OFFICE OF FISCAL ANALYSIS Legislative Office Building, Room 5200 Hartford, CT 06106 (860) 240-0200 http://www.cga.ct.gov/ofa EMERGENCY CERTIFICATION HB-6687 AN ACT CONCERNING MEDICAL ASSISTANCE FOR CHILDREN AND ADULTS WITHOUT HEALTH CARE COVERAGE. Primary Analyst: ES 6/7/21 Contributing Analyst(s): OFA Fiscal Note State Impact: Agency Affected Fund-Effect FY 22 $ FY 23 $ Social Services, Dept. GF - Cost 1,950,000 11,900,000 Note: GF=General Fund Municipal Impact: None Explanation Sections 1 and 3 result in a state cost of approximately $700,000 in FY 22 and $4.1 million in FY 23 to support the cost of providing medical assistance for children ages eight and under with household incomes up to 323% of the federal poverty level (FPL), regardless of immigration status. This assumes coverage of approximately 1,900 children at an average annual cost of $2,200 per person. Section 2 results in a state cost of approximately $750,000 in FY 22 and $5 million in FY 23 associated with providing twelve months of postpartum services to women with incomes up to 263% FPL, regardless of immigration status. This assumes coverage of approximately 1,400 women at an average annual cost of $3,600 per person. Section 4 results in a state cost of approximately $500,000 in FY 22 and $2.8 million in FY 23 associated with providing coverage for prenatal services to women with incomes up to 263% FPL, regardless 2021HB-06687-R00-FN.DOCX Page 2 of 2 of immigration status. This assumes coverage of approximately 1,400 women at an average annual cost of $2,000 per person and reflects 65% federal reimbursement available under HUSKY B through the unborn child option. Section 5, which requires the Department of Social Services, in consultation with the Office of Health Strategy and the Connecticut Health Insurance Exchange to develop four-year plans to phase in medical assistance for certain groups, has no fiscal impact as the agencies have the expertise necessary to do so. The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to inflation. The preceding Fiscal Impact statement is prepared for the benefit of the members of the General Assembly, solely for the purposes of information, summarization and explanation and does not represent the intent of the General Assembly or either chamber thereof for any purpose. In general, fiscal impacts are based upon a variety of informational sources, including the analyst’s professional knowledge. Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department. Sources: Department of Social Services Caseload Information Migration Policy Institute (unauthorized immigrant population data for CT)