OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
sHB-6446
AN ACT CONCERNING THE GOVERNOR'S BUDGET
RECOMMENDATIONS FOR HUMAN SERVICES.
Primary Analyst: ES 4/5/21
Contributing Analyst(s): LD
OFA Fiscal Note
State Impact:
Agency Affected Fund-Effect FY 22 $ FY 23 $
Social Services, Dept. GF - Savings $2 million $12.2 million
Note: GF=General Fund
Municipal Impact: None
Explanation
The bill is anticipated to result in state Medicaid savings of
approximately $2 million in FY 22 and $12.2 million in FY 23 to the
Department of Social Services as follows: (1) approximately $2 million
in FY 22 and $1 million in FY 23 associated with additional
reimbursement for services paid by third party insurers due to the
implementation of prompt payment standards, and (2) approximately
$11.2 million in FY 23 due to limiting rate increases for nursing homes.
The bill also requires the implementation of acuity-based rates for
nursing homes, which is not anticipated to result in a fiscal impact to
the state as the transition to acuity-based reimbursement must be cost
neutral.
The bill makes other technical and conforming changes that have no
fiscal impact.
The Out Years
The annualized ongoing fiscal impact identified above would 2021HB-06446-R000263-FN.DOCX Page 2 of 2
continue into the future subject to inflation.