for
580		-	the state to receive federal financial participation under the Medicaid
581		-	program for the payments set forth in subsection (i) of section 17b-239
582		-	of the general statutes, as amended by this act, and subsection (c) of
583		-	section 17b-239e of the general statutes, as amended by this act. In the
584		-	event of such a determination or disapproval, the General Assembly
585		-	shall consider, during the next occurring regular or special session,
586		-	whichever is sooner, such amendments to the general statutes as are
587		-	necessary to comply with federal law regarding such tax.
588		-	Sec. 5. Subsections (i) to (l), inclusive, of section 17b-239 of the general
589		-	statutes, as amended by section 306 of public act 19-117, are repealed
590		-	and the following is substituted in lieu thereof (Effective from passage):
591		-	(i) [Not later than fifteen days after passage of this section or
592		-	December 1, 2017, whichever is sooner, the commissioner shall publish
593		-	public notice of the intent to submit a Medicaid state plan amendment
594		-	to provide for the rate increases set forth in this subsection. Not later
595		-	than five days after the expiration of the thirty-day public comment Senate Bill No. 1221
596	356
597		-	Dec. Sp. Sess., Public Act No. 19-1 19 of 49
598	357
599		-	period for such Medicaid state plan amendment, the commissioner shall
600		-	submit such Medicaid state plan amendment to the Centers for
601		-	Medicare and Medicaid Services for approval.] (1) Subject to federal
602		-	approval, the commissioner shall increase rates effective January 1,
603		-	2018, for hospitals, implementing those increases on the earliest
604		-	available date, as follows: [(1)] (A) The diagnosis-related group base rate
605		-	for inpatient hospital services provided by [privately operated acute
606		-	care] nongovernmental licensed short-term general hospitals shall be
607		-	increased by thirty-one and sixty-five-hundredths per cent from the
608		-	level in effect on July 1, 2017, and [(2)] (B) the ambulatory payment
609		-	classification base conversion factor for outpatient hospital services
610		-	provided by [acute care] licensed short-term general hospitals shall be
611		-	increased by six and one-half per cent from the level in effect on July 1,
612		-	2017. [For dates of service only from January 1, 2018, through June 30,
613		-	2018, commencing January 1, 2018, the Commissioner of Social Services
614		-	shall pay at the increased rates set forth in this subsection even if each
615		-	applicable Medicaid state plan amendment approval has not been
616		-	received from the Centers for Medicare and Medicaid Services prior to
617		-	January 1, 2018, provided the implementation of such rate increases
618		-	remains subject to federal approval and payment of such increases may
619		-	later be recovered if federal approval is not obtained. For dates of service
620		-	on or after July 1, 2018, the rate increases set forth in this subsection shall
621		-	be implemented not later than thirty days after receiving federal
622		-	approval of applicable Medicaid state plan amendments. Subject to
623		-	continuing approvals from the Centers for Medicare and Medicaid
624		-	Services and ongoing compliance with applicable federal Medicaid
625		-	requirements, for the fiscal year commencing July 1, 2018, and annually
626		-	thereafter, the commissioner shall not remove the rate increases set forth
627		-	in this subsection.]
628		-	(2) (A) For the purposes of this subsection and subsection (k) of this
629		-	section, "settlement agreement" has the same meaning as provided in
630		-	section 3 of this act. Senate Bill No. 1221
	358	+	LCO No. 11285 10 of 47
631	359
632		-	Dec. Sp. Sess., Public Act No. 19-1 20 of 49
	360	+	(5) Net revenue derived from providing a health care item or service 266
	361	+	to a patient shall be taxed only one time under this section. 267
	362	+	(6) (A) For purposes of this section: 268
	363	+	(i) ["Audited net inpatient revenue for the fiscal year"] "Audited net 269
	364	+	inpatient revenue for fiscal year 2016" means the amount of revenue 270
	365	+	that the commissioner determines, in accordance with federal law, that 271
	366	+	a hospital received for the provision of inpatient hospital services 272
	367	+	during the [applicable] 2016 federal fiscal year; 273
	368	+	(ii) ["Audited net outpatient revenue for the fiscal year"] "Audited 274
	369	+	net outpatient revenue for fiscal year 2016" means the amount of 275
	370	+	revenue that the commissioner determines, in accordance with federal 276
	371	+	law, that a hospital received for the provision of outpatient hospital 277
	372	+	services during the [applicable] 2016 federal fiscal year; and 278
	373	+	(iii) ["Audited net revenue for the fiscal year"] "Audited net revenue 279
	374	+	for fiscal year 2016" means net revenue, as reported in each hospital's 280
	375	+	audited financial [statement] statements, less the amount of revenue 281
	376	+	that the commissioner determines, in accordance with federal law, that 282
	377	+	a hospital received from other than the provision of inpatient hospital 283
	378	+	services and outpatient hospital services. The total audited net revenue 284
	379	+	for [the] fiscal year 2016 shall be the sum of all audited net revenue for 285
	380	+	the [applicable] 2016 fiscal year for all hospitals required to pay tax on 286
	381	+	inpatient hospital services and outpatient hospital services. 287
	382	+	(B) For purposes of this section, if a hospital's audited financial 288
	383	+	statements for fiscal year 2016 does not report revenue for the entire 289
	384	+	fiscal year, such hospital's audited net revenue for fiscal year 2016 shall 290
	385	+	be calculated by projecting the amount of revenue such hospital would 291
	386	+	have received for the entire fiscal year based proportionally on the 292
	387	+	audited net revenue reported on its audited financial statements. 293
	388	+	[(B)] (C) Audited net inpatient revenue and audited net outpatient 294
	389	+	revenue shall be based on information provided by each hospital 295
	390	+	Bill No.
633	391
634		-	(B) To the extent required by the settlement agreement, including any
635		-	court order issued in accordance with the provisions of section 3 of this
636		-	act, for dates of service from January 1, 2020, through June 30, 2026,
637		-	applicable payments to nongovernmental licensed short-term general
638		-	hospitals located in the state shall be made in accordance with the
639		-	relevant requirements of said agreement regarding wage index values,
640		-	the inpatient hospital all-patient refined diagnosis-related group base
641		-	rate and the outpatient hospital ambulatory payment classification
642		-	conversion factor.
643		-	(3) (A) To the extent required by the settlement agreement, including
644		-	any court order issued in accordance with the provisions of section 3 of
645		-	this act, effective January 1, 2020, and each January first thereafter until
646		-	and including January 1, 2026, the commissioner shall increase annually
647		-	the Medicaid rates payable to nongovernmental licensed short-term
648		-	general hospitals located in the state as follows: (i) The inpatient hospital
649		-	all-patient refined diagnosis-related group base rate by two per cent; (ii)
650		-	the inpatient hospital behavioral health per diem rate, the inpatient
651		-	psychiatric services and rehabilitation per diem rates and the inpatient
652		-	behavioral health child discharge delay per diem rate, each by two per
653		-	cent; (iii) the outpatient hospital ambulatory payment classification
654		-	conversion factor by two and two-tenths per cent; and (iv) the revenue
655		-	center codes listed on the hospital outpatient flat fee schedule by two
656		-	and two-tenths per cent. Each such annual increase shall be calculated
657		-	against the rates in effect for the calendar year immediately preceding
658		-	such rate increase.
659		-	(B) As soon as practicable after the effective date of this section, the
660		-	commissioner shall publish public notice of the intent to submit the
661		-	Medicaid state plan amendments necessary to provide for the rate
662		-	increases set forth in subparagraph (A) of this subdivision. Not later
663		-	than fifteen days after the expiration of the thirty-day comment period
664		-	for such state plan amendments, the commissioner shall submit such Senate Bill No. 1221
665	392
666		-	Dec. Sp. Sess., Public Act No. 19-1 21 of 49
667	393
668		-	state plan amendments to the Centers for Medicare and Medicaid
669		-	Services for approval. The commissioner shall diligently pursue the
670		-	federal approvals required for such rate increases. The commissioner
671		-	shall implement such rate increases for the dates of service set forth in
672		-	subparagraph (A) of this subdivision even if federal approvals are
673		-	received after such dates of service, provided the implementation of
674		-	such rate increases remains subject to federal approval to the extent
675		-	required by the terms of the settlement agreement, including any court
676		-	order issued in accordance with the provisions of section 3 of this act. If
677		-	federal approvals of such rate increases are not obtained, the payment
678		-	of such rate increases may later be recovered by the commissioner by
679		-	recoupment against other Medicaid payments due to a hospital or in
680		-	any manner authorized by law.
681		-	(4) To the extent required by the settlement agreement, including any
682		-	court order issued in accordance with the provisions of section 3 of this
683		-	act, from July 1, 2019, through June 30, 2026, the commissioner shall not
684		-	remove, repeal or reduce the rate increases set forth in this subsection
685		-	and appropriations for any payments to nongovernmental licensed
686		-	short-term general hospitals based on such rates shall not be subject to
687		-	rescissions or holdbacks.
688		-	(5) Nothing in this section shall affect the authority of the state to
689		-	recover overpayments and collect unpaid liabilities, as authorized by
690		-	law. No provision of this subsection shall affect implementation of state-
691		-	wide diagnosis-related group base rates in accordance with subsection
692		-	(a) of this section.
693		-	(j) Except as otherwise specifically required in subsection (i) of this
694		-	section, (1) notwithstanding the provisions of this chapter or regulations
695		-	adopted thereunder, the Department of Social Services is not required
696		-	to increase rates paid, or to set any rates to be paid to or adjust upward
697		-	any method of payment to, any hospital based on inflation or based on
698		-	any inflationary factor, including, but not limited to, any current Senate Bill No. 1221
	394	+	LCO No. 11285 11 of 47
699	395
700		-	Dec. Sp. Sess., Public Act No. 19-1 22 of 49
	396	+	required to pay tax on inpatient hospital services or outpatient hospital 296
	397	+	services. 297
	398	+	(b) (1) The Commissioner of Social Services shall seek approval from 298
	399	+	the Centers for Medicare and Medicaid Services to exempt from the 299
	400	+	net revenue tax imposed under subsection (a) of this section the 300
	401	+	following: (A) Specialty hospitals; (B) children's general hospitals; and 301
	402	+	(C) hospitals operated exclusively by the state other than a short-term 302
	403	+	[acute] general hospital operated by the state as a receiver pursuant to 303
	404	+	chapter 920. Any hospital for which the Centers for Medicare and 304
	405	+	Medicaid Services grants an exemption shall be exempt from the net 305
	406	+	revenue tax imposed under subsection (a) of this section. Any hospital 306
	407	+	for which the Centers for Medicare and Medicaid Services denies an 307
	408	+	exemption shall be deemed to be a hospital for purposes of this section 308
	409	+	and shall be required to pay the net revenue tax imposed under 309
	410	+	subsection (a) of this section on inpatient hospital services and 310
	411	+	outpatient hospital services at the same effective rates set forth in 311
	412	+	subsection (a) of this section. 312
	413	+	(2) Each hospital shall provide to the Commissioner of Social 313
	414	+	Services, upon request, such information as said commissioner may 314
	415	+	require to make any computations necessary to seek approval for 315
	416	+	exemption under this subsection. 316
	417	+	(3) As used in this subsection, (A) "specialty hospital" means a 317
	418	+	health care facility, as defined in section 19a-630, other than a facility 318
	419	+	licensed by the Department of Public Health as a short-term general 319
	420	+	hospital or a short-term children's hospital. "Specialty hospital" 320
	421	+	includes, but is not limited to, a psychiatric hospital or a chronic 321
	422	+	disease hospital, and (B) "children's general hospital" means a health 322
	423	+	care facility, as defined in section 19a-630, that is licensed by the 323
	424	+	Department of Public Health as a short-term children's hospital. 324
	425	+	"Children's general hospital" does not include a specialty hospital. 325
	426	+	(c) [Prior to July 1, 2019, and every three years thereafter] (1) (A) For 326
	427	+	Bill No.
701	428
702		-	payments or adjustments that are being made based on dates of service
703		-	in previous years, [. The] and (2) the Department of Social Services shall
704		-	not increase or adjust upward any rates or method of payment to
705		-	hospitals based on inflation or based on any inflationary factor unless
706		-	the approved state budget includes appropriations for such increases or
707		-	upward adjustments.
708		-	[(k) (1) Effective on or after July 1, 2019, the Commissioner of Social
709		-	Services shall implement one or more value -based payment
710		-	methodologies in accordance with this subsection in order to improve
711		-	health outcomes and reduce unnecessary costs, as determined by the
712		-	commissioner. The commissioner may, to the extent determined
713		-	necessary by the commissioner, phase in such value-based payment
714		-	methodologies over time. Such methodologies may include, but need
715		-	not be limited to, methodologies that are designed to: (A) Reduce
716		-	inpatient hospital readmissions; (B) reduce unnecessary caesarian
717		-	section deliveries, take appropriate actions to reduce preterm deliveries
718		-	and improve obstetrical care outcomes; (C) address outpatient infusions
719		-	involving high-cost medications by implementing performance-based
720		-	payments; and (D) implement such other policies as determined by the
721		-	commissioner.
722		-	(2) Effective on or after July 1, 2019, the Commissioner of Social
723		-	Services shall reduce the total applicable rate payments by fifteen per
724		-	cent for each hospital readmission, in addition to any value-based
725		-	payment methodology implemented pursuant to subdivision (1) of this
726		-	subsection. For purposes of this subdivision, "readmission" means, in
727		-	the case of an individual who is discharged from an applicable hospital,
728		-	a subsequent admission of the same individual for observation services
729		-	provided to the individual for the same or a similar diagnosis or
730		-	diagnoses not later than thirty days from the date of such discharge.
731		-	Nothing in this subdivision shall preclude the commissioner from
732		-	establishing additional value-based payment methodologies regarding Senate Bill No. 1221
733	429
734		-	Dec. Sp. Sess., Public Act No. 19-1 23 of 49
735	430
736		-	readmissions.
737		-	(3) Notwithstanding any other provision of the general statutes, each
738		-	applicable hospital rate and supplemental payment methodology
739		-	designed by the commissioner shall incorporate each value-based
740		-	payment methodology established pursuant to this section, including
741		-	structuring applicable payment based on each hospital's performance
742		-	on the applicable measures for each value-based payment methodology.
743		-	(l) Medicaid payments to hospitals shall be made only in compliance
744		-	with federal law. If any Medicaid payments to hospitals are not eligible
745		-	for federal financial participation, the Department of Social Services
746		-	shall adjust payments to hospitals to the extent necessary to ensure that
747		-	no Medicaid payments are made to hospitals that are not eligible for
748		-	federal financial participation for all applicable payments and for all
749		-	applicable time periods. No provision of this section or section 17b-239e,
750		-	as amended by this act, shall require the Department of Social Services
751		-	to make any Medicaid payments to hospitals that are not eligible for
752		-	federal financial participation.]
753		-	(k) (1) Subject to any court order issued in accordance with the
754		-	provisions of section 3 of this act, the Department of Social Services shall
755		-	make payments to nongovernmental licensed short-term general
756		-	hospitals to the extent required by the settlement agreement, including,
757		-	to the extent applicable, portions of payments for which the federal
758		-	financial participation may not be available, such as one-time payments
759		-	and payments using state-only funds above the upper payment limit.
760		-	For the purposes of this subsection, "upper payment limit" means the
761		-	limit on aggregate Medicaid payments to specified groups of facilities
762		-	for which Medicaid federal financial participation is available, in
763		-	accordance with 42 CFR 447.72 and 42 CFR 447.321, as applicable, each
764		-	as amended from time to time.
765		-	(2) To the extent required by the settlement agreement, including any Senate Bill No. 1221
	431	+	LCO No. 11285 12 of 47
766	432
767		-	Dec. Sp. Sess., Public Act No. 19-1 24 of 49
	433	+	each state fiscal year commencing on or after July 1, 2017, and prior to 327
	434	+	July 1, 2020, the Commissioner of Social Services shall seek approval 328
	435	+	from the Centers for Medicare and Medicaid Services to exempt 329
	436	+	financially distressed hospitals from the net revenue tax imposed on 330
	437	+	outpatient hospital services. Any such hospital for which the Centers 331
	438	+	for Medicare and Medicaid Services grants an exemption shall be 332
	439	+	exempt from the net revenue tax imposed on outpatient hospital 333
	440	+	services under subsection (a) of this section. Any hospital for which the 334
	441	+	Centers for Medicare and Medicaid Services denies an exemption shall 335
	442	+	be required to pay the net revenue tax imposed on outpatient hospital 336
	443	+	services under subsection (a) of this section. 337
	444	+	(B) For purposes of this [subsection] subdivision, "financially 338
	445	+	distressed hospital" means a hospital that has experienced over [a] the 339
	446	+	five-year period from October 1, 2011, through September 30, 2016, an 340
	447	+	average net loss of more than five per cent of aggregate revenue. A 341
	448	+	hospital has an average net loss of more than five per cent of aggregate 342
	449	+	revenue if such a loss is reflected in the [five most recent] applicable 343
	450	+	years of financial reporting that have been made available by the 344
	451	+	Health Systems Planning Unit of the Office of Health Strategy for such 345
	452	+	hospital in accordance with section 19a-670. [as of the effective date of 346
	453	+	the request for approval which effective date shall be July first of the 347
	454	+	year in which the request is made] Upon said commissioner's receipt 348
	455	+	of a determination by the Centers for Medicare and Medicaid Services 349
	456	+	that a hospital is not exempt, the total audited net revenue from the 350
	457	+	provision of outpatient hospital services for fiscal year 2016 shall be 351
	458	+	increased by such hospital's audited net revenue from the provision of 352
	459	+	outpatient hospital services for fiscal year 2016 and the effective rate of 353
	460	+	the tax due under this section shall be adjusted to ensure that the total 354
	461	+	amount of such tax to be collected under subsection (a) of this section 355
	462	+	is redistributed, commencing with the calendar quarter next 356
	463	+	succeeding the date of the determination by the Centers for Medicare 357
	464	+	and Medicaid Services. 358
	465	+	(2) (A) For each state fiscal year commencing on or after July 1, 2020, 359
	466	+	Bill No.
768	467
769		-	court order issued in accordance with the provisions of section 3 of this
770		-	act, from July 1, 2019, through June 30, 2026, for nongovernmental
771		-	licensed short-term general hospitals located in the state, the
772		-	Department of Social Services shall continue to set Medicaid rates for
773		-	inpatient hospital services and outpatient hospital services in
774		-	accordance with the rate-setting rules and methodologies established in
775		-	the Medicaid state plan in effect as of the effective date of this section
776		-	and incorporating changes to said plan as required by the settlement
777		-	agreement.
778		-	Sec. 6. Section 17b-239e of the general statutes, as amended by section
779		-	307 of public act 19-117, is repealed and the following is substituted in
780		-	lieu thereof (Effective from passage):
781		-	(a) [On or before January 1, 2012, the Commissioner of Social Services,
782		-	in consultation with the Commissioners of Public Health and Mental
783		-	Health and Addiction Services and the Secretary of the Office of Policy
784		-	and Management, shall submit to the joint standing committees of the
785		-	General Assembly having cognizance of matters relating to human
786		-	services and appropriations and the budgets of state agencies a plan
787		-	concerning the implementation of a cost neutral acuity-based method
788		-	for establishing rates to be paid to hospitals that is phased in over a
789		-	period of time.] For the purposes of this section, "settlement agreement"
790		-	has the same meaning as provided in section 3 of this act.
791		-	(b) [(1)] Subject to federal approval, the Department of Social Services
792		-	shall establish supplemental pools for certain hospitals [, as determined
793		-	by the department in consultation with the Connecticut Hospital
794		-	Association, including, but not limited to, such pools as a supplemental
795		-	inpatient pool, a supplemental outpatient pool, a supplemental small
796		-	hospital pool, and a supplemental mid-size hospital pool] in accordance
797		-	with the terms of the settlement agreement, including any court order
798		-	issued in accordance with the provisions of section 3 of this act. Such
799		-	pools shall include, but not be limited to, as applicable, general, small Senate Bill No. 1221
800	468
801		-	Dec. Sp. Sess., Public Act No. 19-1 25 of 49
802	469
803		-	hospital, mid-sized hospital and large hospital supplemental pools.
804		-	[(2)] (c) (1) The department shall distribute supplemental payments
805		-	to applicable hospitals [based on criteria determined by the department
806		-	in consultation with the Connecticut Hospital Association, including,
807		-	but not limited to, utilization and proportion of total Medicaid
808		-	expenditures. Such consultation shall include, at a minimum, that the
809		-	department shall send proposed distribution criteria in writing to the
810		-	Connecticut Hospital Association not less than thirty days before
811		-	making any payments based on such criteria and shall provide an
812		-	opportunity to discuss such criteria prior to making any payments
813		-	based on such criteria] in accordance with the settlement agreement,
814		-	including any court order issued in accordance with the provisions of
815		-	section 3 of this act. The commissioner shall diligently pursue the federal
816		-	approvals required for the supplemental pools and payments set forth
817		-	in this section.
818		-	(2) To the extent required by the settlement agreement, including any
819		-	court order issued in accordance with the provisions of section 3 of this
820		-	act, the Department of Social Services shall pay Medicaid supplemental
821		-	payments to nongovernmental licensed short-term general hospitals
822		-	located in the state as follows: (A) For the fiscal years ending June 30,
823		-	2020, and June 30, 2021, five hundred forty-eight million three hundred
824		-	thousand dollars in each such fiscal year; and (B) for the fiscal years
825		-	ending June 30, 2022, through June 30, 2026, five hundred sixty-eight
826		-	million three hundred thousand dollars in each such fiscal year. For
827		-	fiscal years commencing on and after July 1, 2026, the total amount of
828		-	supplemental payments paid to such hospitals shall continue at the level
829		-	in effect for the prior fiscal year unless modified through any provision
830		-	of the general statutes or appropriations act.
831		-	(3) From July 1, 2019, through June 30, 2026, the Department of Social
832		-	Services shall make supplemental payments to the applicable hospitals
833		-	on or before the last day of the first month of each calendar quarter, Senate Bill No. 1221
	470	+	LCO No. 11285 13 of 47
834	471
835		-	Dec. Sp. Sess., Public Act No. 19-1 26 of 49
	472	+	the Commissioner of Social Services shall seek approval from the 360
	473	+	Centers for Medicare and Medicaid Services to exempt sole 361
	474	+	community hospitals from the net revenue tax imposed on outpatient 362
	475	+	hospital services. Any such hospital for which the Centers for 363
	476	+	Medicare and Medicaid Services grants an exemption shall be exempt 364
	477	+	from the net revenue tax imposed on outpatient hospital services 365
	478	+	under subsection (a) of this section. Any hospital for which the Centers 366
	479	+	for Medicare and Medicaid Services denies an exemption shall be 367
	480	+	required to pay the net revenue tax imposed on outpatient hospital 368
	481	+	services under subsection (a) of this section. 369
	482	+	(B) For purposes of this subdivision, "sole community hospital" 370
	483	+	means a hospital that is classified by the Centers for Medicare and 371
	484	+	Medicaid Services for purposes of Medicare as a sole community 372
	485	+	hospital under 42 CFR 412.92. Upon said commissioner's receipt of a 373
	486	+	determination by the Centers for Medicare and Medicaid Services that 374
	487	+	a hospital is not exempt, the total audited net revenue from the 375
	488	+	provision of outpatient hospital services for fiscal year 2016 shall be 376
	489	+	increased by such hospital's audited net revenue from the provision of 377
	490	+	outpatient hospital services for fiscal year 2016 and the effective rate of 378
	491	+	the tax due under this section shall be adjusted to ensure that the total 379
	492	+	amount of such tax to be collected under subsection (a) of this section 380
	493	+	is redistributed, commencing with the calendar quarter next 381
	494	+	succeeding the date of the determination by the Centers for Medicare 382
	495	+	and Medicaid Services. 383
	496	+	(3) Upon receipt of a determination by the Centers for Medicare and 384
	497	+	Medicaid Services under this subsection that a hospital is not exempt, 385
	498	+	said commissioner shall notify all hospitals subject to the tax under 386
	499	+	this section of such determination, the corresponding increase to the 387
	500	+	total audited net revenue for fiscal year 2016 and the change in any 388
	501	+	effective rate of the tax to be collected under subsection (a) of this 389
	502	+	section through the state fiscal year 2026. Such notice shall be provided 390
	503	+	prior to the end of the calendar quarter next succeeding the date of the 391
	504	+	determination by the Centers for Medicare and Medicaid Services. If a 392
	505	+	Bill No.
836	506
837		-	except that payments scheduled to be made before the effective date of
838		-	this section shall be made not later than thirty days after the effective
839		-	date of this section.
840		-	(4) If a nongovernmental licensed short-term general hospital located
841		-	in the state merges or consolidates with or is acquired by another
842		-	hospital, such that the hospital does not continue to maintain a separate
843		-	short-term general hospital license, the supplemental payments that
844		-	would have been paid to the hospital that no longer maintains such
845		-	license shall be paid instead to the surviving hospital, beginning with
846		-	the first calendar quarter that commences on or after the effective date
847		-	of the merger, consolidation or acquisition. If a nongovernmental
848		-	licensed short-term general hospital located in the state dissolves, ceases
849		-	to operate or otherwise terminates licensed short-term general hospital
850		-	services, the supplemental payments that would have been paid to such
851		-	hospital shall not be paid to any other hospital for the remainder of the
852		-	fiscal year in which such hospital dissolves, ceases operations or
853		-	otherwise terminates such services. Commencing with the fiscal year
854		-	after the hospital dissolved, ceased to operate or otherwise terminated
855		-	such services, the supplemental payments that would have been made
856		-	to such hospital shall be redistributed to all other nongovernmental
857		-	licensed short-term general hospitals located in the state in accordance
858		-	with the distribution methodology set forth in the settlement agreement
859		-	for each supplemental pool.
860		-	(5) Both the state and federal share of supplemental payments set
861		-	forth in this subsection shall be appropriated to the Department of Social
862		-	Services. Such supplemental payments shall not be subject to rescissions
863		-	or holdbacks. Nothing in this section shall affect the authority of the
864		-	state to recover overpayments and collect unpaid liabilities, as
865		-	authorized by law.
866		-	[(c) Out of the aggregate amount of the supplemental pools described
867		-	in subsection (b) of this section, within available appropriations, the Senate Bill No. 1221
868	507
869		-	Dec. Sp. Sess., Public Act No. 19-1 27 of 49
870	508
871		-	following amounts shall be allocated based on each hospital's
872		-	performance on quality measures determined by the Department of
873		-	Social Services: Fifteen million dollars in the fiscal year ending June 30,
874		-	2020, and forty-five million dollars for the fiscal year ending June 30,
875		-	2021. Such allocations shall be made proportionally from each of the
876		-	supplemental pools established pursuant to subsection (b) of this
877		-	section.]
878		-	(d) To the extent required by the settlement agreement, including any
879		-	court order issued in accordance with the provisions of section 3 of this
880		-	act, the commissioner shall make the supplemental payments set forth
881		-	in this section effective for the dates of service set forth in this section,
882		-	including payment adjustments to reconcile, in accordance with this
883		-	section, supplemental payments made to hospitals for the calendar
884		-	quarter ending September 30, 2019, as interim payments. Such
885		-	reconciliation shall ensure that, after accounting for such payment
886		-	adjustments, the actual supplemental payments made to each hospital
887		-	shall be the amounts due to each hospital pursuant to the settlement
888		-	agreement, even if federal approvals are received after each applicable
889		-	date that supplemental payments are required to be made, provided the
890		-	supplemental payments remain subject to federal approval. If federal
891		-	approval of such payments is not obtained, such payments may later be
892		-	recovered by the commissioner by recoupment against other Medicaid
893		-	payments due to a hospital or in any manner authorized by law.
894		-	Sec. 7. (Effective from passage) The amounts appropriated for the fiscal
895		-	years ending June 30, 2020, and June 30, 2021, in section 1 of public act
896		-	19-117 regarding the GENERAL FUND are amended to read as follows:
897		-	2019-2020 2020-2021
898		-	LEGISLATIVE
	509	+	LCO No. 11285 14 of 47
899	510
900		-	LEGISLATIVE MANAGEMENT
901		-	Personal Services 47,000,000 50,000,000 Senate Bill No. 1221
	511	+	state fiscal year has commenced when such determination is made, the 393
	512	+	adjusted audited net revenue for fiscal year 2016 and the change in any 394
	513	+	effective rate of the tax to be collected under subsection (a) of this 395
	514	+	section shall be prorated to take into account the amount of the tax 396
	515	+	already paid during the applicable state fiscal year. 397
	516	+	(d) The commissioner shall issue guidance regarding the 398
	517	+	administration of the tax on inpatient hospital services and outpatient 399
	518	+	hospital services. Such guidance shall be issued upon completion of a 400
	519	+	study of the applicable federal law governing the administration of tax 401
	520	+	on inpatient hospital services and outpatient hospital services. The 402
	521	+	commissioner shall conduct such study in collaboration with the 403
	522	+	Commissioner of Social Services, the Secretary of the Office of Policy 404
	523	+	and Management, the Connecticut Hospital Association and the 405
	524	+	hospitals subject to the tax imposed on inpatient hospital services and 406
	525	+	outpatient hospital services. 407
	526	+	(e) (1) The commissioner shall determine, in consultation with the 408
	527	+	Commissioner of Social Services, the Secretary of the Office of Policy 409
	528	+	and Management, the Connecticut Hospital Association and the 410
	529	+	hospitals subject to the tax imposed on inpatient hospital services and 411
	530	+	outpatient hospital services, if there is any underreporting of revenue 412
	531	+	on hospitals' audited financial statements. Such consultation shall only 413
	532	+	be as authorized under section 12-15. The commissioner shall issue 414
	533	+	guidance, if necessary, to address any such underreporting. 415
	534	+	(2) If the commissioner determines, in accordance with this 416
	535	+	subsection, that a hospital underreported net revenue on its audited 417
	536	+	financial [statement] statements, the amount of underreported net 418
	537	+	revenue shall be added to the amount of net revenue reported on such 419
	538	+	hospital's audited financial [statement] statements so as to comply 420
	539	+	with federal law and the revised net revenue amount shall be used for 421
	540	+	purposes of calculating the amount of tax owed by such hospital under 422
	541	+	this section. For purposes of this subsection, "underreported net 423
	542	+	revenue" means any revenue of a hospital subject to the tax imposed 424
	543	+	Bill No.
902	544
903		-	Dec. Sp. Sess., Public Act No. 19-1 28 of 49
904	545
905		-	Other Expenses 14,930,000 14,930,000
906		-	Equipment 2,172,000 1,172,000
907		-	Flag Restoration 65,000 65,000
908		-	Minor Capital Improvements 1,800,000
909		-	Interim Salary/Caucus Offices 677,642 536,102
910		-	Redistricting 475,000 475,000
911		-	Old State House 550,000 600,000
912		-	Interstate Conference Fund 409,038 425,400
913		-	New England Board of Higher
914		-	Education
915		-	183,750 183,750
916		-	AGENCY TOTAL 66,462,430 70,187,252
917	546
918		-	AUDITORS OF PUBLIC
919		-	ACCOUNTS
	547	+	LCO No. 11285 15 of 47
920	548
921		-	Personal Services 11,446,794 12,196,119
922		-	Other Expenses 272,143 272,143
923		-	AGENCY TOTAL 11,718,937 12,468,262
	549	+	under this section that is required to be included in net revenue from 425
	550	+	the provision of inpatient hospital services and net revenue from the 426
	551	+	provision of outpatient hospital services to comply with 42 CFR 433.56, 427
	552	+	as amended from time to time, 42 CFR 433.68, as amended from time 428
	553	+	to time, and Section 1903(w) of the Social Security Act, as amended 429
	554	+	from time to time, but that was not reported on such hospital's audited 430
	555	+	financial [statement] statements. Underreported net revenue shall only 431
	556	+	include revenue of the hospital subject to such tax. 432
	557	+	(f) Nothing in this section shall affect the commissioner's obligations 433
	558	+	under section 12-15 regarding disclosure and inspection of returns and 434
	559	+	return information. 435
	560	+	(g) The provisions of section 17b-8 shall not apply to any exemption 436
	561	+	or exemptions sought by the Commissioner of Social Services from the 437
	562	+	Centers for Medicare and Medicaid Services under this section. 438
	563	+	Sec. 2. (NEW) (Effective from passage) (a) Notwithstanding any other 439
	564	+	provision of law, for any tax period commencing on or after the 440
	565	+	effective date of this section and prior to July 1, 2026, a 441
	566	+	nongovernmental licensed short-term general hospital shall not be 442
	567	+	subject to any tax or fee that is a health care related tax, as defined in 443
	568	+	Section 1903(w) of the Social Security Act, on such hospital's net 444
	569	+	revenue from inpatient hospital services and outpatient hospital 445
	570	+	services, except for the following: (1) The tax set forth in section 12-446
	571	+	263q of the general statutes, as amended by this act; and (2) any other 447
	572	+	applicable tax or fee that is a health care related tax, as defined in 448
	573	+	Section 1903(w) of the Social Security Act, in effect as of the effective 449
	574	+	date of this section. 450
	575	+	(b) Notwithstanding any other provision of law, the tax set forth in 451
	576	+	section 12-263q of the general statutes, as amended by this act, shall 452
	577	+	not be amended for any tax period commencing prior to July 1, 2026. 453
	578	+	(c) Notwithstanding any other provision of law, any tax exemption 454
	579	+	that is available to a nongovernmental licensed short-term general 455
	580	+	Bill No.
924	581
925		-	COMMISSION ON WOMEN,
926		-	CHILDREN, SENIORS, EQUITY
927		-	AND OPPORTUNITY
928	582
929		-	Personal Services 600,000 636,000
930		-	Other Expenses 60,000 60,000
931		-	AGENCY TOTAL 660,000 696,000
932	583
933		-	~~GENERAL GOVERNMENT~~
	584	+	LCO No. 11285 16 of 47
934	585
935		-	GOVERNOR'S OFFICE
936		-	Personal Services 2,043,764 2,154,748
937		-	Other Expenses 174,483 174,483
938		-	New England Governors' Conference 74,391 74,391
939		-	National Governors' Association 106,600 106,600
940		-	AGENCY TOTAL 2,399,238 2,510,222
	586	+	hospital and is in effect as of the effective date of this section, 456
	587	+	including, but not limited to, exemptions under chapters 203, 208, 219 457
	588	+	and 221 of the general statutes, shall not be amended, repealed, 458
	589	+	modified or in any way restricted for any such hospital for any tax 459
	590	+	period commencing prior to July 1, 2026. 460
	591	+	(d) Nothing in this section shall preclude: 461
	592	+	(1) The amendment or modification of any tax or fee that is 462
	593	+	applicable to nongovernmental licensed short-term general hospitals, 463
	594	+	is in effect as of the effective date of this section and is not a health care 464
	595	+	related tax, as defined in Section 1903(w) of the Social Security Act, 465
	596	+	provided not more than fifteen per cent of such amended or modified 466
	597	+	total tax or fee imposed is due from such hospitals; 467
	598	+	(2) The imposition of any tax or fee that is applicable to 468
	599	+	nongovernmental licensed short-term general hospitals, is not in effect 469
	600	+	as of the effective date of this section and is not a health care related 470
	601	+	tax, as defined in Section 1903(w) of the Social Security Act, provided 471
	602	+	not more than fifteen per cent of such new total tax or fee imposed is 472
	603	+	due from such hospitals; 473
	604	+	(3) The enactment of legislation that modifies the tax set forth in 474
	605	+	section 12-263q of the general statutes, as amended by this act, for the 475
	606	+	purpose of imposing such tax on a hospital that is not subject to such 476
	607	+	tax as of the effective date of this section; or 477
	608	+	(4) The amendment or modification of the provisions of section 12-478
	609	+	263i or 12-263r of the general statutes. 479
	610	+	Sec. 3. (NEW) (Effective from passage) (a) As used in this section, (1) 480
	611	+	"settlement agreement" means the settlement agreement in the matter 481
	612	+	of The Connecticut Hospital Association et al. v. Connecticut 482
	613	+	Department of Social Services et al., No. HHB-CV16-6035321-S, 483
	614	+	approved by the General Assembly pursuant to section 3-125a of the 484
	615	+	general statutes on December 18, 2019, and (2) "superior court" means 485
	616	+	Bill No.
941	617
942		-	SECRETARY OF THE STATE
943		-	Personal Services 2,681,168 2,826,337 Senate Bill No. 1221
944	618
945		-	Dec. Sp. Sess., Public Act No. 19-1 29 of 49
946	619
947		-	Other Expenses 1,606,594 1,606,594
948		-	Commercial Recording Division 4,672,490 4,819,503
949		-	AGENCY TOTAL 8,960,252 9,252,434
	620	+	LCO No. 11285 17 of 47
950	621
951		-	LIEUTENANT GOVERNOR'S
952		-	OFFICE
	622	+	the superior court for the judicial district of New Britain including the 486
	623	+	matter of The Connecticut Hospital Association et al. v. Connecticut 487
	624	+	Department of Social Services et al., No. HHB-CV16-6035321-S. 488
	625	+	(b) The superior court shall have jurisdiction over the settlement 489
	626	+	agreement, including the jurisdiction and authority to adjudicate a 490
	627	+	motion filed by the parties to said agreement requesting an order of 491
	628	+	approval of said agreement. 492
	629	+	(c) Following entry of an order of approval of the settlement 493
	630	+	agreement, the superior court shall have continuing jurisdiction over 494
	631	+	said agreement, including the jurisdiction and authority to adjudicate a 495
	632	+	motion filed by a party to said agreement requesting an order for 496
	633	+	enforcement or modification of the settlement agreement in accordance 497
	634	+	with the provisions of said agreement. The superior court shall be 498
	635	+	authorized to issue orders in response to such motion, in accordance 499
	636	+	with the provisions of the settlement agreement, for (1) interim or 500
	637	+	temporary relief pending a final decision, (2) declaratory, monetary 501
	638	+	and permanent equitable relief as needed to enforce the terms of said 502
	639	+	agreement, and (3) modification of the settlement agreement in the 503
	640	+	manner and within the limits provided in said agreement. Any final 504
	641	+	order of the superior court issued pursuant to this section may be 505
	642	+	appealed in accordance with law. Sovereign immunity shall not be a 506
	643	+	defense to or bar any action, motion, order or relief authorized under 507
	644	+	this section. 508
	645	+	Sec. 4. (NEW) (Effective from passage) For the state fiscal years ending 509
	646	+	June 30, 2020, through June 30, 2026, the tax imposed under section 12-510
	647	+	263q of the general statutes, as amended by this act, on the provision of 511
	648	+	inpatient hospital services and outpatient hospital services shall cease 512
	649	+	to be imposed if the Centers for Medicare and Medicaid Services (1) 513
	650	+	determines that such tax is an impermissible tax under Section 1903(w) 514
	651	+	of the Social Security Act, as amended from time to time, or (2) does 515
	652	+	not approve the applicable Medicaid state plan amendments necessary 516
	653	+	for the state to receive federal financial participation under the 517
	654	+	Bill No.
953	655
954		-	Personal Services 618,549 648,244
955		-	Other Expenses 57,251 57,251
956		-	AGENCY TOTAL 675,800 705,495
957	656
958		-	ELECTIONS ENFORCEMENT
	657	+
	658	+	LCO No. 11285 18 of 47
	659	+
	660	+	Medicaid program for the payments set forth in subsection (i) of 518
	661	+	section 17b-239 of the general statutes, as amended by this act, and 519
	662	+	subsection (c) of section 17b-239e of the general statutes, as amended 520
	663	+	by this act. In the event of such a determination or disapproval, the 521
	664	+	General Assembly shall consider, during the next occurring regular or 522
	665	+	special session, whichever is sooner, such amendments to the general 523
	666	+	statutes as are necessary to comply with federal law regarding such 524
	667	+	tax. 525
	668	+	Sec. 5. Subsections (i) to (l), inclusive, of section 17b-239 of the 526
	669	+	general statutes, as amended by section 306 of public act 19-117, are 527
	670	+	repealed and the following is substituted in lieu thereof (Effective from 528
	671	+	passage): 529
	672	+	(i) [Not later than fifteen days after passage of this section or 530
	673	+	December 1, 2017, whichever is sooner, the commissioner shall publish 531
	674	+	public notice of the intent to submit a Medicaid state plan amendment 532
	675	+	to provide for the rate increases set forth in this subsection. Not later 533
	676	+	than five days after the expiration of the thirty-day public comment 534
	677	+	period for such Medicaid state plan amendment, the commissioner 535
	678	+	shall submit such Medicaid state plan amendment to the Centers for 536
	679	+	Medicare and Medicaid Services for approval.] (1) Subject to federal 537
	680	+	approval, the commissioner shall increase rates effective January 1, 538
	681	+	2018, for hospitals, implementing those increases on the earliest 539
	682	+	available date, as follows: [(1)] (A) The diagnosis-related group base 540
	683	+	rate for inpatient hospital services provided by [privately operated 541
	684	+	acute care] nongovernmental licensed short-term general hospitals 542
	685	+	shall be increased by thirty-one and sixty-five-hundredths per cent 543
	686	+	from the level in effect on July 1, 2017, and [(2)] (B) the ambulatory 544
	687	+	payment classification base conversion factor for outpatient hospital 545
	688	+	services provided by [acute care] licensed short-term general hospitals 546
	689	+	shall be increased by six and one-half per cent from the level in effect 547
	690	+	on July 1, 2017. [For dates of service only from January 1, 2018, through 548
	691	+	June 30, 2018, commencing January 1, 2018, the Commissioner of Social 549
	692	+	Services shall pay at the increased rates set forth in this subsection 550
	693	+	Bill No.
	694	+
	695	+
	696	+
	697	+	LCO No. 11285 19 of 47
	698	+
	699	+	even if each applicable Medicaid state plan amendment approval has 551
	700	+	not been received from the Centers for Medicare and Medicaid 552
	701	+	Services prior to January 1, 2018, provided the implementation of such 553
	702	+	rate increases remains subject to federal approval and payment of such 554
	703	+	increases may later be recovered if federal approval is not obtained. 555
	704	+	For dates of service on or after July 1, 2018, the rate increases set forth 556
	705	+	in this subsection shall be implemented not later than thirty days after 557
	706	+	receiving federal approval of applicable Medicaid state plan 558
	707	+	amendments. Subject to continuing approvals from the Centers for 559
	708	+	Medicare and Medicaid Services and ongoing compliance with 560
	709	+	applicable federal Medicaid requirements, for the fiscal year 561
	710	+	commencing July 1, 2018, and annually thereafter, the commissioner 562
	711	+	shall not remove the rate increases set forth in this subsection.] 563
	712	+	(2) (A) For the purposes of this subsection and subsection (k) of this 564
	713	+	section, "settlement agreement" has the same meaning as provided in 565
	714	+	section 3 of this act. 566
	715	+	(B) To the extent required by the settlement agreement, including 567
	716	+	any court order issued in accordance with the provisions of section 3 of 568
	717	+	this act, for dates of service from January 1, 2020, through June 30, 569
	718	+	2026, applicable payments to nongovernmental licensed short-term 570
	719	+	general hospitals located in the state shall be made in accordance with 571
	720	+	the relevant requirements of said agreement regarding wage index 572
	721	+	values, the inpatient hospital all-patient refined diagnosis-related 573
	722	+	group base rate and the outpatient hospital ambulatory payment 574
	723	+	classification conversion factor. 575
	724	+	(3) (A) To the extent required by the settlement agreement, 576
	725	+	including any court order issued in accordance with the provisions of 577
	726	+	section 3 of this act, effective January 1, 2020, and each January first 578
	727	+	thereafter until and including January 1, 2026, the commissioner shall 579
	728	+	increase annually the Medicaid rates payable to nongovernmental 580
	729	+	licensed short-term general hospitals located in the state as follows: (i) 581
	730	+	The inpatient hospital all-patient refined diagnosis-related group base 582
	731	+	Bill No.
	732	+
	733	+
	734	+
	735	+	LCO No. 11285 20 of 47
	736	+
	737	+	rate by two per cent; (ii) the inpatient hospital behavioral health per 583
	738	+	diem rate, the inpatient psychiatric services and rehabilitation per 584
	739	+	diem rates and the inpatient behavioral health child discharge delay 585
	740	+	per diem rate, each by two per cent; (iii) the outpatient hospital 586
	741	+	ambulatory payment classification conversion factor by two and two-587
	742	+	tenths per cent; and (iv) the revenue center codes listed on the hospital 588
	743	+	outpatient flat fee schedule by two and two-tenths per cent. Each such 589
	744	+	annual increase shall be calculated against the rates in effect for the 590
	745	+	calendar year immediately preceding such rate increase. 591
	746	+	(B) As soon as practicable after the effective date of this section, the 592
	747	+	commissioner shall publish public notice of the intent to submit the 593
	748	+	Medicaid state plan amendments necessary to provide for the rate 594
	749	+	increases set forth in subparagraph (A) of this subdivision. Not later 595
	750	+	than fifteen days after the expiration of the thirty-day comment period 596
	751	+	for such state plan amendments, the commissioner shall submit such 597
	752	+	state plan amendments to the Centers for Medicare and Medicaid 598
	753	+	Services for approval. The commissioner shall diligently pursue the 599
	754	+	federal approvals required for such rate increases. The commissioner 600
	755	+	shall implement such rate increases for the dates of service set forth in 601
	756	+	subparagraph (A) of this subdivision even if federal approvals are 602
	757	+	received after such dates of service, provided the implementation of 603
	758	+	such rate increases remains subject to federal approval to the extent 604
	759	+	required by the terms of the settlement agreement, including any court 605
	760	+	order issued in accordance with the provisions of section 3 of this act. 606
	761	+	If federal approvals of such rate increases are not obtained, the 607
	762	+	payment of such rate increases may later be recovered by the 608
	763	+	commissioner by recoupment against other Medicaid payments due to 609
	764	+	a hospital or in any manner authorized by law. 610
	765	+	(4) To the extent required by the settlement agreement, including 611
	766	+	any court order issued in accordance with the provisions of section 3 of 612
	767	+	this act, from July 1, 2019, through June 30, 2026, the commissioner 613
	768	+	shall not remove, repeal or reduce the rate increases set forth in this 614
	769	+	subsection and appropriations for any payments to nongovernmental 615
	770	+	Bill No.
	771	+
	772	+
	773	+
	774	+	LCO No. 11285 21 of 47
	775	+
	776	+	licensed short-term general hospitals based on such rates shall not be 616
	777	+	subject to rescissions or holdbacks. 617
	778	+	(5) Nothing in this section shall affect the authority of the state to 618
	779	+	recover overpayments and collect unpaid liabilities, as authorized by 619
	780	+	law. No provision of this subsection shall affect implementation of 620
	781	+	state-wide diagnosis-related group base rates in accordance with 621
	782	+	subsection (a) of this section. 622
	783	+	(j) Except as otherwise specifically required in subsection (i) of this 623
	784	+	section, (1) notwithstanding the provisions of this chapter or 624
	785	+	regulations adopted thereunder, the Department of Social Services is 625
	786	+	not required to increase rates paid, or to set any rates to be paid to or 626
	787	+	adjust upward any method of payment to, any hospital based on 627
	788	+	inflation or based on any inflationary factor, including, but not limited 628
	789	+	to, any current payments or adjustments that are being made based on 629
	790	+	dates of service in previous years, [. The] and (2) the Department of 630
	791	+	Social Services shall not increase or adjust upward any rates or method 631
	792	+	of payment to hospitals based on inflation or based on any inflationary 632
	793	+	factor unless the approved state budget includes appropriations for 633
	794	+	such increases or upward adjustments. 634
	795	+	[(k) (1) Effective on or after July 1, 2019, the Commissioner of Social 635
	796	+	Services shall implement one or more value -based payment 636
	797	+	methodologies in accordance with this subsection in order to improve 637
	798	+	health outcomes and reduce unnecessary costs, as determined by the 638
	799	+	commissioner. The commissioner may, to the extent determined 639
	800	+	necessary by the commissioner, phase in such value-based payment 640
	801	+	methodologies over time. Such methodologies may include, but need 641
	802	+	not be limited to, methodologies that are designed to: (A) Reduce 642
	803	+	inpatient hospital readmissions; (B) reduce unnecessary caesarian 643
	804	+	section deliveries, take appropriate actions to reduce preterm 644
	805	+	deliveries and improve obstetrical care outcomes; (C) address 645
	806	+	outpatient infusions involving high-cost medications by implementing 646
	807	+	performance-based payments; and (D) implement such other policies 647
	808	+	Bill No.
	809	+
	810	+
	811	+
	812	+	LCO No. 11285 22 of 47
	813	+
	814	+	as determined by the commissioner. 648
	815	+	(2) Effective on or after July 1, 2019, the Commissioner of Social 649
	816	+	Services shall reduce the total applicable rate payments by fifteen per 650
	817	+	cent for each hospital readmission, in addition to any value-based 651
	818	+	payment methodology implemented pursuant to subdivision (1) of 652
	819	+	this subsection. For purposes of this subdivision, "readmission" means, 653
	820	+	in the case of an individual who is discharged from an applicable 654
	821	+	hospital, a subsequent admission of the same individual for 655
	822	+	observation services provided to the individual for the same or a 656
	823	+	similar diagnosis or diagnoses not later than thirty days from the date 657
	824	+	of such discharge. Nothing in this subdivision shall preclude the 658
	825	+	commissioner from establishing additional value-based payment 659
	826	+	methodologies regarding readmissions. 660
	827	+	(3) Notwithstanding any other provision of the general statutes, 661
	828	+	each applicable hospital rate and supplemental payment methodology 662
	829	+	designed by the commissioner shall incorporate each value-based 663
	830	+	payment methodology established pursuant to this section, including 664
	831	+	structuring applicable payment based on each hospital's performance 665
	832	+	on the applicable measures for each value -based payment 666
	833	+	methodology. 667
	834	+	(l) Medicaid payments to hospitals shall be made only in 668
	835	+	compliance with federal law. If any Medicaid payments to hospitals 669
	836	+	are not eligible for federal financial participation, the Department of 670
	837	+	Social Services shall adjust payments to hospitals to the extent 671
	838	+	necessary to ensure that no Medicaid payments are made to hospitals 672
	839	+	that are not eligible for federal financial participation for all applicable 673
	840	+	payments and for all applicable time periods. No provision of this 674
	841	+	section or section 17b-239e, as amended by this act, shall require the 675
	842	+	Department of Social Services to make any Medicaid payments to 676
	843	+	hospitals that are not eligible for federal financial participation.] 677
	844	+	(k) (1) Subject to any court order issued in accordance with the 678
	845	+	Bill No.
	846	+
	847	+
	848	+
	849	+	LCO No. 11285 23 of 47
	850	+
	851	+	provisions of section 3 of this act, the Department of Social Services 679
	852	+	shall make payments to nongovernmental licensed short-term general 680
	853	+	hospitals to the extent required by the settlement agreement, 681
	854	+	including, to the extent applicable, portions of payments for which the 682
	855	+	federal financial participation may not be available, such as one-time 683
	856	+	payments and payments using state-only funds above the upper 684
	857	+	payment limit. For the purposes of this subsection, "upper payment 685
	858	+	limit" means the limit on aggregate Medicaid payments to specified 686
	859	+	groups of facilities for which Medicaid federal financial participation is 687
	860	+	available, in accordance with 42 CFR 447.72 and 42 CFR 447.321, as 688
	861	+	applicable, each as amended from time to time. 689
	862	+	(2) To the extent required by the settlement agreement, including 690
	863	+	any court order issued in accordance with the provisions of section 3 of 691
	864	+	this act, from July 1, 2019, through June 30, 2026, for nongovernmental 692
	865	+	licensed short-term general hospitals located in the state, the 693
	866	+	Department of Social Services shall continue to set Medicaid rates for 694
	867	+	inpatient hospital services and outpatient hospital services in 695
	868	+	accordance with the rate-setting rules and methodologies established 696
	869	+	in the Medicaid state plan in effect as of the effective date of this 697
	870	+	section and incorporating changes to said plan as required by the 698
	871	+	settlement agreement. 699
	872	+	Sec. 6. Section 17b-239e of the general statutes, as amended by 700
	873	+	section 307 of public act 19-117, is repealed and the following is 701
	874	+	substituted in lieu thereof (Effective from passage): 702
	875	+	(a) [On or before January 1, 2012, the Commissioner of Social 703
	876	+	Services, in consultation with the Commissioners of Public Health and 704
	877	+	Mental Health and Addiction Services and the Secretary of the Office 705
	878	+	of Policy and Management, shall submit to the joint standing 706
	879	+	committees of the General Assembly having cognizance of matters 707
	880	+	relating to human services and appropriations and the budgets of state 708
	881	+	agencies a plan concerning the implementation of a cost neutral acuity-709
	882	+	based method for establishing rates to be paid to hospitals that is 710
	883	+	Bill No.
	884	+
	885	+
	886	+
	887	+	LCO No. 11285 24 of 47
	888	+
	889	+	phased in over a period of time.] For the purposes of this section, 711
	890	+	"settlement agreement" has the same meaning as provided in section 3 712
	891	+	of this act. 713
	892	+	(b) [(1)] Subject to federal approval, the Department of Social 714
	893	+	Services shall establish supplemental pools for certain hospitals [, as 715
	894	+	determined by the department in consultation with the Connecticut 716
	895	+	Hospital Association, including, but not limited to, such pools as a 717
	896	+	supplemental inpatient pool, a supplemental outpatient pool, a 718
	897	+	supplemental small hospital pool, and a supplemental mid-size 719
	898	+	hospital pool] in accordance with the terms of the settlement 720
	899	+	agreement, including any court order issued in accordance with the 721
	900	+	provisions of section 3 of this act. Such pools shall include, but not be 722
	901	+	limited to, as applicable, general, small hospital, mid-sized hospital 723
	902	+	and large hospital supplemental pools. 724
	903	+	[(2)] (c) (1) The department shall distribute supplemental payments 725
	904	+	to applicable hospitals [based on criteria determined by the 726
	905	+	department in consultation with the Connecticut Hospital Association, 727
	906	+	including, but not limited to, utilization and proportion of total 728
	907	+	Medicaid expenditures. Such consultation shall include, at a minimum, 729
	908	+	that the department shall send proposed distribution criteria in writing 730
	909	+	to the Connecticut Hospital Association not less than thirty days before 731
	910	+	making any payments based on such criteria and shall provide an 732
	911	+	opportunity to discuss such criteria prior to making any payments 733
	912	+	based on such criteria] in accordance with the settlement agreement, 734
	913	+	including any court order issued in accordance with the provisions of 735
	914	+	section 3 of this act. The commissioner shall diligently pursue the 736
	915	+	federal approvals required for the supplemental pools and payments 737
	916	+	set forth in this section. 738
	917	+	(2) To the extent required by the settlement agreement, including 739
	918	+	any court order issued in accordance with the provisions of section 3 of 740
	919	+	this act, the Department of Social Services shall pay Medicaid 741
	920	+	supplemental payments to nongovernmental licensed short-term 742
	921	+	Bill No.
	922	+
	923	+
	924	+
	925	+	LCO No. 11285 25 of 47
	926	+
	927	+	general hospitals located in the state as follows: (A) For the fiscal years 743
	928	+	ending June 30, 2020, and June 30, 2021, five hundred forty-eight 744
	929	+	million three hundred thousand dollars in each such fiscal year; and 745
	930	+	(B) for the fiscal years ending June 30, 2022, through June 30, 2026, five 746
	931	+	hundred sixty-eight million three hundred thousand dollars in each 747
	932	+	such fiscal year. For fiscal years commencing on and after July 1, 2026, 748
	933	+	the total amount of supplemental payments paid to such hospitals 749
	934	+	shall continue at the level in effect for the prior fiscal year unless 750
	935	+	modified through any provision of the general statutes or 751
	936	+	appropriations act. 752
	937	+	(3) From July 1, 2019, through June 30, 2026, the Department of 753
	938	+	Social Services shall make supplemental payments to the applicable 754
	939	+	hospitals on or before the last day of the first month of each calendar 755
	940	+	quarter, except that payments scheduled to be made before the 756
	941	+	effective date of this section shall be made not later than thirty days 757
	942	+	after the effective date of this section. 758
	943	+	(4) If a nongovernmental licensed short-term general hospital 759
	944	+	located in the state merges or consolidates with or is acquired by 760
	945	+	another hospital, such that the hospital does not continue to maintain a 761
	946	+	separate short-term general hospital license, the supplemental 762
	947	+	payments that would have been paid to the hospital that no longer 763
	948	+	maintains such license shall be paid instead to the surviving hospital, 764
	949	+	beginning with the first calendar quarter that commences on or after 765
	950	+	the effective date of the merger, consolidation or acquisition. If a 766
	951	+	nongovernmental licensed short-term general hospital located in the 767
	952	+	state dissolves, ceases to operate or otherwise terminates licensed 768
	953	+	short-term general hospital services, the supplemental payments that 769
	954	+	would have been paid to such hospital shall not be paid to any other 770
	955	+	hospital for the remainder of the fiscal year in which such hospital 771
	956	+	dissolves, ceases operations or otherwise terminates such services. 772
	957	+	Commencing with the fiscal year after the hospital dissolved, ceased to 773
	958	+	operate or otherwise terminated such services, the supplemental 774
	959	+	payments that would have been made to such hospital shall be 775
	960	+	Bill No.
	961	+
	962	+
	963	+
	964	+	LCO No. 11285 26 of 47
	965	+
	966	+	redistributed to all other nongovernmental licensed short-term general 776
	967	+	hospitals located in the state in accordance with the distribution 777
	968	+	methodology set forth in the settlement agreement for each 778
	969	+	supplemental pool. 779
	970	+	(5) Both the state and federal share of supplemental payments set 780
	971	+	forth in this subsection shall be appropriated to the Department of 781
	972	+	Social Services. Such supplemental payments shall not be subject to 782
	973	+	rescissions or holdbacks. Nothing in this section shall affect the 783
	974	+	authority of the state to recover overpayments and collect unpaid 784
	975	+	liabilities, as authorized by law. 785
	976	+	[(c) Out of the aggregate amount of the supplemental pools 786
	977	+	described in subsection (b) of this section, within available 787
	978	+	appropriations, the following amounts shall be allocated based on each 788
	979	+	hospital's performance on quality measures determined by the 789
	980	+	Department of Social Services: Fifteen million dollars in the fiscal year 790
	981	+	ending June 30, 2020, and forty-five million dollars for the fiscal year 791
	982	+	ending June 30, 2021. Such allocations shall be made proportionally 792
	983	+	from each of the supplemental pools established pursuant to 793
	984	+	subsection (b) of this section.] 794
	985	+	(d) To the extent required by the settlement agreement, including 795
	986	+	any court order issued in accordance with the provisions of section 3 of 796
	987	+	this act, the commissioner shall make the supplemental payments set 797
	988	+	forth in this section effective for the dates of service set forth in this 798
	989	+	section, including payment adjustments to reconcile, in accordance 799
	990	+	with this section, supplemental payments made to hospitals for the 800
	991	+	calendar quarter ending September 30, 2019, as interim payments. 801
	992	+	Such reconciliation shall ensure that, after accounting for such 802
	993	+	payment adjustments, the actual supplemental payments made to each 803
	994	+	hospital shall be the amounts due to each hospital pursuant to the 804
	995	+	settlement agreement, even if federal approvals are received after each 805
	996	+	applicable date that supplemental payments are required to be made, 806
	997	+	provided the supplemental payments remain subject to federal 807
	998	+	Bill No.
	999	+
	1000	+
	1001	+
	1002	+	LCO No. 11285 27 of 47
	1003	+
	1004	+	approval. If federal approval of such payments is not obtained, such 808
	1005	+	payments may later be recovered by the commissioner by recoupment 809
	1006	+	against other Medicaid payments due to a hospital or in any manner 810
	1007	+	authorized by law. 811
	1008	+	Sec. 7. (Effective from passage) The amounts appropriated for the 812
	1009	+	fiscal years ending June 30, 2020, and June 30, 2021, in section 1 of 813
	1010	+	public act 19-117 regarding the GENERAL FUND are amended to read 814
	1011	+	as follows: 815
	1012	+	T1 2019-2020 2020-2021
	1013	+	T2 LEGISLATIVE
	1014	+	T3
	1015	+	T4 LEGISLATIVE MANAGEMENT
	1016	+	T5 Personal Services 47,000,000 50,000,000
	1017	+	T6 Other Expenses 14,930,000 14,930,000
	1018	+	T7 Equipment 2,172,000 1,172,000
	1019	+	T8 Flag Restoration 65,000 65,000
	1020	+	T9 Minor Capital Improvements 1,800,000
	1021	+	T10 Interim Salary/Caucus Offices 677,642 536,102
	1022	+	T11 Redistricting 475,000 475,000
	1023	+	T12 Old State House 550,000 600,000
	1024	+	T13 Interstate Conference Fund 409,038 425,400
	1025	+	T14 New England Board of Higher Education 183,750 183,750
	1026	+	T15 AGENCY TOTAL 66,462,430 70,187,252
	1027	+	T16
	1028	+	T17 AUDITORS OF PUBLIC ACCOUNTS
	1029	+	T18 Personal Services 11,446,794 12,196,119
	1030	+	T19 Other Expenses 272,143 272,143
	1031	+	T20 AGENCY TOTAL 11,718,937 12,468,262
	1032	+	T21
	1033	+	T22 COMMISSION ON WOMEN,
	1034	+	CHILDREN, SENIORS, EQUITY AND
	1035	+	OPPORTUNITY
	1036	+
	1037	+	T23 Personal Services 600,000 636,000
	1038	+	T24 Other Expenses 60,000 60,000
	1039	+	T25 AGENCY TOTAL 660,000 696,000
	1040	+	Bill No.
	1041	+
	1042	+
	1043	+
	1044	+	LCO No. 11285 28 of 47
	1045	+
	1046	+	T26
	1047	+	T27 GENERAL GOVERNMENT
	1048	+	T28
	1049	+	T29 GOVERNOR'S OFFICE
	1050	+	T30 Personal Services 2,043,764 2,154,748
	1051	+	T31 Other Expenses 174,483 174,483
	1052	+	T32 New England Governors' Conference 74,391 74,391
	1053	+	T33 National Governors' Association 106,600 106,600
	1054	+	T34 AGENCY TOTAL 2,399,238 2,510,222
	1055	+	T35
	1056	+	T36 SECRETARY OF THE STATE
	1057	+	T37 Personal Services 2,681,168 2,826,337
	1058	+	T38 Other Expenses 1,606,594 1,606,594
	1059	+	T39 Commercial Recording Division 4,672,490 4,819,503
	1060	+	T40 AGENCY TOTAL 8,960,252 9,252,434
	1061	+	T41
	1062	+	T42 LIEUTENANT GOVERNOR'S OFFICE
	1063	+	T43 Personal Services 618,549 648,244
	1064	+	T44 Other Expenses 57,251 57,251
	1065	+	T45 AGENCY TOTAL 675,800 705,495
	1066	+	T46
	1067	+	T47 ELECTIONS ENFORCEMENT
959	1068		COMMISSION
960	1069
961		-	Elections Enforcement Commission 3,366,080 3,589,636
962		-
963		-	OFFICE OF STATE ETHICS
964		-	Office of State Ethics 1,515,986 1,610,143
965		-
966		-	FREEDOM OF INFORMATION
	1070	+	T48 Elections Enforcement Commission 3,366,080 3,589,636
	1071	+	T49
	1072	+	T50 OFFICE OF STATE ETHICS
	1073	+	T51 Office of State Ethics 1,515,986 1,610,143
	1074	+	T52
	1075	+	T53 FREEDOM OF INFORMATION
967	1076		COMMISSION
968	1077
969		-	Freedom of Information Commission 1,618,072 1,707,192
	1078	+	T54 Freedom of Information Commission 1,618,072 1,707,192
	1079	+	T55
	1080	+	T56 STATE TREASURER
	1081	+	T57 Personal Services 2,903,527 3,052,378
	1082	+	T58 Other Expenses 284,999 124,999
	1083	+	T59 AGENCY TOTAL 3,188,526 3,177,377
	1084	+	T60
	1085	+	Bill No.
970	1086
971		-	STATE TREASURER
972		-	Personal Services 2,903,527 3,052,378
973		-	Other Expenses 284,999 124,999
974		-	AGENCY TOTAL 3,188,526 3,177,377
975	1087
976		-	STATE COMPTROLLER
977		-	Personal Services 23,014,883 24,235,594
978		-	Other Expenses 5,200,883 5,199,293
979		-	AGENCY TOTAL 28,215,766 29,434,887
980	1088
981		-	DEPARTMENT OF REVENUE
	1089	+	LCO No. 11285 29 of 47
	1090	+
	1091	+	T61 STATE COMPTROLLER
	1092	+	T62 Personal Services 23,014,883 24,235,594
	1093	+	T63 Other Expenses 5,200,883 5,199,293
	1094	+	T64 AGENCY TOTAL 28,215,766 29,434,887
	1095	+	T65
	1096	+	T66 DEPARTMENT OF REVENUE SERVICES
	1097	+	T67 Personal Services 55,899,207 58,985,625
	1098	+	T68 Other Expenses 7,782,623 7,332,623
	1099	+	T69 AGENCY TOTAL 63,681,830 66,318,248
	1100	+	T70
	1101	+	T71 OFFICE OF GOVERNMENTAL
	1102	+	ACCOUNTABILITY
	1103	+
	1104	+	T72 Other Expenses 30,662 32,287
	1105	+	T73 Child Fatality Review Panel 101,202 108,354
	1106	+	T74 Contracting Standards Board 167,239 176,909
	1107	+	T75 Judicial Review Council 128,996 132,963
	1108	+	T76 Judicial Selection Commission 86,713 91,816
	1109	+	T77 Office of the Child Advocate 670,062 711,931
	1110	+	T78 Office of the Victim Advocate 406,323 428,651
	1111	+	T79 Board of Firearms Permit Examiners 114,611 121,016
	1112	+	T80 AGENCY TOTAL 1,705,808 1,803,927
	1113	+	T81
	1114	+	T82 OFFICE OF POLICY AND
	1115	+	MANAGEMENT
	1116	+
	1117	+	T83 Personal Services 10,975,537 11,679,172
	1118	+	T84 Other Expenses 1,233,684 1,188,684
	1119	+	T85 Automated Budget System and Data Base
	1120	+	Link
	1121	+	26,776 26,776
	1122	+	T86 Justice Assistance Grants 823,001 826,328
	1123	+	T87 Project Longevity 998,750 998,750
	1124	+	T88 Tax Relief For Elderly Renters 25,020,226 25,020,226
	1125	+	T89 Private Providers 3,000,000 6,000,000
	1126	+	T90 MRDA 500,000 500,000
	1127	+	T91 Reimbursement to Towns for Loss of
	1128	+	Taxes on State Property
	1129	+	54,944,031 54,944,031
	1130	+	T92 Reimbursements to Towns for Private
	1131	+	Tax-Exempt Property
	1132	+	109,889,434 109,889,434
	1133	+	Bill No.
	1134	+
	1135	+
	1136	+
	1137	+	LCO No. 11285 30 of 47
	1138	+
	1139	+	T93 Reimbursement Property Tax - Disability
	1140	+	Exemption
	1141	+	364,713 364,713
	1142	+	T94 Distressed Municipalities 1,500,000 1,500,000
	1143	+	T95 Property Tax Relief Elderly Freeze
	1144	+	Program
	1145	+	40,000 40,000
	1146	+	T96 Property Tax Relief for Veterans 2,708,107 2,708,107
	1147	+	T97 Municipal Revenue Sharing 36,819,135 36,819,135
	1148	+	T98 Municipal Transition 29,917,078 32,331,732
	1149	+	T99 Municipal Stabilization Grant 37,953,335 38,253,335
	1150	+	T100 Municipal Restructuring 7,300,000 7,300,000
	1151	+	T101 AGENCY TOTAL 324,013,807 330,390,423
	1152	+	T102
	1153	+	T103 DEPARTMENT OF VETERANS' AFFAIRS
	1154	+	T104 Personal Services 19,375,575 20,415,930
	1155	+	T105 Other Expenses 2,903,207 2,903,207
	1156	+	T106 SSMF Administration 511,396 511,396
	1157	+	T107 Burial Expenses 6,666 6,666
	1158	+	T108 Headstones 307,834 307,834
	1159	+	T109 AGENCY TOTAL 23,104,678 24,145,033
	1160	+	T110
	1161	+	T111 DEPARTMENT OF ADMINISTRATIVE
982	1162		SERVICES
983	1163
984		-	Personal Services 55,899,207 58,985,625
985		-	Other Expenses 7,782,623 7,332,623
986		-	AGENCY TOTAL 63,681,830 66,318,248 Senate Bill No. 1221
987		-
988		-	Dec. Sp. Sess., Public Act No. 19-1 30 of 49
	1164	+	T112 Personal Services 48,933,645 51,482,515
	1165	+	T113 Other Expenses 30,143,935 31,181,530
	1166	+	T114 Loss Control Risk Management 92,634 92,634
	1167	+	T115 Employees' Review Board 17,611 17,611
	1168	+	T116 Surety Bonds for State Officials and
	1169	+	Employees
	1170	+	69,000 73,500
	1171	+	T117 Refunds Of Collections 21,453 21,453
	1172	+	T118 Rents and Moving 10,571,577 10,571,577
	1173	+	T119 W. C. Administrator 5,000,000 5,000,000
	1174	+	T120 State Insurance and Risk Mgmt
	1175	+	Operations
	1176	+	12,239,855 12,239,855
	1177	+	T121 IT Services 13,919,176 16,325,576
	1178	+	T122 Firefighters Fund 400,000 400,000
	1179	+	T123 AGENCY TOTAL 121,408,886 127,406,251
	1180	+	T124
	1181	+	T125 ATTORNEY GENERAL
	1182	+	Bill No.
989	1183
990	1184
991		-	OFFICE OF GOVERNMENTAL
992		-	ACCOUNTABILITY
993	1185
994		-	Other Expenses 30,662 32,287
995		-	Child Fatality Review Panel 101,202 108,354
996		-	Contracting Standards Board 167,239 176,909
997		-	Judicial Review Council 128,996 132,963
998		-	Judicial Selection Commission 86,713 91,816
999		-	Office of the Child Advocate 670,062 711,931
1000		-	Office of the Victim Advocate 406,323 428,651
1001		-	Board of Firearms Permit Examiners 114,611 121,016
1002		-	AGENCY TOTAL 1,705,808 1,803,927
	1186	+	LCO No. 11285 31 of 47
1003	1187
1004		-	OFFICE OF POLICY AND
1005		-	MANAGEMENT
	1188	+	T126 Personal Services 30,379,331 30,870,633
	1189	+	T127 Other Expenses 1,019,910 1,019,910
	1190	+	T128 AGENCY TOTAL 31,399,241 31,890,543
	1191	+	T129
	1192	+	T130 DIVISION OF CRIMINAL JUSTICE
	1193	+	T131 Personal Services 44,746,899 46,809,521
	1194	+	T132 Other Expenses 2,394,240 2,394,240
	1195	+	T133 Witness Protection 164,148 164,148
	1196	+	T134 Training And Education 27,398 27,398
	1197	+	T135 Expert Witnesses 135,413 135,413
	1198	+	T136 Medicaid Fraud Control 1,197,897 1,254,282
	1199	+	T137 Criminal Justice Commission 409 409
	1200	+	T138 Cold Case Unit 228,213 228,213
	1201	+	T139 Shooting Taskforce 1,074,222 1,127,052
	1202	+	T140 AGENCY TOTAL 49,968,839 52,140,676
	1203	+	T141
	1204	+	T142 REGULATION AND PROTECTION
	1205	+	T143
	1206	+	T144 DEPARTMENT OF EMERGENCY
	1207	+	SERVICES AND PUBLIC PROTECTION
1006	1208
1007		-	Personal Services 10,975,537 11,679,172
1008		-	Other Expenses 1,233,684 1,188,684
1009		-	Automated Budget System and Data
1010		-	Base Link
1011		-	26,776 26,776
1012		-	Justice Assistance Grants 823,001 826,328
1013		-	Project Longevity 998,750 998,750
1014		-	Tax Relief For Elderly Renters 25,020,226 25,020,226
1015		-	Private Providers 3,000,000 6,000,000
1016		-	MRDA 500,000 500,000
1017		-	Reimbursement to Towns for Loss of
1018		-	Taxes on State Property
1019		-	54,944,031 54,944,031
1020		-	Reimbursements to Towns for
1021		-	Private Tax-Exempt Property
1022		-	109,889,434 109,889,434
1023		-	Reimbursement Property Tax -
1024		-	Disability Exemption
1025		-	364,713 364,713
1026		-	Distressed Municipalities 1,500,000 1,500,000
1027		-	Property Tax Relief Elderly Freeze
1028		-	Program
1029		-	40,000 40,000
1030		-	Property Tax Relief for Veterans 2,708,107 2,708,107
1031		-	Municipal Revenue Sharing 36,819,135 36,819,135
1032		-	Municipal Transition 29,917,078 32,331,732
1033		-	Municipal Stabilization Grant 37,953,335 38,253,335 Senate Bill No. 1221
	1209	+	T145 Personal Services 142,169,082 145,635,390
	1210	+	T146 Other Expenses 27,882,589 28,349,417
	1211	+	T147 Stress Reduction 25,354 25,354
	1212	+	T148 Fleet Purchase 5,581,737 5,581,737
	1213	+	T149 Workers' Compensation Claims 4,136,817 4,136,817
	1214	+	T150 Criminal Justice Information System 2,684,610 2,684,610
	1215	+	T151 Fire Training School - Willimantic 150,076 150,076
	1216	+	T152 Maintenance of County Base Fire Radio
	1217	+	Network
	1218	+	19,528 19,528
	1219	+	T153 Maintenance of State-Wide Fire Radio
	1220	+	Network
	1221	+	12,997 12,997
	1222	+	T154 Police Association of Connecticut 172,353 172,353
	1223	+	T155 Connecticut State Firefighter's Association 176,625 176,625
	1224	+	T156 Fire Training School - Torrington 81,367 81,367
	1225	+	T157 Fire Training School - New Haven 48,364 48,364
	1226	+	T158 Fire Training School - Derby 37,139 37,139
	1227	+	T159 Fire Training School - Wolcott 100,162 100,162
	1228	+	Bill No.
1034	1229
1035		-	Dec. Sp. Sess., Public Act No. 19-1 31 of 49
1036	1230
1037		-	Municipal Restructuring 7,300,000 7,300,000
1038		-	AGENCY TOTAL 324,013,807 330,390,423
1039	1231
1040		-	DEPARTMENT OF VETERANS'
1041		-	AFFAIRS
	1232	+	LCO No. 11285 32 of 47
1042	1233
1043		-	Personal Services 19,375,575 20,415,930
1044		-	Other Expenses 2,903,207 2,903,207
1045		-	SSMF Administration 511,396 511,396
1046		-	Burial Expenses 6,666 6,666
1047		-	Headstones 307,834 307,834
1048		-	AGENCY TOTAL 23,104,678 24,145,033
1049		-
1050		-	DEPARTMENT OF
1051		-	ADMINISTRATIVE SERVICES
1052		-
1053		-	Personal Services 48,933,645 51,482,515
1054		-	Other Expenses 30,143,935 31,181,530
1055		-	Loss Control Risk Management 92,634 92,634
1056		-	Employees' Review Board 17,611 17,611
1057		-	Surety Bonds for State Officials and
1058		-	Employees
1059		-	69,000 73,500
1060		-	Refunds Of Collections 21,453 21,453
1061		-	Rents and Moving 10,571,577 10,571,577
1062		-	W. C. Administrator 5,000,000 5,000,000
1063		-	State Insurance and Risk Mgmt
1064		-	Operations
1065		-	12,239,855 12,239,855
1066		-	IT Services 13,919,176 16,325,576
1067		-	Firefighters Fund 400,000 400,000
1068		-	AGENCY TOTAL 121,408,886 127,406,251
1069		-
1070		-	ATTORNEY GENERAL
1071		-	Personal Services 30,379,331 30,870,633
1072		-	Other Expenses 1,019,910 1,019,910
1073		-	AGENCY TOTAL 31,399,241 31,890,543
1074		-
1075		-	DIVISION OF CRIMINAL JUSTICE
1076		-	Personal Services 44,746,899 46,809,521 Senate Bill No. 1221
1077		-
1078		-	Dec. Sp. Sess., Public Act No. 19-1 32 of 49
1079		-
1080		-	Other Expenses 2,394,240 2,394,240
1081		-	Witness Protection 164,148 164,148
1082		-	Training And Education 27,398 27,398
1083		-	Expert Witnesses 135,413 135,413
1084		-	Medicaid Fraud Control 1,197,897 1,254,282
1085		-	Criminal Justice Commission 409 409
1086		-	Cold Case Unit 228,213 228,213
1087		-	Shooting Taskforce 1,074,222 1,127,052
1088		-	AGENCY TOTAL 49,968,839 52,140,676
1089		-
1090		-	REGULATION AND PROTECTION
1091		-
1092		-	DEPARTMENT OF EMERGENCY
1093		-	SERVICES AND PUBLIC
	1234	+	T160 Fire Training School - Fairfield 70,395 70,395
	1235	+	T161 Fire Training School - Hartford 169,336 169,336
	1236	+	T162 Fire Training School - Middletown 68,470 68,470
	1237	+	T163 Fire Training School - Stamford 55,432 55,432
	1238	+	T164 AGENCY TOTAL 183,642,433 187,575,569
	1239	+	T165
	1240	+	T166 MILITARY DEPARTMENT
	1241	+	T167 Personal Services 2,777,206 2,945,438
	1242	+	T168 Other Expenses 2,171,221 2,171,221
	1243	+	T169 Honor Guards 469,000 469,000
	1244	+	T170 Veteran's Service Bonuses 93,333 93,333
	1245	+	T171 AGENCY TOTAL 5,510,760 5,678,992
	1246	+	T172
	1247	+	T173 DEPARTMENT OF CONSUMER
1094	1248		PROTECTION
1095	1249
1096		-	Personal Services 142,169,082 145,635,390
1097		-	Other Expenses 27,882,589 28,349,417
1098		-	Stress Reduction 25,354 25,354
1099		-	Fleet Purchase 5,581,737 5,581,737
1100		-	Workers' Compensation Claims 4,136,817 4,136,817
1101		-	Criminal Justice Information System 2,684,610 2,684,610
1102		-	Fire Training School - Willimantic 150,076 150,076
1103		-	Maintenance of County Base Fire
1104		-	Radio Network
1105		-	19,528 19,528
1106		-	Maintenance of State-Wide Fire
1107		-	Radio Network
1108		-	12,997 12,997
1109		-	Police Association of Connecticut 172,353 172,353
1110		-	Connecticut State Firefighter's
1111		-	Association
1112		-	176,625 176,625
1113		-	Fire Training School - Torrington 81,367 81,367
1114		-	Fire Training School - New Haven 48,364 48,364
1115		-	Fire Training School - Derby 37,139 37,139
1116		-	Fire Training School - Wolcott 100,162 100,162
1117		-	Fire Training School - Fairfield 70,395 70,395
1118		-	Fire Training School - Hartford 169,336 169,336
1119		-	Fire Training School - Middletown 68,470 68,470 Senate Bill No. 1221
1120		-
1121		-	Dec. Sp. Sess., Public Act No. 19-1 33 of 49
1122		-
1123		-	Fire Training School - Stamford 55,432 55,432
1124		-	AGENCY TOTAL 183,642,433 187,575,569
1125		-
1126		-	MILITARY DEPARTMENT
1127		-	Personal Services 2,777,206 2,945,438
1128		-	Other Expenses 2,171,221 2,171,221
1129		-	Honor Guards 469,000 469,000
1130		-	Veteran's Service Bonuses 93,333 93,333
1131		-	AGENCY TOTAL 5,510,760 5,678,992
1132		-
1133		-	DEPARTMENT OF CONSUMER
1134		-	PROTECTION
1135		-
1136		-	Personal Services 13,357,897 14,110,498
1137		-	Other Expenses 1,153,928 1,148,428
1138		-	AGENCY TOTAL 14,511,825 15,258,926
1139		-
1140		-	LABOR DEPARTMENT
1141		-	Personal Services 9,094,519 9,610,588
1142		-	Other Expenses 1,074,985 1,014,985
1143		-	CETC Workforce 562,744 567,979
1144		-	Workforce Investment Act 34,614,361 34,614,361
1145		-	Job Funnels Projects 700,000 700,000
1146		-	Connecticut's Youth Employment
	1250	+	T174 Personal Services 13,357,897 14,110,498
	1251	+	T175 Other Expenses 1,153,928 1,148,428
	1252	+	T176 AGENCY TOTAL 14,511,825 15,258,926
	1253	+	T177
	1254	+	T178 LABOR DEPARTMENT
	1255	+	T179 Personal Services 9,094,519 9,610,588
	1256	+	T180 Other Expenses 1,074,985 1,014,985
	1257	+	T181 CETC Workforce 562,744 567,979
	1258	+	T182 Workforce Investment Act 34,614,361 34,614,361
	1259	+	T183 Job Funnels Projects 700,000 700,000
	1260	+	T184 Connecticut's Youth Employment
1147	1261		Program
1148	1262		5,000,040 5,000,096
1149		-	Jobs First Employment Services 12,521,662 12,562,412
1150		-	Apprenticeship Program 482,706 499,921
1151		-	Connecticut Career Resource
1152		-	Network
1153		-	111,327 116,385
1154		-	STRIVE 76,058 76,058
1155		-	Opportunities for Long Term
	1263	+	T185 Jobs First Employment Services 12,521,662 12,562,412
	1264	+	T186 Apprenticeship Program 482,706 499,921
	1265	+	T187 Connecticut Career Resource Network 111,327 116,385
	1266	+	T188 STRIVE 76,058 76,058
	1267	+	T189 Opportunities for Long Term
1156	1268		Unemployed
1157	1269		3,104,229 3,104,573
1158		-	Veterans' Opportunity Pilot 233,070 240,823
1159		-	Second Chance Initiative 311,481 311,594
1160		-	Cradle To Career 100,000 100,000
1161		-	New Haven Jobs Funnel 350,000 350,000
1162		-	Healthcare Apprenticeship Initiative 500,000 500,000 Senate Bill No. 1221
1163		-
1164		-	Dec. Sp. Sess., Public Act No. 19-1 34 of 49
1165		-
1166		-	Manufacturing Pipeline Initiative 2,001,332 2,003,251
1167		-	Workforce Training Authority 500,000 500,000
1168		-	AGENCY TOTAL 71,338,514 71,873,026
1169		-
1170		-	COMMISSION ON HUMAN
1171		-	RIGHTS AND OPPORTUNITIES
1172		-
1173		-	Personal Services 6,106,429 6,426,842
1174		-	Other Expenses 293,958 289,958
1175		-	Martin Luther King, Jr. Commission 5,977 5,977
1176		-	AGENCY TOTAL 6,406,364 6,722,777
1177		-
1178		-	CONSERVATION AND
1179		-	DEVELOPMENT
	1270	+	T190 Veterans' Opportunity Pilot 233,070 240,823
	1271	+	T191 Second Chance Initiative 311,481 311,594
	1272	+	T192 Cradle To Career 100,000 100,000
	1273	+	T193 New Haven Jobs Funnel 350,000 350,000
	1274	+	Bill No.
1180	1275
1181	1276
1182		-	DEPARTMENT OF AGRICULTURE
1183		-	Personal Services 3,802,309 3,985,079
1184		-	Other Expenses 800,959 800,959
1185		-	Senior Food Vouchers 351,939 354,104
1186		-	Dairy Farmer - Agriculture
1187		-	Sustainability
1188		-	1,000,000 1,000,000
1189		-	WIC Coupon Program for Fresh
1190		-	Produce
1191		-	167,938 167,938
1192		-	AGENCY TOTAL 6,123,145 6,308,080
1193	1277
1194		-	DEPARTMENT OF ENERGY AND
	1278	+	LCO No. 11285 33 of 47
	1279	+
	1280	+	T194 Healthcare Apprenticeship Initiative 500,000 500,000
	1281	+	T195 Manufacturing Pipeline Initiative 2,001,332 2,003,251
	1282	+	T196 Workforce Training Authority 500,000 500,000
	1283	+	T197 AGENCY TOTAL 71,338,514 71,873,026
	1284	+	T198
	1285	+	T199 COMMISSION ON HUMAN RIGHTS
	1286	+	AND OPPORTUNITIES
	1287	+
	1288	+	T200 Personal Services 6,106,429 6,426,842
	1289	+	T201 Other Expenses 293,958 289,958
	1290	+	T202 Martin Luther King, Jr. Commission 5,977 5,977
	1291	+	T203 AGENCY TOTAL 6,406,364 6,722,777
	1292	+	T204
	1293	+	T205 CONSERVATION AND DEVELOPMENT
	1294	+	T206
	1295	+	T207 DEPARTMENT OF AGRICULTURE
	1296	+	T208 Personal Services 3,802,309 3,985,079
	1297	+	T209 Other Expenses 800,959 800,959
	1298	+	T210 Senior Food Vouchers 351,939 354,104
	1299	+	T211 Dairy Farmer - Agriculture Sustainability 1,000,000 1,000,000
	1300	+	T212 WIC Coupon Program for Fresh Produce 167,938 167,938
	1301	+	T213 AGENCY TOTAL 6,123,145 6,308,080
	1302	+	T214
	1303	+	T215 DEPARTMENT OF ENERGY AND
1195	1304		ENVIRONMENTAL PROTECTION
1196	1305
1197		-	Personal Services 19,915,349 20,881,883
1198		-	Other Expenses 469,569 449,569
1199		-	Mosquito Control 230,354 236,055
1200		-	State Superfund Site Maintenance 399,577 399,577
1201		-	Laboratory Fees 129,015 129,015
1202		-	Dam Maintenance 118,956 124,850
1203		-	Emergency Spill Response 6,511,519 6,763,389
1204		-	Solid Waste Management 3,656,481 3,751,297
1205		-	Underground Storage Tank 890,592 921,535
1206		-	Clean Air 3,974,654 4,117,754 Senate Bill No. 1221
	1306	+	T216 Personal Services 19,915,349 20,881,883
	1307	+	T217 Other Expenses 469,569 449,569
	1308	+	T218 Mosquito Control 230,354 236,055
	1309	+	T219 State Superfund Site Maintenance 399,577 399,577
	1310	+	T220 Laboratory Fees 129,015 129,015
	1311	+	T221 Dam Maintenance 118,956 124,850
	1312	+	T222 Emergency Spill Response 6,511,519 6,763,389
	1313	+	T223 Solid Waste Management 3,656,481 3,751,297
	1314	+	T224 Underground Storage Tank 890,592 921,535
	1315	+	T225 Clean Air 3,974,654 4,117,754
	1316	+	T226 Environmental Conservation 4,856,000 5,010,909
	1317	+	T227 Environmental Quality 8,562,360 8,898,044
	1318	+	T228 Fish Hatcheries 2,115,785 2,161,194
	1319	+	Bill No.
1207	1320
1208		-	Dec. Sp. Sess., Public Act No. 19-1 35 of 49
1209	1321
1210		-	Environmental Conservation 4,856,000 5,010,909
1211		-	Environmental Quality 8,562,360 8,898,044
1212		-	Fish Hatcheries 2,115,785 2,161,194
1213		-	Interstate Environmental
	1322	+
	1323	+	LCO No. 11285 34 of 47
	1324	+
	1325	+	T229 Interstate Environmental Commission 3,333 3,333
	1326	+	T230 New England Interstate Water Pollution
1214	1327		Commission
1215		-	3,333 3,333
1216		-	New England Interstate Water
1217		-	Pollution Commission
1218	1328		26,554 26,554
1219		-	Northeast Interstate Forest Fire
1220		-	Compact
1221		-	3,082 3,082
1222		-	Connecticut River Valley Flood
1223		-	Control Commission
	1329	+	T231 Northeast Interstate Forest Fire Compact 3,082 3,082
	1330	+	T232 Connecticut River Valley Flood Control
	1331	+	Commission
1224	1332		30,295 30,295
1225		-	Thames River Valley Flood Control
	1333	+	T233 Thames River Valley Flood Control
1226	1334		Commission
1227	1335		45,151 45,151
1228		-	AGENCY TOTAL 51,938,626 53,953,486
	1336	+	T234 AGENCY TOTAL 51,938,626 53,953,486
	1337	+	T235
	1338	+	T236 DEPARTMENT OF ECONOMIC AND
	1339	+	COMMUNITY DEVELOPMENT
1229	1340
1230		-	DEPARTMENT OF ECONOMIC
1231		-	AND COMMUNITY
1232		-	DEVELOPMENT
1233		-
1234		-	Personal Services 7,374,954 7,773,044
1235		-	Other Expenses 664,382 664,382
1236		-	Spanish-American Merchants
1237		-	Association
1238		-	452,782 454,694
1239		-	Office of Military Affairs 194,620 202,411
1240		-	CCAT-CT Manufacturing Supply
1241		-	Chain
1242		-	100,000 100,000
1243		-	Capital Region Development
1244		-	Authority
1245		-	6,249,121 6,249,121
1246		-	Manufacturing Growth Initiative 150,000 150,000
1247		-	Hartford 2000 20,000 20,000
1248		-	AGENCY TOTAL 15,205,859 15,613,652
1249		-
1250		-	DEPARTMENT OF HOUSING
1251		-	Personal Services 1,877,176 1,953,445
1252		-	Other Expenses 164,893 164,893
1253		-	Elderly Rental Registry and
1254		-	Counselors
1255		-	1,014,722 1,014,722
1256		-	Homeless Youth 2,292,929 2,292,929 Senate Bill No. 1221
1257		-
1258		-	Dec. Sp. Sess., Public Act No. 19-1 36 of 49
1259		-
1260		-	Subsidized Assisted Living
1261		-	Demonstration
1262		-	2,612,000 2,678,000
1263		-	Congregate Facilities Operation
1264		-	Costs
1265		-	7,189,480 7,189,480
1266		-	Elderly Congregate Rent Subsidy 1,942,424 1,942,424
1267		-	Housing/Homeless Services 80,388,870 85,779,130
1268		-	Housing/Homeless Services -
	1341	+	T237 Personal Services 7,374,954 7,773,044
	1342	+	T238 Other Expenses 664,382 664,382
	1343	+	T239 Spanish-American Merchants Association 452,782 454,694
	1344	+	T240 Office of Military Affairs 194,620 202,411
	1345	+	T241 CCAT-CT Manufacturing Supply Chain 100,000 100,000
	1346	+	T242 Capital Region Development Authority 6,249,121 6,249,121
	1347	+	T243 Manufacturing Growth Initiative 150,000 150,000
	1348	+	T244 Hartford 2000 20,000 20,000
	1349	+	T245 AGENCY TOTAL 15,205,859 15,613,652
	1350	+	T246
	1351	+	T247 DEPARTMENT OF HOUSING
	1352	+	T248 Personal Services 1,877,176 1,953,445
	1353	+	T249 Other Expenses 164,893 164,893
	1354	+	T250 Elderly Rental Registry and Counselors 1,014,722 1,014,722
	1355	+	T251 Homeless Youth 2,292,929 2,292,929
	1356	+	T252 Subsidized Assisted Living Demonstration 2,612,000 2,678,000
	1357	+	T253 Congregate Facilities Operation Costs 7,189,480 7,189,480
	1358	+	T254 Elderly Congregate Rent Subsidy 1,942,424 1,942,424
	1359	+	T255 Housing/Homeless Services 80,388,870 85,779,130
	1360	+	T256 Housing/Homeless Services -
1269	1361		Municipality
1270	1362		575,226 575,226
1271		-	AGENCY TOTAL 98,057,720 103,590,249
1272		-
1273		-	AGRICULTURAL EXPERIMENT
	1363	+	T257 AGENCY TOTAL 98,057,720 103,590,249
	1364	+	T258
	1365	+	T259 AGRICULTURAL EXPERIMENT
1274	1366		STATION
1275	1367
1276		-	Personal Services 5,755,367 6,012,727
1277		-	Other Expenses 865,032 865,032
1278		-	Mosquito and Tick Disease
1279		-	Prevention
1280		-	512,276 522,880
1281		-	Wildlife Disease Prevention 95,809 99,149
1282		-	AGENCY TOTAL 7,228,484 7,499,788
	1368	+	T260 Personal Services 5,755,367 6,012,727
	1369	+	Bill No.
1283	1370
1284		-	HEALTH
1285	1371
1286		-	DEPARTMENT OF PUBLIC
1287		-	HEALTH
1288	1372
1289		-	Personal Services 34,869,904 36,847,046
1290		-	Other Expenses 7,639,067 7,618,240
1291		-	LGBTQ Health and Human Services
	1373	+	LCO No. 11285 35 of 47
	1374	+
	1375	+	T261 Other Expenses 865,032 865,032
	1376	+	T262 Mosquito and Tick Disease Prevention 512,276 522,880
	1377	+	T263 Wildlife Disease Prevention 95,809 99,149
	1378	+	T264 AGENCY TOTAL 7,228,484 7,499,788
	1379	+	T265
	1380	+	T266 HEALTH
	1381	+	T267
	1382	+	T268 DEPARTMENT OF PUBLIC HEALTH
	1383	+	T269 Personal Services 34,869,904 36,847,046
	1384	+	T270 Other Expenses 7,639,067 7,618,240
	1385	+	T271 LGBTQ Health and Human Services
1292	1386		Network
1293	1387		250,000 250,000
1294		-	Community Health Services 1,486,753 1,486,753
1295		-	Rape Crisis 548,128 548,128
1296		-	Local and District Departments of
1297		-	Health
1298		-	4,210,499 4,210,499
1299		-	School Based Health Clinics 10,550,187 10,550,187
1300		-	AGENCY TOTAL 59,554,538 61,510,853
1301		-
1302		-	OFFICE OF HEALTH STRATEGY
1303		-	Personal Services 2,029,556 2,111,198
1304		-	Other Expenses 1,038,042 38,042 Senate Bill No. 1221
1305		-
1306		-	Dec. Sp. Sess., Public Act No. 19-1 37 of 49
1307		-
1308		-	AGENCY TOTAL 3,067,598 2,149,240
1309		-
1310		-	OFFICE OF THE CHIEF MEDICAL
	1388	+	T272 Community Health Services 1,486,753 1,486,753
	1389	+	T273 Rape Crisis 548,128 548,128
	1390	+	T274 Local and District Departments of Health 4,210,499 4,210,499
	1391	+	T275 School Based Health Clinics 10,550,187 10,550,187
	1392	+	T276 AGENCY TOTAL 59,554,538 61,510,853
	1393	+	T277
	1394	+	T278 OFFICE OF HEALTH STRATEGY
	1395	+	T279 Personal Services 2,029,556 2,111,198
	1396	+	T280 Other Expenses 1,038,042 38,042
	1397	+	T281 AGENCY TOTAL 3,067,598 2,149,240
	1398	+	T282
	1399	+	T283 OFFICE OF THE CHIEF MEDICAL
1311	1400		EXAMINER
1312	1401
1313		-	Personal Services 5,527,527 5,838,564
1314		-	Other Expenses 1,442,198 1,442,198
1315		-	Equipment 23,310 23,310
1316		-	Medicolegal Investigations 22,150 22,150
1317		-	AGENCY TOTAL 7,015,185 7,326,222
	1402	+	T284 Personal Services 5,527,527 5,838,564
	1403	+	T285 Other Expenses 1,442,198 1,442,198
	1404	+	T286 Equipment 23,310 23,310
	1405	+	T287 Medicolegal Investigations 22,150 22,150
	1406	+	T288 AGENCY TOTAL 7,015,185 7,326,222
	1407	+	T289
	1408	+	T290 DEPARTMENT OF DEVELOPMENTAL
	1409	+	SERVICES
1318	1410
1319		-	DEPARTMENT OF
1320		-	DEVELOPMENTAL SERVICES
	1411	+	T291 Personal Services 200,282,835 209,745,951
	1412	+	T292 Other Expenses 15,133,419 15,069,356
	1413	+	T293 Housing Supports and Services 350,000 1,400,000
	1414	+	T294 Family Support Grants 3,700,840 3,700,840
	1415	+	Bill No.
1321	1416
1322		-	~~Personal Services 200,282,835 209,745,951~~
1323		-	~~Other Expenses 15,133,419 15,069,356~~
1324		-	~~Housing Supports and Services 350,000 1,400,000~~
1325		-	~~Family Support Grants 3,700,840 3,700,840~~
1326		-	Clinical Services 2,340,271 2,337,724
1327		-	Workers' Compensation Claims 14,598,415 15,404,040
1328		-	Behavioral Services Program 23,044,686 22,571,979
1329		-	Supplemental Payments for Medical
	1417	+
	1418	+
	1419	+	LCO No. 11285 36 of 47
	1420	+
	1421	+	T295 Clinical Services 2,340,271 2,337,724
	1422	+	T296 Workers' Compensation Claims 14,598,415 15,404,040
	1423	+	T297 Behavioral Services Program 23,044,686 22,571,979
	1424	+	T298 Supplemental Payments for Medical
1330	1425		Services
1331	1426		3,233,467 3,008,132
1332		-	ID Partnership Initiatives 1,529,000 1,529,000
1333		-	Emergency Placements 5,630,000 5,630,000
1334		-	Rent Subsidy Program 4,782,312 4,782,312
1335		-	Employment Opportunities and Day
	1427	+	T299 ID Partnership Initiatives 1,529,000 1,529,000
	1428	+	T300 Emergency Placements 5,630,000 5,630,000
	1429	+	T301 Rent Subsidy Program 4,782,312 4,782,312
	1430	+	T302 Employment Opportunities and Day
1336	1431		Services
1337	1432		277,945,780 289,183,217
1338		-	AGENCY TOTAL 552,571,025 574,362,551
	1433	+	T303 AGENCY TOTAL 552,571,025 574,362,551
	1434	+	T304
	1435	+	T305 DEPARTMENT OF MENTAL HEALTH
	1436	+	AND ADDICTION SERVICES
1339	1437
1340		-	DEPARTMENT OF MENTAL
1341		-	HEALTH AND ADDICTION
1342		-	SERVICES
	1438	+	T306 Personal Services 197,451,035 213,878,173
	1439	+	T307 Other Expenses 25,171,554 25,171,554
	1440	+	T308 Housing Supports and Services 22,966,163 22,966,163
	1441	+	T309 Managed Service System 55,924,095 56,333,880
	1442	+	T310 Legal Services 706,179 706,179
	1443	+	T311 Connecticut Mental Health Center 7,848,323 7,848,323
	1444	+	T312 Professional Services 12,900,697 12,900,697
	1445	+	T313 General Assistance Managed Care 40,377,409 40,722,054
	1446	+	T314 Workers' Compensation Claims 14,493,430 15,021,165
	1447	+	T315 Nursing Home Screening 652,784 652,784
	1448	+	T316 Young Adult Services 76,675,067 77,970,521
	1449	+	T317 TBI Community Services 8,385,284 8,452,441
	1450	+	T318 Behavioral Health Medications 6,720,754 6,720,754
	1451	+	T319 Medicaid Adult Rehabilitation Option 4,184,260 4,184,260
	1452	+	T320 Discharge and Diversion Services 24,216,478 24,216,478
	1453	+	T321 Home and Community Based Services 20,980,076 22,220,669
	1454	+	T322 Nursing Home Contract 409,594 409,594
	1455	+	T323 Katie Blair House 15,150 15,150
	1456	+	T324 Forensic Services 10,145,246 10,275,522
	1457	+	T325 Grants for Substance Abuse Services 17,913,225 17,913,225
	1458	+	T326 Grants for Mental Health Services 66,316,598 66,316,598
	1459	+	T327 Employment Opportunities 8,791,514 8,791,514
	1460	+	T328 AGENCY TOTAL 623,244,915 643,687,698
	1461	+	Bill No.
1343	1462
1344		-	Personal Services 197,451,035 213,878,173
1345		-	Other Expenses 25,171,554 25,171,554
1346		-	Housing Supports and Services 22,966,163 22,966,163
1347		-	Managed Service System 55,924,095 56,333,880
1348		-	Legal Services 706,179 706,179 Senate Bill No. 1221
1349	1463
1350		-	Dec. Sp. Sess., Public Act No. 19-1 38 of 49
1351	1464
1352		-	Connecticut Mental Health Center 7,848,323 7,848,323
1353		-	Professional Services 12,900,697 12,900,697
1354		-	General Assistance Managed Care 40,377,409 40,722,054
1355		-	Workers' Compensation Claims 14,493,430 15,021,165
1356		-	Nursing Home Screening 652,784 652,784
1357		-	Young Adult Services 76,675,067 77,970,521
1358		-	TBI Community Services 8,385,284 8,452,441
1359		-	Behavioral Health Medications 6,720,754 6,720,754
1360		-	Medicaid Adult Rehabilitation
1361		-	Option
1362		-	4,184,260 4,184,260
1363		-	Discharge and Diversion Services 24,216,478 24,216,478
1364		-	Home and Community Based
1365		-	Services
1366		-	20,980,076 22,220,669
1367		-	Nursing Home Contract 409,594 409,594
1368		-	Katie Blair House 15,150 15,150
1369		-	Forensic Services 10,145,246 10,275,522
1370		-	Grants for Substance Abuse Services 17,913,225 17,913,225
1371		-	Grants for Mental Health Services 66,316,598 66,316,598
1372		-	Employment Opportunities 8,791,514 8,791,514
1373		-	AGENCY TOTAL 623,244,915 643,687,698
	1465	+	LCO No. 11285 37 of 47
1374	1466
1375		-	PSYCHIATRIC SECURITY REVIEW
	1467	+	T329
	1468	+	T330 PSYCHIATRIC SECURITY REVIEW
1376	1469		BOARD
1377	1470
1378		-	Personal Services 284,612 299,756
1379		-	Other Expenses 25,068 25,068
1380		-	AGENCY TOTAL 309,680 324,824
1381		-
1382		-	HUMAN SERVICES
1383		-
1384		-	DEPARTMENT OF SOCIAL
1385		-	SERVICES
1386		-
1387		-	Personal Services 132,339,071 139,336,819
1388		-	Other Expenses 154,204,427 147,663,485
1389		-	Genetic Tests in Paternity Actions 81,906 81,906
1390		-	HUSKY B Program 8,870,000 14,830,000 Senate Bill No. 1221
1391		-
1392		-	Dec. Sp. Sess., Public Act No. 19-1 39 of 49
1393		-
1394		-	Medicaid [2,691,610,660]
	1471	+	T331 Personal Services 284,612 299,756
	1472	+	T332 Other Expenses 25,068 25,068
	1473	+	T333 AGENCY TOTAL 309,680 324,824
	1474	+	T334
	1475	+	T335 HUMAN SERVICES
	1476	+	T336
	1477	+	T337 DEPARTMENT OF SOCIAL SERVICES
	1478	+	T338 Personal Services 132,339,071 139,336,819
	1479	+	T339 Other Expenses 154,204,427 147,663,485
	1480	+	T340 Genetic Tests in Paternity Actions 81,906 81,906
	1481	+	T341 HUSKY B Program 8,870,000 14,830,000
	1482	+	T342 Medicaid [2,691,610,660]
1395	1483		2,700,788,825
1396	1484		[2,816,874,660]
1397	1485		2,826,174,660
1398		-	Old Age Assistance 42,619,500 43,569,500
1399		-	Aid To The Blind 529,100 523,900
1400		-	Aid To The Disabled 59,713,700 59,683,700
1401		-	Temporary Family Assistance -
1402		-	TANF
1403		-	59,734,200 58,374,200
1404		-	Emergency Assistance 1 1
1405		-	Food Stamp Training Expenses 9,832 9,832
1406		-	DMHAS-Disproportionate Share 108,935,000 108,935,000
1407		-	Connecticut Home Care Program 37,040,000 37,830,000
1408		-	Human Resource Development-
1409		-	Hispanic Programs
	1486	+	T343 Old Age Assistance 42,619,500 43,569,500
	1487	+	T344 Aid To The Blind 529,100 523,900
	1488	+	T345 Aid To The Disabled 59,713,700 59,683,700
	1489	+	T346 Temporary Family Assistance - TANF 59,734,200 58,374,200
	1490	+	T347 Emergency Assistance 1 1
	1491	+	T348 Food Stamp Training Expenses 9,832 9,832
	1492	+	T349 DMHAS-Disproportionate Share 108,935,000 108,935,000
	1493	+	T350 Connecticut Home Care Program 37,040,000 37,830,000
	1494	+	T351 Human Resource Development-Hispanic
	1495	+	Programs
1410	1496		1,546,885 1,546,885
1411		-	Community Residential Services 622,412,127 638,014,602
1412		-	Safety Net Services 1,334,544 1,334,544
1413		-	Refunds Of Collections 94,699 94,699
1414		-	Services for Persons With Disabilities 276,362 276,362
1415		-	Nutrition Assistance 749,040 749,040
1416		-	State Administered General
1417		-	Assistance
1418		-	18,062,600 17,722,600
1419		-	Connecticut Children's Medical
1420		-	Center
1421		-	10,125,737 10,125,737
1422		-	Community Services 1,775,376 1,805,376
1423		-	Human Services Infrastructure
	1497	+	T352 Community Residential Services 622,412,127 638,014,602
	1498	+	T353 Safety Net Services 1,334,544 1,334,544
	1499	+	T354 Refunds Of Collections 94,699 94,699
	1500	+	T355 Services for Persons With Disabilities 276,362 276,362
	1501	+	T356 Nutrition Assistance 749,040 749,040
	1502	+	T357 State Administered General Assistance 18,062,600 17,722,600
	1503	+	T358 Connecticut Children's Medical Center 10,125,737 10,125,737
	1504	+	T359 Community Services 1,775,376 1,805,376
	1505	+	T360 Human Services Infrastructure
1424	1506		Community Action Program
1425	1507		3,292,432 3,292,432
1426		-	Teen Pregnancy Prevention 1,255,827 1,255,827
1427		-	Domestic Violence Shelters 5,289,049 5,289,049
1428		-	Hospital Supplemental Payments [453,331,102]
	1508	+	T361 Teen Pregnancy Prevention 1,255,827 1,255,827
	1509	+	T362 Domestic Violence Shelters 5,289,049 5,289,049
	1510	+	Bill No.
	1511	+
	1512	+
	1513	+
	1514	+	LCO No. 11285 38 of 47
	1515	+
	1516	+	T363 Hospital Supplemental Payments [453,331,102]
1429	1517		548,331,102
1430	1518		[453,331,102]
1431	1519		548,331,102
1432		-	Teen Pregnancy Prevention -
1433		-	Municipality
1434		-	98,281 98,281
1435		-	AGENCY TOTAL [4,415,331,458]
	1520	+	T364 Teen Pregnancy Prevention - Municipality 98,281 98,281
	1521	+	T365 AGENCY TOTAL [4,415,331,458]
1436	1522		4,519,509,623
1437	1523		[4,562,649,539]
1438	1524		4,666,949,539
	1525	+	T366
	1526	+	T367 DEPARTMENT OF REHABILITATION
	1527	+	SERVICES
1439	1528
1440		-	DEPARTMENT OF
1441		-	REHABILITATION SERVICES
1442		-
1443		-	Personal Services 7,024,983 7,408,609 Senate Bill No. 1221
1444		-
1445		-	Dec. Sp. Sess., Public Act No. 19-1 40 of 49
1446		-
1447		-	Other Expenses 1,422,517 1,422,517
1448		-	Educational Aid for Children - Blind
1449		-	or Visually Impaired
	1529	+	T368 Personal Services 7,024,983 7,408,609
	1530	+	T369 Other Expenses 1,422,517 1,422,517
	1531	+	T370 Educational Aid for Children - Blind or
	1532	+	Visually Impaired
1450	1533		4,145,301 4,337,011
1451		-	Employment Opportunities – Blind
1452		-	& Disabled
	1534	+	T371 Employment Opportunities – Blind &
	1535	+	Disabled
1453	1536		1,021,990 1,021,990
1454		-	Vocational Rehabilitation - Disabled 7,279,075 7,279,075
1455		-	Supplementary Relief and Services 44,847 44,847
1456		-	Special Training for the Deaf Blind 265,269 265,269
1457		-	Connecticut Radio Information
1458		-	Service
1459		-	70,194 70,194
1460		-	Independent Living Centers 612,725 612,725
1461		-	Programs for Senior Citizens 3,278,743 3,278,743
1462		-	Elderly Nutrition 2,626,390 2,626,390
1463		-	AGENCY TOTAL 27,792,034 28,367,370
1464		-
1465		-	EDUCATION
1466		-
1467		-	DEPARTMENT OF EDUCATION
1468		-	Personal Services 16,689,546 17,534,577
1469		-	Other Expenses 3,485,381 3,035,381
1470		-	Development of Mastery Exams
1471		-	Grades 4, 6, and 8
	1537	+	T372 Vocational Rehabilitation - Disabled 7,279,075 7,279,075
	1538	+	T373 Supplementary Relief and Services 44,847 44,847
	1539	+	T374 Special Training for the Deaf Blind 265,269 265,269
	1540	+	T375 Connecticut Radio Information Service 70,194 70,194
	1541	+	T376 Independent Living Centers 612,725 612,725
	1542	+	T377 Programs for Senior Citizens 3,278,743 3,278,743
	1543	+	T378 Elderly Nutrition 2,626,390 2,626,390
	1544	+	T379 AGENCY TOTAL 27,792,034 28,367,370
	1545	+	T380
	1546	+	T381 EDUCATION
	1547	+	T382
	1548	+	T383 DEPARTMENT OF EDUCATION
	1549	+	T384 Personal Services 16,689,546 17,534,577
	1550	+	T385 Other Expenses 3,485,381 3,035,381
	1551	+	T386 Development of Mastery Exams Grades 4,
	1552	+	6, and 8
1472	1553		10,449,592 10,490,334
1473		-	Primary Mental Health 345,288 345,288
1474		-	Leadership, Education, Athletics in
	1554	+	T387 Primary Mental Health 345,288 345,288
	1555	+	T388 Leadership, Education, Athletics in
1475	1556		Partnership (LEAP)
1476	1557		312,211 312,211
1477		-	Adult Education Action 194,534 194,534
1478		-	Connecticut Writing Project 20,250 20,250
1479		-	Neighborhood Youth Centers 613,866 613,866
1480		-	Sheff Settlement 10,250,966 10,277,534
1481		-	Parent Trust Fund Program 267,193 267,193
1482		-	Regional Vocational-Technical
1483		-	School System
	1558	+	T389 Adult Education Action 194,534 194,534
	1559	+	T390 Connecticut Writing Project 20,250 20,250
	1560	+	T391 Neighborhood Youth Centers 613,866 613,866
	1561	+	T392 Sheff Settlement 10,250,966 10,277,534
	1562	+	T393 Parent Trust Fund Program 267,193 267,193
	1563	+	Bill No.
	1564	+
	1565	+
	1566	+
	1567	+	LCO No. 11285 39 of 47
	1568	+
	1569	+	T394 Regional Vocational-Technical School
	1570	+	System
1484	1571		135,153,018 140,398,647
1485		-	Commissioner's Network 10,009,398 10,009,398
1486		-	Local Charter Schools 600,000 690,000
1487		-	Bridges to Success 27,000 27,000
1488		-	Talent Development 2,164,593 2,183,986 Senate Bill No. 1221
1489		-
1490		-	Dec. Sp. Sess., Public Act No. 19-1 41 of 49
1491		-
1492		-	School-Based Diversion Initiative 900,000 900,000
1493		-	Technical High Schools Other
1494		-	Expenses
1495		-	22,668,577 22,668,577
1496		-	EdSight 1,095,806 1,100,273
1497		-	Sheff Transportation 44,750,421 45,781,798
1498		-	Curriculum and Standards 2,215,782 2,215,782
1499		-	American School For The Deaf 8,357,514 8,357,514
1500		-	Regional Education Services 262,500 262,500
1501		-	Family Resource Centers 5,802,710 5,802,710
1502		-	Charter Schools 120,622,500 124,678,750
1503		-	Child Nutrition State Match 2,354,000 2,354,000
1504		-	Health Foods Initiative 4,151,463 4,151,463
1505		-	Vocational Agriculture 14,952,000 15,124,200
1506		-	Adult Education 20,383,960 20,383,960
1507		-	Health and Welfare Services Pupils
	1572	+	T395 Commissioner's Network 10,009,398 10,009,398
	1573	+	T396 Local Charter Schools 600,000 690,000
	1574	+	T397 Bridges to Success 27,000 27,000
	1575	+	T398 Talent Development 2,164,593 2,183,986
	1576	+	T399 School-Based Diversion Initiative 900,000 900,000
	1577	+	T400 Technical High Schools Other Expenses 22,668,577 22,668,577
	1578	+	T401 EdSight 1,095,806 1,100,273
	1579	+	T402 Sheff Transportation 44,750,421 45,781,798
	1580	+	T403 Curriculum and Standards 2,215,782 2,215,782
	1581	+	T404 American School For The Deaf 8,357,514 8,357,514
	1582	+	T405 Regional Education Services 262,500 262,500
	1583	+	T406 Family Resource Centers 5,802,710 5,802,710
	1584	+	T407 Charter Schools 120,622,500 124,678,750
	1585	+	T408 Child Nutrition State Match 2,354,000 2,354,000
	1586	+	T409 Health Foods Initiative 4,151,463 4,151,463
	1587	+	T410 Vocational Agriculture 14,952,000 15,124,200
	1588	+	T411 Adult Education 20,383,960 20,383,960
	1589	+	T412 Health and Welfare Services Pupils
1508	1590		Private Schools
1509	1591		3,438,415 3,438,415
1510		-	Education Equalization Grants 2,054,281,297 2,092,033,975
1511		-	Bilingual Education 3,177,112 3,177,112
1512		-	Priority School Districts 30,818,778 30,818,778
1513		-	Interdistrict Cooperation 1,537,500 1,537,500
1514		-	School Breakfast Program 2,158,900 2,158,900
1515		-	Excess Cost - Student Based 140,619,782 140,619,782
1516		-	Open Choice Program 26,835,214 27,682,027
1517		-	Magnet Schools 304,204,848 306,033,302
1518		-	After School Program 5,720,695 5,750,695
1519		-	Extended School Hours 2,919,883 2,919,883
1520		-	School Accountability 3,412,207 3,412,207
1521		-	AGENCY TOTAL 3,018,224,700 3,069,764,302
	1592	+	T413 Education Equalization Grants 2,054,281,297 2,092,033,975
	1593	+	T414 Bilingual Education 3,177,112 3,177,112
	1594	+	T415 Priority School Districts 30,818,778 30,818,778
	1595	+	T416 Interdistrict Cooperation 1,537,500 1,537,500
	1596	+	T417 School Breakfast Program 2,158,900 2,158,900
	1597	+	T418 Excess Cost - Student Based 140,619,782 140,619,782
	1598	+	T419 Open Choice Program 26,835,214 27,682,027
	1599	+	T420 Magnet Schools 304,204,848 306,033,302
	1600	+	T421 After School Program 5,720,695 5,750,695
	1601	+	T422 Extended School Hours 2,919,883 2,919,883
	1602	+	T423 School Accountability 3,412,207 3,412,207
	1603	+	T424 AGENCY TOTAL 3,018,224,700 3,069,764,302
	1604	+	T425
	1605	+	T426 OFFICE OF EARLY CHILDHOOD
	1606	+	T427 Personal Services 8,655,055 9,156,554
	1607	+	T428 Other Expenses 458,987 458,987
	1608	+	Bill No.
1522	1609
1523		-	OFFICE OF EARLY CHILDHOOD
1524		-	Personal Services 8,655,055 9,156,554
1525		-	Other Expenses 458,987 458,987
1526		-	Birth to Three 22,845,964 23,452,407
1527		-	Evenstart 295,456 295,456
1528		-	2Gen - TANF 412,500 412,500
1529		-	Nurturing Families Network 10,278,822 10,278,822 Senate Bill No. 1221
1530	1610
1531		-	Dec. Sp. Sess., Public Act No. 19-1 42 of 49
1532	1611
1533		-	Head Start Services 5,083,238 5,083,238
1534		-	Care4Kids TANF/CCDF 54,627,096 59,527,096
1535		-	Child Care Quality Enhancements 6,855,033 6,855,033
1536		-	Early Head Start-Child Care
1537		-	Partnership
1538		-	1,130,750 100,000
1539		-	Early Care and Education 127,848,399 130,548,399
1540		-	Smart Start 3,325,000 3,325,000
1541		-	AGENCY TOTAL 241,816,300 249,493,492
	1612	+	LCO No. 11285 40 of 47
1542	1613
1543		-	STATE LIBRARY
1544		-	Personal Services 5,098,798 5,364,021
1545		-	Other Expenses 421,879 421,879
1546		-	State-Wide Digital Library 1,575,174 1,575,174
1547		-	Interlibrary Loan Delivery Service 256,795 266,392
1548		-	Legal/Legislative Library Materials 574,540 574,540
1549		-	Support Cooperating Library Service
	1614	+	T429 Birth to Three 22,845,964 23,452,407
	1615	+	T430 Evenstart 295,456 295,456
	1616	+	T431 2Gen - TANF 412,500 412,500
	1617	+	T432 Nurturing Families Network 10,278,822 10,278,822
	1618	+	T433 Head Start Services 5,083,238 5,083,238
	1619	+	T434 Care4Kids TANF/CCDF 54,627,096 59,527,096
	1620	+	T435 Child Care Quality Enhancements 6,855,033 6,855,033
	1621	+	T436 Early Head Start-Child Care Partnership 1,130,750 100,000
	1622	+	T437 Early Care and Education 127,848,399 130,548,399
	1623	+	T438 Smart Start 3,325,000 3,325,000
	1624	+	T439 AGENCY TOTAL 241,816,300 249,493,492
	1625	+	T440
	1626	+	T441 STATE LIBRARY
	1627	+	T442 Personal Services 5,098,798 5,364,021
	1628	+	T443 Other Expenses 421,879 421,879
	1629	+	T444 State-Wide Digital Library 1,575,174 1,575,174
	1630	+	T445 Interlibrary Loan Delivery Service 256,795 266,392
	1631	+	T446 Legal/Legislative Library Materials 574,540 574,540
	1632	+	T447 Support Cooperating Library Service
1550	1633		Units
1551	1634		124,402 124,402
1552		-	Connecticard Payments 703,638 703,638
1553		-	AGENCY TOTAL 8,755,226 9,030,046
	1635	+	T448 Connecticard Payments 703,638 703,638
	1636	+	T449 AGENCY TOTAL 8,755,226 9,030,046
	1637	+	T450
	1638	+	T451 OFFICE OF HIGHER EDUCATION
	1639	+	T452 Personal Services 1,477,763 1,535,334
	1640	+	T453 Other Expenses 166,466 166,466
	1641	+	T454 Minority Advancement Program 1,614,726 1,619,090
	1642	+	T455 National Service Act 239,668 244,912
	1643	+	T456 Minority Teacher Incentive Program 570,134 570,134
	1644	+	T457 Roberta B. Willis Scholarship Fund 33,388,637 33,388,637
	1645	+	T458 AGENCY TOTAL 37,457,394 37,524,573
	1646	+	T459
	1647	+	T460 UNIVERSITY OF CONNECTICUT
	1648	+	T461 Operating Expenses 198,083,555 208,979,109
	1649	+	T462 Workers' Compensation Claims 2,271,228 2,271,228
	1650	+	T463 AGENCY TOTAL 200,354,783 211,250,337
	1651	+	T464
	1652	+	Bill No.
1554	1653
1555		-	OFFICE OF HIGHER EDUCATION
1556		-	Personal Services 1,477,763 1,535,334
1557		-	Other Expenses 166,466 166,466
1558		-	Minority Advancement Program 1,614,726 1,619,090
1559		-	National Service Act 239,668 244,912
1560		-	Minority Teacher Incentive Program 570,134 570,134
1561		-	Roberta B. Willis Scholarship Fund 33,388,637 33,388,637
1562		-	AGENCY TOTAL 37,457,394 37,524,573
1563	1654
1564		-	UNIVERSITY OF CONNECTICUT
1565		-	Operating Expenses 198,083,555 208,979,109
1566		-	Workers' Compensation Claims 2,271,228 2,271,228
1567		-	AGENCY TOTAL 200,354,783 211,250,337
1568	1655
1569		-	UNIVERSITY OF CONNECTICUT
	1656	+	LCO No. 11285 41 of 47
	1657	+
	1658	+	T465 UNIVERSITY OF CONNECTICUT
1570	1659		HEALTH CENTER
1571		-	Senate Bill No. 1221
1572	1660
1573		-	Dec. Sp. Sess., Public Act No. 19-1 43 of 49
1574		-
1575		-	Operating Expenses 109,785,175 116,556,690
1576		-	AHEC 375,179 375,832
1577		-	Workers' Compensation Claims 2,670,431 2,917,484
1578		-	Bioscience 15,400,000 16,000,000
1579		-	AGENCY TOTAL 128,230,785 135,850,006
1580		-
1581		-	TEACHERS' RETIREMENT BOARD
1582		-	Personal Services 1,631,971 1,722,838
1583		-	Other Expenses 431,727 544,727
1584		-	Retirement Contributions 1,208,783,000 1,248,029,000
1585		-	Retirees Health Service Cost 26,001,300 29,849,400
1586		-	Municipal Retiree Health Insurance
1587		-	Costs
1588		-	5,532,120 5,535,640
1589		-	AGENCY TOTAL 1,242,380,118 1,285,681,605
1590		-
1591		-	CONNECTICUT STATE COLLEGES
	1661	+	T466 Operating Expenses 109,785,175 116,556,690
	1662	+	T467 AHEC 375,179 375,832
	1663	+	T468 Workers' Compensation Claims 2,670,431 2,917,484
	1664	+	T469 Bioscience 15,400,000 16,000,000
	1665	+	T470 AGENCY TOTAL 128,230,785 135,850,006
	1666	+	T471
	1667	+	T472 TEACHERS' RETIREMENT BOARD
	1668	+	T473 Personal Services 1,631,971 1,722,838
	1669	+	T474 Other Expenses 431,727 544,727
	1670	+	T475 Retirement Contributions 1,208,783,000 1,248,029,000
	1671	+	T476 Retirees Health Service Cost 26,001,300 29,849,400
	1672	+	T477 Municipal Retiree Health Insurance Costs 5,532,120 5,535,640
	1673	+	T478 AGENCY TOTAL 1,242,380,118 1,285,681,605
	1674	+	T479
	1675	+	T480 CONNECTICUT STATE COLLEGES
1592	1676		AND UNIVERSITIES
1593	1677
1594		-	Workers' Compensation Claims 3,289,276 3,289,276
1595		-	Charter Oak State College 3,112,823 3,284,028
1596		-	Community Tech College System 141,440,942 149,218,817
1597		-	Connecticut State University 145,330,562 153,315,495
1598		-	Board of Regents 387,053 408,341
1599		-	Developmental Services 8,912,702 8,912,702
1600		-	Outcomes-Based Funding Incentive 1,202,027 1,202,027
1601		-	Institute for Municipal and Regional
	1678	+	T481 Workers' Compensation Claims 3,289,276 3,289,276
	1679	+	T482 Charter Oak State College 3,112,823 3,284,028
	1680	+	T483 Community Tech College System 141,440,942 149,218,817
	1681	+	T484 Connecticut State University 145,330,562 153,315,495
	1682	+	T485 Board of Regents 387,053 408,341
	1683	+	T486 Developmental Services 8,912,702 8,912,702
	1684	+	T487 Outcomes-Based Funding Incentive 1,202,027 1,202,027
	1685	+	T488 Institute for Municipal and Regional
1602	1686		Policy
1603	1687		400,000 400,000
1604		-	AGENCY TOTAL 304,075,385 320,030,686
	1688	+	T489 AGENCY TOTAL 304,075,385 320,030,686
	1689	+	T490
	1690	+	T491 CORRECTIONS
	1691	+	T492
	1692	+	T493 DEPARTMENT OF CORRECTION
	1693	+	T494 Personal Services 393,516,245 412,958,209
	1694	+	T495 Other Expenses 65,729,965 69,596,565
	1695	+	T496 Workers' Compensation Claims 30,008,856 31,115,914
	1696	+	T497 Inmate Medical Services 85,640,077 107,970,535
	1697	+	T498 Board of Pardons and Paroles 6,567,994 6,927,233
	1698	+	Bill No.
1605	1699
1606		-	CORRECTIONS
1607	1700
1608		-	DEPARTMENT OF CORRECTION
1609		-	Personal Services 393,516,245 412,958,209
1610		-	Other Expenses 65,729,965 69,596,565
1611		-	Workers' Compensation Claims 30,008,856 31,115,914
1612		-	Inmate Medical Services 85,640,077 107,970,535
1613		-	Board of Pardons and Paroles 6,567,994 6,927,233 Senate Bill No. 1221
1614	1701
1615		-	~~Dec. Sp. Sess., Public Act~~ No. ~~19-1~~ 44 of 49
	1702	+	LCO No. 11285 42 of 47
1616	1703
1617		-	STRIDE 73,342 73,342
1618		-	Aid to Paroled and Discharged
1619		-	Inmates
1620		-	3,000 3,000
1621		-	Legal Services To Prisoners 797,000 797,000
1622		-	Volunteer Services 87,725 87,725
1623		-	Community Support Services 34,129,544 34,129,544
1624		-	AGENCY TOTAL 616,553,748 663,659,067
	1704	+	T499 STRIDE 73,342 73,342
	1705	+	T500 Aid to Paroled and Discharged Inmates 3,000 3,000
	1706	+	T501 Legal Services To Prisoners 797,000 797,000
	1707	+	T502 Volunteer Services 87,725 87,725
	1708	+	T503 Community Support Services 34,129,544 34,129,544
	1709	+	T504 AGENCY TOTAL 616,553,748 663,659,067
	1710	+	T505
	1711	+	T506 DEPARTMENT OF CHILDREN AND
	1712	+	FAMILIES
1625	1713
1626		-	DEPARTMENT OF CHILDREN
1627		-	AND FAMILIES
	1714	+	T507 Personal Services 269,468,513 279,496,655
	1715	+	T508 Other Expenses 28,964,687 29,160,237
	1716	+	T509 Workers' Compensation Claims 10,470,082 10,158,413
	1717	+	T510 Family Support Services 946,451 946,451
	1718	+	T511 Differential Response System 13,120,002 15,812,975
	1719	+	T512 Regional Behavioral Health Consultation 1,646,024 1,646,024
	1720	+	T513 Health Assessment and Consultation 1,415,723 1,415,723
	1721	+	T514 Grants for Psychiatric Clinics for Children 16,182,464 16,182,464
	1722	+	T515 Day Treatment Centers for Children 7,275,589 7,275,589
	1723	+	T516 Child Abuse and Neglect Intervention 9,874,101 9,874,101
	1724	+	T517 Community Based Prevention Programs 7,527,785 7,527,785
	1725	+	T518 Family Violence Outreach and Counseling 3,745,395 3,745,395
	1726	+	T519 Supportive Housing 19,886,064 19,886,064
	1727	+	T520 No Nexus Special Education 1,904,652 1,952,268
	1728	+	T521 Family Preservation Services 6,593,987 6,593,987
	1729	+	T522 Substance Abuse Treatment 8,629,640 8,629,640
	1730	+	T523 Child Welfare Support Services 2,560,026 2,560,026
	1731	+	T524 Board and Care for Children - Adoption 102,078,733 104,750,134
	1732	+	T525 Board and Care for Children - Foster 136,196,712 135,981,796
	1733	+	T526 Board and Care for Children - Short-term
	1734	+	and Residential
	1735	+	89,246,759 88,983,554
	1736	+	T527 Individualized Family Supports 5,885,205 5,885,205
	1737	+	T528 Community Kidcare 44,221,621 44,103,938
	1738	+	T529 Covenant to Care 161,412 161,412
	1739	+	T530 Juvenile Review Boards 1,315,147 1,315,147
	1740	+	T531 Youth Transition and Success Programs 450,000 450,000
	1741	+	T532 Youth Service Bureau Enhancement 1,093,973 1,093,973
	1742	+	T533 Youth Service Bureaus 2,626,772 2,626,772
	1743	+	Bill No.
1628	1744
1629		-	Personal Services 269,468,513 279,496,655
1630		-	Other Expenses 28,964,687 29,160,237
1631		-	Workers' Compensation Claims 10,470,082 10,158,413
1632		-	Family Support Services 946,451 946,451
1633		-	Differential Response System 13,120,002 15,812,975
1634		-	Regional Behavioral Health
1635		-	Consultation
1636		-	1,646,024 1,646,024
1637		-	Health Assessment and Consultation 1,415,723 1,415,723
1638		-	Grants for Psychiatric Clinics for
1639		-	Children
1640		-	16,182,464 16,182,464
1641		-	Day Treatment Centers for Children 7,275,589 7,275,589
1642		-	Child Abuse and Neglect
1643		-	Intervention
1644		-	9,874,101 9,874,101
1645		-	Community Based Prevention
1646		-	Programs
1647		-	7,527,785 7,527,785
1648		-	Family Violence Outreach and
1649		-	Counseling
1650		-	3,745,395 3,745,395
1651		-	Supportive Housing 19,886,064 19,886,064
1652		-	No Nexus Special Education 1,904,652 1,952,268
1653		-	Family Preservation Services 6,593,987 6,593,987
1654		-	Substance Abuse Treatment 8,629,640 8,629,640
1655		-	Child Welfare Support Services 2,560,026 2,560,026
1656		-	Board and Care for Children -
1657		-	Adoption
1658		-	102,078,733 104,750,134
1659		-	Board and Care for Children - Foster 136,196,712 135,981,796
1660		-	Board and Care for Children - Short-
1661		-	term and Residential
1662		-	89,246,759 88,983,554 Senate Bill No. 1221
1663	1745
1664		-	Dec. Sp. Sess., Public Act No. 19-1 45 of 49
1665	1746
1666		-	Individualized Family Supports 5,885,205 5,885,205
1667		-	Community Kidcare 44,221,621 44,103,938
1668		-	Covenant to Care 161,412 161,412
1669		-	Juvenile Review Boards 1,315,147 1,315,147
1670		-	Youth Transition and Success
1671		-	Programs
1672		-	450,000 450,000
1673		-	Youth Service Bureau Enhancement 1,093,973 1,093,973
1674		-	Youth Service Bureaus 2,626,772 2,626,772
1675		-	AGENCY TOTAL 793,487,519 808,215,728
	1747	+	LCO No. 11285 43 of 47
1676	1748
1677		-	JUDICIAL
	1749	+	T534 AGENCY TOTAL 793,487,519 808,215,728
	1750	+	T535
	1751	+	T536 JUDICIAL
	1752	+	T537
	1753	+	T538 JUDICIAL DEPARTMENT
	1754	+	T539 Personal Services 339,801,606 353,827,190
	1755	+	T540 Other Expenses 60,439,025 60,339,025
	1756	+	T541 Forensic Sex Evidence Exams 1,348,010 1,348,010
	1757	+	T542 Alternative Incarceration Program 50,257,733 50,257,733
	1758	+	T543 Justice Education Center, Inc. 469,714 469,714
	1759	+	T544 Juvenile Alternative Incarceration 20,063,056 20,063,056
	1760	+	T545 Probate Court 7,200,000 12,500,000
	1761	+	T546 Workers' Compensation Claims 6,042,106 6,042,106
	1762	+	T547 Youthful Offender Services 9,725,677 9,725,677
	1763	+	T548 Victim Security Account 8,792 8,792
	1764	+	T549 Children of Incarcerated Parents 493,728 493,728
	1765	+	T550 Legal Aid 1,397,144 1,397,144
	1766	+	T551 Youth Violence Initiative 1,939,758 1,939,758
	1767	+	T552 Youth Services Prevention 3,311,078 3,311,078
	1768	+	T553 Children's Law Center 92,445 92,445
	1769	+	T554 Juvenile Planning 430,000 430,000
	1770	+	T555 Juvenile Justice Outreach Services 19,961,142 19,455,142
	1771	+	T556 Board and Care for Children - Short-term
	1772	+	and Residential
	1773	+	7,798,474 7,732,474
	1774	+	T557 AGENCY TOTAL 530,779,488 549,433,072
	1775	+	T558
	1776	+	T559 PUBLIC DEFENDER SERVICES
	1777	+	COMMISSION
1678	1778
1679		-	JUDICIAL DEPARTMENT
1680		-	Personal Services 339,801,606 353,827,190
1681		-	Other Expenses 60,439,025 60,339,025
1682		-	Forensic Sex Evidence Exams 1,348,010 1,348,010
1683		-	Alternative Incarceration Program 50,257,733 50,257,733
1684		-	Justice Education Center, Inc. 469,714 469,714
1685		-	Juvenile Alternative Incarceration 20,063,056 20,063,056
1686		-	Probate Court 7,200,000 12,500,000
1687		-	Workers' Compensation Claims 6,042,106 6,042,106
1688		-	Youthful Offender Services 9,725,677 9,725,677
1689		-	Victim Security Account 8,792 8,792
1690		-	Children of Incarcerated Parents 493,728 493,728
1691		-	Legal Aid 1,397,144 1,397,144
1692		-	Youth Violence Initiative 1,939,758 1,939,758
1693		-	Youth Services Prevention 3,311,078 3,311,078
1694		-	Children's Law Center 92,445 92,445
1695		-	Juvenile Planning 430,000 430,000
1696		-	Juvenile Justice Outreach Services 19,961,142 19,455,142
1697		-	Board and Care for Children - Short-
1698		-	term and Residential
1699		-	7,798,474 7,732,474
1700		-	AGENCY TOTAL 530,779,488 549,433,072
	1779	+	T560 Personal Services 40,153,930 42,299,163
	1780	+	T561 Other Expenses 1,181,163 1,181,163
	1781	+	T562 Assigned Counsel - Criminal 22,442,284 22,442,284
	1782	+	T563 Expert Witnesses 2,875,604 2,875,604
	1783	+	T564 Training And Education 119,748 119,748
	1784	+	T565 AGENCY TOTAL 66,772,729 68,917,962
	1785	+	T566
	1786	+	T567 NON-FUNCTIONAL
	1787	+	T568
	1788	+	Bill No.
1701	1789
1702		-	PUBLIC DEFENDER SERVICES
1703		-	COMMISSION
1704		-	Senate Bill No. 1221
1705	1790
1706		-	Dec. Sp. Sess., Public Act No. 19-1 46 of 49
1707	1791
1708		-	Personal Services 40,153,930 42,299,163
1709		-	Other Expenses 1,181,163 1,181,163
1710		-	Assigned Counsel - Criminal 22,442,284 22,442,284
1711		-	Expert Witnesses 2,875,604 2,875,604
1712		-	Training And Education 119,748 119,748
1713		-	AGENCY TOTAL 66,772,729 68,917,962
	1792	+	LCO No. 11285 44 of 47
1714	1793
1715		-	NON-FUNCTIONAL
1716		-
1717		-	DEBT SERVICE - STATE
1718		-	TREASURER
1719		-
1720		-	Debt Service 1,896,900,160 1,967,208,185
1721		-	UConn 2000 - Debt Service 212,225,089 221,406,539
1722		-	CHEFA Day Care Security 5,500,000 5,500,000
1723		-	Pension Obligation Bonds - TRB 118,400,521 118,400,521
1724		-	Municipal Restructuring 45,666,625 56,314,629
1725		-	AGENCY TOTAL 2,278,692,395 2,368,829,874
1726		-
1727		-	STATE COMPTROLLER -
	1794	+	T569 DEBT SERVICE - STATE TREASURER
	1795	+	T570 Debt Service 1,896,900,160 1,967,208,185
	1796	+	T571 UConn 2000 - Debt Service 212,225,089 221,406,539
	1797	+	T572 CHEFA Day Care Security 5,500,000 5,500,000
	1798	+	T573 Pension Obligation Bonds - TRB 118,400,521 118,400,521
	1799	+	T574 Municipal Restructuring 45,666,625 56,314,629
	1800	+	T575 AGENCY TOTAL 2,278,692,395 2,368,829,874
	1801	+	T576
	1802	+	T577 STATE COMPTROLLER -
1728	1803		MISCELLANEOUS
1729	1804
1730		-	Nonfunctional - Change to Accruals 11,111,545 22,326,243
1731		-
1732		-	STATE COMPTROLLER - FRINGE
	1805	+	T578 Nonfunctional - Change to Accruals 11,111,545 22,326,243
	1806	+	T579
	1807	+	T580 STATE COMPTROLLER - FRINGE
1733	1808		BENEFITS
1734	1809
1735		-	Unemployment Compensation 6,132,100 4,974,400
1736		-	Higher Education Alternative
1737		-	~~Retirement~~ System
	1810	+	T581 Unemployment Compensation 6,132,100 4,974,400
	1811	+	T582 Higher Education Alternative Retirement
	1812	+	System
1738	1813		11,034,700 24,034,700
1739		-	Pensions and Retirements - Other
	1814	+	T583 Pensions and Retirements - Other
1740	1815		Statutory
1741	1816		1,974,003 2,029,134
1742		-	Judges and Compensation
1743		-	~~Commissioners~~ Retirement
	1817	+	T584 Judges and Compensation Commissioners
	1818	+	Retirement
1744	1819		27,010,989 28,522,111
1745		-	Insurance - Group Life 8,514,800 8,770,200
1746		-	Employers Social Security Tax 208,540,754 218,208,651
1747		-	State Employees Health Service Cost 678,375,327 715,320,807
1748		-	Retired State Employees Health
1749		-	Service Cost
1750		-	776,021,000 847,309,000 Senate Bill No. 1221
	1820	+	T585 Insurance - Group Life 8,514,800 8,770,200
	1821	+	T586 Employers Social Security Tax 208,540,754 218,208,651
	1822	+	T587 State Employees Health Service Cost 678,375,327 715,320,807
	1823	+	T588 Retired State Employees Health Service
	1824	+	Cost
	1825	+	776,021,000 847,309,000
	1826	+	T589 Tuition Reimbursement - Training and
	1827	+	Travel
	1828	+	3,475,000 3,508,500
	1829	+	T590 Other Post Employment Benefits 95,764,285 83,648,639
	1830	+	T591 SERS Defined Contribution Match 2,150,171 3,257,268
	1831	+	T592 State Employees Retirement Contributions
	1832	+	- Normal Cost
	1833	+	168,330,352 149,045,118
	1834	+	T593 State Employees Retirement Contributions
	1835	+	- UAL
	1836	+	1,143,138,185 1,246,717,529
	1837	+	T594 AGENCY TOTAL 3,130,461,666 3,335,346,057
	1838	+	T595
	1839	+	T596 RESERVE FOR SALARY ADJUSTMENTS
	1840	+	T597 Reserve For Salary Adjustments 18,226,900 23,893,500
	1841	+	Bill No.
1751	1842
1752		-	Dec. Sp. Sess., Public Act No. 19-1 47 of 49
1753	1843
1754		-	Tuition Reimbursement - Training
1755		-	and Travel
1756		-	3,475,000 3,508,500
1757		-	Other Post Employment Benefits 95,764,285 83,648,639
1758		-	SERS Defined Contribution Match 2,150,171 3,257,268
1759		-	State Employees Retirement
1760		-	Contributions - Normal Cost
1761		-	168,330,352 149,045,118
1762		-	State Employees Retirement
1763		-	Contributions - UAL
1764		-	1,143,138,185 1,246,717,529
1765		-	AGENCY TOTAL 3,130,461,666 3,335,346,057
1766	1844
1767		-	RESERVE FOR SALARY
1768		-	ADJUSTMENTS
	1845	+	LCO No. 11285 45 of 47
1769	1846
1770		-	Reserve For Salary Adjustments 18,226,900 23,893,500
	1847	+	T598
	1848	+	T599 WORKERS' COMPENSATION CLAIMS -
	1849	+	ADMINISTRATIVE SERVICES
1771	1850
1772		-	WORKERS' COMPENSATION
1773		-	CLAIMS - ADMINISTRATIVE
1774		-	SERVICES
1775		-
1776		-	Workers' Compensation Claims 7,982,375 8,259,800
1777		-
1778		-	TOTAL - GENERAL FUND [19,528,277,395]
	1851	+	T600 Workers' Compensation Claims 7,982,375 8,259,800
	1852	+	T601
	1853	+	T602 TOTAL - GENERAL FUND [19,528,277,395]
1779	1854		19,632,455,560
1780	1855		[20,291,393,193]
1781	1856		20,395,693,193
1782		-
1783		-	LESS:
1784		-
1785		-	Unallocated Lapse -29,015,570 -26,215,570
1786		-	Unallocated Lapse - Judicial -5,000,000 -5,000,000
1787		-	Statewide Hiring Reduction -
1788		-	Executive
1789		-	-7,000,000 -7,000,000
1790		-	Contracting Savings Initiatives -5,000,000 -15,000,000
1791		-	Pension and Healthcare Savings -163,200,000 -256,200,000
1792		-
1793		-	NET - GENERAL FUND [19,319,061,825]
	1857	+	T603
	1858	+	T604 LESS:
	1859	+	T605
	1860	+	T606 Unallocated Lapse -29,015,570 -26,215,570
	1861	+	T607 Unallocated Lapse - Judicial -5,000,000 -5,000,000
	1862	+	T608 Statewide Hiring Reduction - Executive -7,000,000 -7,000,000
	1863	+	T609 Contracting Savings Initiatives -5,000,000 -15,000,000
	1864	+	T610 Pension and Healthcare Savings -163,200,000 -256,200,000
	1865	+	T611
	1866	+	T612 NET - GENERAL FUND [19,319,061,825]
1794	1867		19,423,239,990
1795	1868		[19,981,977,623]
1796	1869		20,086,277,623
1797	1870
1798		-	Sec. 8. Section 386 of public act 19-117 is amended to read as follows
1799		-	(Effective from passage): Senate Bill No. 1221
	1871	+	Sec. 8. Section 386 of public act 19-117 is amended to read as follows 816
	1872	+	(Effective from passage): 817
	1873	+	The appropriations in section 1 of [this act] public act 19-117, as 818
	1874	+	amended by section 7 of this act, are supported by the GENERAL 819
	1875	+	FUND revenue estimates as follows: 820
	1876	+	T613 2019-2020 2020-2021
	1877	+	T614 TAXES
	1878	+	T615 Personal Income
	1879	+	T616 Withholding $6,910,500,000 $7,168,500,000
	1880	+	T617 Estimates and Finals 2,762,500,000 2,836,900,000
	1881	+	T618 Sales and Use 4,444,100,000 4,588,400,000
	1882	+	T619 Corporations 1,099,800,000 1,082,500,000
	1883	+	T620 Pass-Through Entities 850,000,000 850,000,000
	1884	+	T621 Public Service 237,700,000 244,700,000
	1885	+	T622 Inheritance and Estate 165,800,000 146,300,000
	1886	+	T623 Insurance Companies 203,300,000 205,800,000
	1887	+	Bill No.
1800	1888
1801		-	Dec. Sp. Sess., Public Act No. 19-1 48 of 49
1802	1889
1803		-	The appropriations in section 1 of [this act] public act 19-117, as
1804		-	amended by section 7 of this act, are supported by the GENERAL FUND
1805		-	revenue estimates as follows:
1806		-	2019-2020 2020-2021
1807		-	TAXES
1808		-	Personal Income
1809		-	Withholding $6,910,500,000 $7,168,500,000
1810		-	Estimates and Finals 2,762,500,000 2,836,900,000
1811		-	Sales and Use 4,444,100,000 4,588,400,000
1812		-	Corporations 1,099,800,000 1,082,500,000
1813		-	Pass-Through Entities 850,000,000 850,000,000
1814		-	Public Service 237,700,000 244,700,000
1815		-	Inheritance and Estate 165,800,000 146,300,000
1816		-	Insurance Companies 203,300,000 205,800,000
1817		-	Cigarettes 344,700,000 326,900,000
1818		-	Real Estate Conveyance 217,400,000 230,600,000
1819		-	Alcoholic Beverages 68,900,000 69,700,000
1820		-	Admissions and Dues 41,900,000 41,500,000
1821		-	Health Provider Tax [1,050,100,000]
	1890	+
	1891	+	LCO No. 11285 46 of 47
	1892	+
	1893	+	T624 Cigarettes 344,700,000 326,900,000
	1894	+	T625 Real Estate Conveyance 217,400,000 230,600,000
	1895	+	T626 Alcoholic Beverages 68,900,000 69,700,000
	1896	+	T627 Admissions and Dues 41,900,000 41,500,000
	1897	+	T628 Health Provider Tax [1,050,100,000]
1822	1898		1,040,100,000
1823	1899		[1,051,600,000]
1824	1900		1,033,600,000
1825		-	Miscellaneous 48,400,000 48,000,000
1826		-	TOTAL TAXES [18,445,100,000]
	1901	+	T629 Miscellaneous 48,400,000 48,000,000
	1902	+	T630 TOTAL TAXES [18,445,100,000]
1827	1903		18,435,100,000
1828	1904		[18,891,400,000]
1829	1905		18,873,400,000
1830		-
1831		-	Refunds of Taxes [(1,309,300,000)]
	1906	+	T631
	1907	+	T632 Refunds of Taxes [(1,309,300,000)]
1832	1908		(1,379,300,000)
1833	1909		(1,378,900,000)
1834	1910
1835		-	Earned Income Tax Credit (97,300,000) (100,600,000)
1836		-	R & D Credit Exchange (5,100,000) (5,200,000)
1837		-	NET TOTAL TAX REVENUE [17,033,400,000]
	1911	+	T633 Earned Income Tax Credit (97,300,000) (100,600,000)
	1912	+	T634 R & D Credit Exchange (5,100,000) (5,200,000)
	1913	+	T635 NET TOTAL TAX REVENUE [17,033,400,000]
1838	1914		16,953,400,000
1839	1915		[17,406,700,000]
1840	1916		17,388,700,000
1841		-
1842		-	OTHER REVENUE
1843		-	Transfers-Special Revenue 368,000,000 376,600,000
1844		-	Indian Gaming Payments 226,000,000 225,400,000
1845		-	Licenses, Permits, Fees 341,200,000 384,300,000 Senate Bill No. 1221
1846		-
1847		-	Dec. Sp. Sess., Public Act No. 19-1 49 of 49
1848		-
1849		-	Sales of Commodities and Services 30,200,000 31,000,000
1850		-	Rents, Fines and Escheats 158,500,000 160,900,000
1851		-	Investment Income 52,600,000 52,900,000
1852		-	Miscellaneous 178,100,000 181,700,000
1853		-	Refunds of Payments (66,400,000) (67,700,000)
1854		-	NET TOTAL OTHER REVENUE 1,288,200,000 1,345,100,000
1855		-
1856		-	OTHER SOURCES
1857		-	Federal Grants [1,526,000,000]
	1917	+	T636
	1918	+	T637 OTHER REVENUE
	1919	+	T638 Transfers-Special Revenue 368,000,000 376,600,000
	1920	+	T639 Indian Gaming Payments 226,000,000 225,400,000
	1921	+	T640 Licenses, Permits, Fees 341,200,000 384,300,000
	1922	+	T641 Sales of Commodities and Services 30,200,000 31,000,000
	1923	+	T642 Rents, Fines and Escheats 158,500,000 160,900,000
	1924	+	T643 Investment Income 52,600,000 52,900,000
	1925	+	T644 Miscellaneous 178,100,000 181,700,000
	1926	+	T645 Refunds of Payments (66,400,000) (67,700,000)
	1927	+	T646 NET TOTAL OTHER REVENUE 1,288,200,000 1,345,100,000
	1928	+	T647
	1929	+	T648 OTHER SOURCES
	1930	+	T649 Federal Grants [1,526,000,000]
1858	1931		1,588,900,000
1859	1932		[1,508,600,000]
1860	1933		1,571,500,000
1861		-	Transfer From Tobacco Settlement 136,000,000 114,500,000
1862		-	Transfers To/From Other Funds [(205,100,000)]
	1934	+	T650 Transfer From Tobacco Settlement 136,000,000 114,500,000
	1935	+	T651 Transfers To/From Other Funds [(205,100,000)]
1863	1936		(104,500,000)
1864	1937		[74,800,000]
1865	1938		134,200,000
1866		-	NET TOTAL OTHER SOURCES [1,456,900,000]
	1939	+	T652 NET TOTAL OTHER SOURCES [1,456,900,000]
1867	1940		1,620,400,000
1868	1941		[1,697,900,000]
1869	1942		1,820,200,000
	1943	+	T653
	1944	+	Bill No.
1870	1945
1871		-	Transfer to Budget Reserve Fund -
	1946	+
	1947	+
	1948	+	LCO No. 11285 47 of 47
	1949	+
	1950	+	T654 Transfer to Budget Reserve Fund -
1872	1951		Volatility Cap (318,300,000) (301,500,000)
1873		-
1874		-	TOTAL GENERAL FUND
1875		-	REVENUE
1876		-	[19,460,200,000]
	1952	+	T655
	1953	+	T656 TOTAL GENERAL FUND REVENUE [19,460,200,000]
1877	1954		19,543,700,000
1878	1955		[20,148,200,000]
1879	1956		20,252,500,000
1880	1957
1881		-	Approved: December 19, 2019
	1958	+	This act shall take effect as follows and shall amend the following
	1959	+	sections:
	1960	+
	1961	+	Section 1 from passage 12-263q
	1962	+	Sec. 2 from passage New section
	1963	+	Sec. 3 from passage New section
	1964	+	Sec. 4 from passage New section
	1965	+	Sec. 5 from passage 17b-239(i) to (l)
	1966	+	Sec. 6 from passage 17b-239e
	1967	+	Sec. 7 from passage New section
	1968	+	Sec. 8 from passage PA 19-117, Sec. 386
	1969	+