13 | | - | Section 1. Subsection (a) of section 17b-295 of the general statutes is |
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14 | | - | repealed and the following is substituted in lieu thereof (Effective from |
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15 | | - | passage): |
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16 | | - | (a) The commissioner shall impose cost-sharing requirements, |
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17 | | - | including the payment of a premium or copayment, in connection with |
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18 | | - | services provided under HUSKY B, to the extent permitted by federal |
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19 | | - | law. Copayments under HUSKY B shall [be the same as] not exceed |
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20 | | - | those in effect for active state employees enrolled in a point-of- |
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21 | | - | enrollment health care plan, provided the household's annual combined |
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22 | | - | premiums and copayments do not exceed the maximum annual |
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23 | | - | aggregate cost-sharing requirement. The cost-sharing requirements |
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24 | | - | imposed by the commissioner shall be in accordance with the following |
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25 | | - | limitations: |
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26 | | - | (1) The commissioner may increase the maximum annual aggregate |
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27 | | - | cost-sharing requirements, provided such cost-sharing requirements |
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28 | | - | shall not exceed five per cent of the household's gross annual income. |
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29 | | - | (2) In accordance with federal law, the commissioner may impose a Senate Bill No. 909 |
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| 24 | + | Section 1. Subsection (a) of section 17b-295 of the general statutes is 1 |
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| 25 | + | repealed and the following is substituted in lieu thereof (Effective from 2 |
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| 26 | + | passage): 3 |
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| 27 | + | (a) The commissioner shall impose cost-sharing requirements, 4 |
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| 28 | + | including the payment of a premium or copayment, in connection with 5 |
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| 29 | + | services provided under HUSKY B, to the extent permitted by federal 6 |
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| 30 | + | law. Copayments under HUSKY B shall [be the same as] not exceed 7 |
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| 31 | + | those in effect for active state employees enrolled in a point-of-8 |
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| 32 | + | enrollment health care plan, provided the household's annual combined 9 |
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| 33 | + | premiums and copayments do not exceed the maximum annual 10 |
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| 34 | + | aggregate cost-sharing requirement. The cost-sharing requirements 11 |
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| 35 | + | imposed by the commissioner shall be in accordance with the following 12 |
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| 36 | + | limitations: 13 |
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| 37 | + | (1) The commissioner may increase the maximum annual aggregate 14 |
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| 38 | + | cost-sharing requirements, provided such cost-sharing requirements 15 Raised Bill No. 909 |
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33 | | - | premium requirement on households whose income exceeds two |
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34 | | - | hundred forty-nine per cent of the federal poverty level as a component |
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35 | | - | of the household's cost-sharing responsibility and, for the fiscal years |
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36 | | - | ending June 30, 2012, to June 30, 2016, inclusive, may annually increase |
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37 | | - | the premium requirement based on the percentage increase in the |
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38 | | - | Consumer Price Index for medical care services; and |
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39 | | - | (3) The commissioner shall monitor copayments and premiums |
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40 | | - | under the provisions of subdivision (1) of this subsection. |
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41 | | - | Sec. 2. Section 17b-266 of the general statutes is repealed and the |
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42 | | - | following is substituted in lieu thereof (Effective from passage): |
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43 | | - | (a) The Commissioner of Social Services may, when the commissioner |
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44 | | - | finds it to be in the public interest, fund part or all of the cost of benefits |
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45 | | - | to any recipient under sections 17b-260 to 17b-262, inclusive, 17b-264 to |
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46 | | - | 17b-285, inclusive, 17b-357 to 17b-361, inclusive, 17b-290, as amended |
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47 | | - | by this act, 17b-292, [17b-294a,] 17b-295, as amended by this act, 17b- |
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48 | | - | 297a, 17b-297b and 17b-300 through the purchase of insurance from any |
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49 | | - | organization authorized to do a health insurance business in this state |
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50 | | - | or from any organization specified in subsection (b) of this section. |
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51 | | - | (b) The Commissioner of Social Services may require recipients of |
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52 | | - | Medicaid or other public assistance to receive medical care on a |
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53 | | - | prepayment or per capita basis, in accordance with federal law and |
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54 | | - | regulations, if such prepayment is anticipated to result in lower medical |
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55 | | - | assistance costs to the state. The commissioner may enter into contracts |
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56 | | - | for the provision of comprehensive health care on a prepayment or per |
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57 | | - | capita basis in accordance with federal law and regulations, with the |
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58 | | - | following: (1) A health care center subject to the provisions of chapter |
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59 | | - | 698a; (2) a consortium of federally qualified community health centers |
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60 | | - | and other community-based providers of health services which are |
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61 | | - | funded by the state; (3) other consortia of providers of health care |
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62 | | - | services established for the purposes of this subsection; or (4) an Senate Bill No. 909 |
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| 41 | + | LCO 2733 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00909- |
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| 42 | + | R01-SB.docx } |
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| 43 | + | 2 of 8 |
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64 | | - | Public Act No. 21-123 3 of 8 |
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| 45 | + | shall not exceed five per cent of the household's gross annual income. 16 |
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| 46 | + | (2) In accordance with federal law, the commissioner may impose a 17 |
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| 47 | + | premium requirement on households whose income exceeds two 18 |
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| 48 | + | hundred forty-nine per cent of the federal poverty level as a component 19 |
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| 49 | + | of the household's cost-sharing responsibility and, for the fiscal years 20 |
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| 50 | + | ending June 30, 2012, to June 30, 2016, inclusive, may annually increase 21 |
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| 51 | + | the premium requirement based on the percentage increase in the 22 |
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| 52 | + | Consumer Price Index for medical care services; and 23 |
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| 53 | + | (3) The commissioner shall monitor copayments and premiums 24 |
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| 54 | + | under the provisions of subdivision (1) of this subsection. 25 |
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| 55 | + | Sec. 2. Section 17b-266 of the general statutes is repealed and the 26 |
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| 56 | + | following is substituted in lieu thereof (Effective from passage): 27 |
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| 57 | + | (a) The Commissioner of Social Services may, when the commissioner 28 |
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| 58 | + | finds it to be in the public interest, fund part or all of the cost of benefits 29 |
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| 59 | + | to any recipient under sections 17b-260 to 17b-262, inclusive, 17b-264 to 30 |
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| 60 | + | 17b-285, inclusive, 17b-357 to 17b-361, inclusive, 17b-290, as amended 31 |
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| 61 | + | by this act, 17b-292, [17b-294a,] 17b-295, as amended by this act, 17b-32 |
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| 62 | + | 297a, 17b-297b and 17b-300 through the purchase of insurance from any 33 |
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| 63 | + | organization authorized to do a health insurance business in this state 34 |
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| 64 | + | or from any organization specified in subsection (b) of this section. 35 |
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| 65 | + | (b) The Commissioner of Social Services may require recipients of 36 |
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| 66 | + | Medicaid or other public assistance to receive medical care on a 37 |
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| 67 | + | prepayment or per capita basis, in accordance with federal law and 38 |
---|
| 68 | + | regulations, if such prepayment is anticipated to result in lower medical 39 |
---|
| 69 | + | assistance costs to the state. The commissioner may enter into contracts 40 |
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| 70 | + | for the provision of comprehensive health care on a prepayment or per 41 |
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| 71 | + | capita basis in accordance with federal law and regulations, with the 42 |
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| 72 | + | following: (1) A health care center subject to the provisions of chapter 43 |
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| 73 | + | 698a; (2) a consortium of federally qualified community health centers 44 |
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| 74 | + | and other community-based providers of health services which are 45 |
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| 75 | + | funded by the state; (3) other consortia of providers of health care 46 Raised Bill No. 909 |
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66 | | - | integrated service network providing care management and |
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67 | | - | comprehensive health care on a prepayment or per capita basis to |
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68 | | - | elderly and disabled recipients of Medicaid who may also be eligible for |
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69 | | - | Medicare. |
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70 | | - | (c) Providers of comprehensive health care services as described in |
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71 | | - | subdivisions (2), (3) and (4) of subsection (b) of this section shall not be |
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72 | | - | subject to the provisions of chapter 698a or, in the case of an integrated |
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73 | | - | service network, sections 17b-239 to 17b-245, inclusive, 17b-281, 17b-340, |
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74 | | - | 17b-342 and 17b-343. Any such provider shall be certified by the |
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75 | | - | Commissioner of Social Services in accordance with criteria established |
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76 | | - | by the commissioner, including, but not limited to, minimum reserve |
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77 | | - | fund requirements. |
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78 | | - | (d) The commissioner shall pay all capitation claims which would |
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79 | | - | otherwise be reimbursed to the health plans described in subsection (b) |
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80 | | - | of this section in May, 2010, no later than June 30, 2010. Each subsequent |
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81 | | - | payment made by the commissioner to such health plans for capitation |
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82 | | - | claims due shall be made in the second month following the month to |
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83 | | - | which the capitation applies. |
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84 | | - | (e) On or after May 1, 2000, the payment to the Commissioner of |
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85 | | - | Social Services of (1) any monetary sanction imposed by the |
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86 | | - | commissioner on a managed care organization under the provisions of |
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87 | | - | a contract between the commissioner and such organization entered |
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88 | | - | into pursuant to this section or sections 17b-290, as amended by this act, |
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89 | | - | 17b-292, [17b-294a,] 17b-295, 17b-297a, 17b-297b and 17b-300, or (2) any |
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90 | | - | sum agreed upon by the commissioner and such an organization as |
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91 | | - | settlement of a claim brought by the commissioner or the state against |
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92 | | - | such an organization for failure to comply with the terms of a contract |
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93 | | - | with the commissioner or fraud affecting the Department of Social |
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94 | | - | Services shall be deposited in an account designated for use by the |
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95 | | - | department for expenditures for children's health programs and |
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96 | | - | services. Senate Bill No. 909 |
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100 | | - | Sec. 3. Section 17b-290 of the general statutes is repealed and the |
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101 | | - | following is substituted in lieu thereof (Effective from passage): |
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102 | | - | As used in this section and sections 17b-292, [17b-294a,] 17b-295, as |
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103 | | - | amended by this act, 17b-297a, 17b-297b and 17b-300: |
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104 | | - | (1) "Applicant" means an individual over the age of eighteen years |
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105 | | - | who is a natural or adoptive parent, a legal guardian, a caretaker |
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106 | | - | relative, foster parent or stepparent with whom the child resides and |
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107 | | - | shall include a child who is eighteen years of age or emancipated in |
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108 | | - | accordance with the provisions of sections 46b-150 to 46b-150e, |
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109 | | - | inclusive, and who is applying on his own behalf or on behalf of a minor |
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110 | | - | dependent for coverage under such plan; |
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111 | | - | (2) "Child" means an individual under nineteen years of age; |
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112 | | - | (3) "Coinsurance" means the sharing of health care expenses by the |
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113 | | - | insured and an insurer in a specified ratio; |
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114 | | - | (4) "Commissioner" means the Commissioner of Social Services; |
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115 | | - | (5) "Copayment" means a payment made on behalf of a member for a |
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116 | | - | specified service under HUSKY B; |
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117 | | - | (6) "Cost sharing" means arrangements made on behalf of a member |
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118 | | - | whereby an applicant pays a portion of the cost of health services, |
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119 | | - | sharing costs with the state and includes copayments, premiums, |
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120 | | - | deductibles and coinsurance; |
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121 | | - | (7) "Deductible" means the amount of out-of-pocket expenses that |
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122 | | - | would be paid for health services on behalf of a member before |
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123 | | - | becoming payable by the insurer; |
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124 | | - | (8) "Department" means the Department of Social Services; |
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125 | | - | (9) "Durable medical equipment" means equipment that meets all of Senate Bill No. 909 |
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| 82 | + | services established for the purposes of this subsection; or (4) an 47 |
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| 83 | + | integrated service network providing care management and 48 |
---|
| 84 | + | comprehensive health care on a prepayment or per capita basis to 49 |
---|
| 85 | + | elderly and disabled recipients of Medicaid who may also be eligible for 50 |
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| 86 | + | Medicare. 51 |
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| 87 | + | (c) Providers of comprehensive health care services as described in 52 |
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| 88 | + | subdivisions (2), (3) and (4) of subsection (b) of this section shall not be 53 |
---|
| 89 | + | subject to the provisions of chapter 698a or, in the case of an integrated 54 |
---|
| 90 | + | service network, sections 17b-239 to 17b-245, inclusive, 17b-281, 17b-340, 55 |
---|
| 91 | + | 17b-342 and 17b-343. Any such provider shall be certified by the 56 |
---|
| 92 | + | Commissioner of Social Services in accordance with criteria established 57 |
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| 93 | + | by the commissioner, including, but not limited to, minimum reserve 58 |
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| 94 | + | fund requirements. 59 |
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| 95 | + | (d) The commissioner shall pay all capitation claims which would 60 |
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| 96 | + | otherwise be reimbursed to the health plans described in subsection (b) 61 |
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| 97 | + | of this section in May, 2010, no later than June 30, 2010. Each subsequent 62 |
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| 98 | + | payment made by the commissioner to such health plans for capitation 63 |
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| 99 | + | claims due shall be made in the second month following the month to 64 |
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| 100 | + | which the capitation applies. 65 |
---|
| 101 | + | (e) On or after May 1, 2000, the payment to the Commissioner of 66 |
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| 102 | + | Social Services of (1) any monetary sanction imposed by the 67 |
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| 103 | + | commissioner on a managed care organization under the provisions of 68 |
---|
| 104 | + | a contract between the commissioner and such organization entered 69 |
---|
| 105 | + | into pursuant to this section or sections 17b-290, as amended by this act, 70 |
---|
| 106 | + | 17b-292, [17b-294a,] 17b-295, 17b-297a, 17b-297b and 17b-300, or (2) any 71 |
---|
| 107 | + | sum agreed upon by the commissioner and such an organization as 72 |
---|
| 108 | + | settlement of a claim brought by the commissioner or the state against 73 |
---|
| 109 | + | such an organization for failure to comply with the terms of a contract 74 |
---|
| 110 | + | with the commissioner or fraud affecting the Department of Social 75 |
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| 111 | + | Services shall be deposited in an account designated for use by the 76 |
---|
| 112 | + | department for expenditures for children's health programs and 77 |
---|
| 113 | + | services. 78 Raised Bill No. 909 |
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129 | | - | the following requirements: |
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130 | | - | (A) Can withstand repeated use; |
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131 | | - | (B) Is primarily and customarily used to serve a medical purpose; |
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132 | | - | (C) Generally is not useful to a person in the absence of an illness or |
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133 | | - | injury; and |
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134 | | - | (D) Is nondisposable; |
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135 | | - | (10) "Eligible beneficiary" means a child who meets the requirements |
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136 | | - | in section 17b-292, and the requirements specified in Section |
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137 | | - | 2110(b)(2)(B) of the Social Security Act as amended by Section |
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138 | | - | 10203(b)(2)(D) of the Affordable Care Act; |
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139 | | - | (11) "Household" has the same meaning as provided in 42 CFR |
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140 | | - | 435.603; |
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141 | | - | (12) "Household income" has the same meaning as provided in 42 |
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142 | | - | CFR 435.603; |
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143 | | - | (13) "HUSKY A" means Medicaid provided to children, caretaker |
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144 | | - | relatives and pregnant and postpartum women pursuant to section 17b- |
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145 | | - | 261 or 17b-277; |
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146 | | - | (14) "HUSKY B" means the health coverage for children established |
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147 | | - | pursuant to the provisions of sections 17b-290, as amended by this act, |
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148 | | - | 17b-292, [17b-294a,] 17b-295, 17b-297a, 17b-297b and 17b-300; |
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149 | | - | (15) "HUSKY C" means Medicaid provided to individuals who are |
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150 | | - | sixty-five years of age or older or who are blind or have a disability; |
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151 | | - | (16) "HUSKY D" or "Medicaid Coverage for the Lowest Income |
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152 | | - | Populations program" means Medicaid provided to nonpregnant low- |
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153 | | - | income adults who are age eighteen to sixty-four, as authorized Senate Bill No. 909 |
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| 116 | + | LCO 2733 {\\PRDFS1\SCOUSERS\FORZANOF\WS\2021SB-00909- |
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| 117 | + | R01-SB.docx } |
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| 118 | + | 4 of 8 |
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155 | | - | Public Act No. 21-123 6 of 8 |
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| 120 | + | Sec. 3. Section 17b-290 of the general statutes is repealed and the 79 |
---|
| 121 | + | following is substituted in lieu thereof (Effective from passage): 80 |
---|
| 122 | + | As used in this section and sections 17b-292, [17b-294a,] 17b-295, as 81 |
---|
| 123 | + | amended by this act, 17b-297a, 17b-297b and 17b-300: 82 |
---|
| 124 | + | (1) "Applicant" means an individual over the age of eighteen years 83 |
---|
| 125 | + | who is a natural or adoptive parent, a legal guardian, a caretaker 84 |
---|
| 126 | + | relative, foster parent or stepparent with whom the child resides and 85 |
---|
| 127 | + | shall include a child who is eighteen years of age or emancipated in 86 |
---|
| 128 | + | accordance with the provisions of sections 46b-150 to 46b-150e, 87 |
---|
| 129 | + | inclusive, and who is applying on his own behalf or on behalf of a minor 88 |
---|
| 130 | + | dependent for coverage under such plan; 89 |
---|
| 131 | + | (2) "Child" means an individual under nineteen years of age; 90 |
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| 132 | + | (3) "Coinsurance" means the sharing of health care expenses by the 91 |
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| 133 | + | insured and an insurer in a specified ratio; 92 |
---|
| 134 | + | (4) "Commissioner" means the Commissioner of Social Services; 93 |
---|
| 135 | + | (5) "Copayment" means a payment made on behalf of a member for a 94 |
---|
| 136 | + | specified service under HUSKY B; 95 |
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| 137 | + | (6) "Cost sharing" means arrangements made on behalf of a member 96 |
---|
| 138 | + | whereby an applicant pays a portion of the cost of health services, 97 |
---|
| 139 | + | sharing costs with the state and includes copayments, premiums, 98 |
---|
| 140 | + | deductibles and coinsurance; 99 |
---|
| 141 | + | (7) "Deductible" means the amount of out-of-pocket expenses that 100 |
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| 142 | + | would be paid for health services on behalf of a member before 101 |
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| 143 | + | becoming payable by the insurer; 102 |
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| 144 | + | (8) "Department" means the Department of Social Services; 103 |
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| 145 | + | (9) "Durable medical equipment" means equipment that meets all of 104 |
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| 146 | + | the following requirements: 105 Raised Bill No. 909 |
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157 | | - | pursuant to section 17b-8a; |
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158 | | - | (17) "HUSKY Health" means the combined HUSKY A , HUSKY B, |
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159 | | - | HUSKY C and HUSKY D programs, that provide medical coverage to |
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160 | | - | eligible children, parents, relative caregivers, persons age sixty-five or |
---|
161 | | - | older, individuals with disabilities, low-income adults, and pregnant |
---|
162 | | - | women; |
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163 | | - | [(18) "HUSKY Plus" means the supplemental health program |
---|
164 | | - | established pursuant to section 17b-294a for medically eligible members |
---|
165 | | - | of HUSKY B whose medical needs cannot be accommodated within the |
---|
166 | | - | basic benefit package offered to members. HUSKY Plus shall |
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167 | | - | supplement coverage for those medically eligible members with |
---|
168 | | - | intensive physical health needs;] |
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169 | | - | [(19)] (18) "Member" means an eligible beneficiary who receives |
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170 | | - | services under HUSKY A, B, C or D; |
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171 | | - | [(20)] (19) "Parent" means a natural parent, stepparent, adoptive |
---|
172 | | - | parent, guardian or custodian of a child; |
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173 | | - | [(21)] (20) "Premium" means any required payment made by an |
---|
174 | | - | individual to offset the cost under HUSKY B; |
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175 | | - | [(22)] (21) "Qualified entity" means any entity: (A) Eligible for |
---|
176 | | - | payments under a state plan approved under Medicaid and which |
---|
177 | | - | provides medical services under HUSKY A, or (B) that is a qualified |
---|
178 | | - | entity, as defined in 42 USC 1396r-1a, as amended by Section 708 of |
---|
179 | | - | Public Law 106-554, and that is determined by the commissioner to be |
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180 | | - | capable of making the determination of eligibility. The commissioner |
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181 | | - | shall provide qualified entities with such forms or information on filing |
---|
182 | | - | an application electronically as is necessary for an application to be |
---|
183 | | - | made on behalf of a child under HUSKY A and information on how to |
---|
184 | | - | assist parents, guardians and other persons in completing and filing |
---|
185 | | - | such forms or electronic application; Senate Bill No. 909 |
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189 | | - | [(23)] (22) "WIC" means the federal Special Supplemental Food |
---|
190 | | - | Program for Women, Infants and Children administered by the |
---|
191 | | - | Department of Public Health pursuant to section 19a-59c. |
---|
192 | | - | Sec. 4. Section 17b-304 of the general statutes is repealed and the |
---|
193 | | - | following is substituted in lieu thereof (Effective from passage): |
---|
194 | | - | The Commissioner of Social Services shall implement the policies and |
---|
195 | | - | procedures necessary to carry out the provisions of sections 17b-292, |
---|
196 | | - | [17b-294a,] 17b-295, as amended by this act, 17b-297a, 17b-297b and 17b- |
---|
197 | | - | 300 while in the process of adopting such policies and procedures in |
---|
198 | | - | regulation form, provided notice of intent to adopt the regulations is |
---|
199 | | - | published on the Department of Social Services' Internet web site and |
---|
200 | | - | the eRegulations System not later than twenty days after |
---|
201 | | - | implementation. Such policies and procedures shall be valid until the |
---|
202 | | - | time final regulations are effective. |
---|
203 | | - | Sec. 5. Subdivision (4) of subsection (b) of section 12-202a of the |
---|
204 | | - | general statutes is repealed and the following is substituted in lieu |
---|
205 | | - | thereof (Effective from passage): |
---|
206 | | - | (4) Any new or renewal contract or policy entered into with the state |
---|
207 | | - | on or after April 1, 1998, to provide health care coverage to eligible |
---|
208 | | - | beneficiaries under the HUSKY Health program, [or HUSKY Plus |
---|
209 | | - | program, each] as defined in section 17b-290; |
---|
210 | | - | Sec. 6. Subsection (b) of section 12-202b of the general statutes is |
---|
211 | | - | repealed and the following is substituted in lieu thereof (Effective from |
---|
212 | | - | passage): |
---|
213 | | - | (b) The amount of credit allowed shall be equal to fifty-five dollars |
---|
214 | | - | multiplied by the sum of the number of persons provided health care |
---|
215 | | - | coverage by the taxpayer under the HUSKY Health program, [or the |
---|
216 | | - | HUSKY Plus program, each] as defined in section 17b-290, as amended |
---|
217 | | - | by this act, on the first day of each month of the income year for which Senate Bill No. 909 |
---|
| 153 | + | (A) Can withstand repeated use; 106 |
---|
| 154 | + | (B) Is primarily and customarily used to serve a medical purpose; 107 |
---|
| 155 | + | (C) Generally is not useful to a person in the absence of an illness or 108 |
---|
| 156 | + | injury; and 109 |
---|
| 157 | + | (D) Is nondisposable; 110 |
---|
| 158 | + | (10) "Eligible beneficiary" means a child who meets the requirements 111 |
---|
| 159 | + | in section 17b-292, and the requirements specified in Section 112 |
---|
| 160 | + | 2110(b)(2)(B) of the Social Security Act as amended by Section 113 |
---|
| 161 | + | 10203(b)(2)(D) of the Affordable Care Act; 114 |
---|
| 162 | + | (11) "Household" has the same meaning as provided in 42 CFR 115 |
---|
| 163 | + | 435.603; 116 |
---|
| 164 | + | (12) "Household income" has the same meaning as provided in 42 117 |
---|
| 165 | + | CFR 435.603; 118 |
---|
| 166 | + | (13) "HUSKY A" means Medicaid provided to children, caretaker 119 |
---|
| 167 | + | relatives and pregnant and postpartum women pursuant to section 17b-120 |
---|
| 168 | + | 261 or 17b-277; 121 |
---|
| 169 | + | (14) "HUSKY B" means the health coverage for children established 122 |
---|
| 170 | + | pursuant to the provisions of sections 17b-290, as amended by this act, 123 |
---|
| 171 | + | 17b-292, [17b-294a,] 17b-295, 17b-297a, 17b-297b and 17b-300; 124 |
---|
| 172 | + | (15) "HUSKY C" means Medicaid provided to individuals who are 125 |
---|
| 173 | + | sixty-five years of age or older or who are blind or have a disability; 126 |
---|
| 174 | + | (16) "HUSKY D" or "Medicaid Coverage for the Lowest Income 127 |
---|
| 175 | + | Populations program" means Medicaid provided to nonpregnant low-128 |
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| 176 | + | income adults who are age eighteen to sixty-four, as authorized 129 |
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| 177 | + | pursuant to section 17b-8a; 130 |
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| 178 | + | (17) "HUSKY Health" means the combined HUSKY A, HUSKY B, 131 |
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| 179 | + | HUSKY C and HUSKY D programs, that provide medical coverage to 132 Raised Bill No. 909 |
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221 | | - | the credit is taken, divided by twelve. |
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222 | | - | Sec. 7. Subsection (b) of section 12-202c of the general statutes is |
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223 | | - | repealed and the following is substituted in lieu thereof (Effective from |
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224 | | - | passage): |
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225 | | - | (b) For the fiscal year ending June 30, 2003, any company that |
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226 | | - | received a payment under subsection (a) of this section shall be entitled |
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227 | | - | to an additional supplemental payment equal to thirty-six dollars and |
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228 | | - | seventy-five cents multiplied by the sum of the number of persons |
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229 | | - | provided health care coverage by the taxpayer under the HUSKY Health |
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230 | | - | program, [or the HUSKY Plus program, each] as defined in section 17b- |
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231 | | - | 290, as amended by this act, on the first day of each month, January to |
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232 | | - | June, inclusive, of 2002, divided by six. |
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233 | | - | Sec. 8. Section 17b-294a of the general statutes is repealed. (Effective |
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234 | | - | from passage) |
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| 184 | + | 6 of 8 |
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| 185 | + | |
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| 186 | + | eligible children, parents, relative caregivers, persons age sixty-five or 133 |
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| 187 | + | older, individuals with disabilities, low-income adults, and pregnant 134 |
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| 188 | + | women; 135 |
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| 189 | + | [(18) "HUSKY Plus" means the supplemental health program 136 |
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| 190 | + | established pursuant to section 17b-294a for medically eligible members 137 |
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| 191 | + | of HUSKY B whose medical needs cannot be accommodated within the 138 |
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| 192 | + | basic benefit package offered to members. HUSKY Plus shall 139 |
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| 193 | + | supplement coverage for those medically eligible members with 140 |
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| 194 | + | intensive physical health needs;] 141 |
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| 195 | + | [(19)] (18) "Member" means an eligible beneficiary who receives 142 |
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| 196 | + | services under HUSKY A, B, C or D; 143 |
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| 197 | + | [(20)] (19) "Parent" means a natural parent, stepparent, adoptive 144 |
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| 198 | + | parent, guardian or custodian of a child; 145 |
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| 199 | + | [(21)] (20) "Premium" means any required payment made by an 146 |
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| 200 | + | individual to offset the cost under HUSKY B; 147 |
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| 201 | + | [(22)] (21) "Qualified entity" means any entity: (A) Eligible for 148 |
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| 202 | + | payments under a state plan approved under Medicaid and which 149 |
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| 203 | + | provides medical services under HUSKY A, or (B) that is a qualified 150 |
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| 204 | + | entity, as defined in 42 USC 1396r-1a, as amended by Section 708 of 151 |
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| 205 | + | Public Law 106-554, and that is determined by the commissioner to be 152 |
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| 206 | + | capable of making the determination of eligibility. The commissioner 153 |
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| 207 | + | shall provide qualified entities with such forms or information on filing 154 |
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| 208 | + | an application electronically as is necessary for an application to be 155 |
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| 209 | + | made on behalf of a child under HUSKY A and information on how to 156 |
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| 210 | + | assist parents, guardians and other persons in completing and filing 157 |
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| 211 | + | such forms or electronic application; 158 |
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| 212 | + | [(23)] (22) "WIC" means the federal Special Supplemental Food 159 |
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| 213 | + | Program for Women, Infants and Children administered by the 160 |
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| 214 | + | Department of Public Health pursuant to section 19a-59c. 161 |
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| 215 | + | Sec. 4. Section 17b-304 of the general statutes is repealed and the 162 Raised Bill No. 909 |
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| 216 | + | |
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| 217 | + | |
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| 220 | + | 7 of 8 |
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| 221 | + | |
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| 222 | + | following is substituted in lieu thereof (Effective from passage): 163 |
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| 223 | + | The Commissioner of Social Services shall implement the policies and 164 |
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| 224 | + | procedures necessary to carry out the provisions of sections 17b-292, 165 |
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| 225 | + | [17b-294a,] 17b-295, as amended by this act, 17b-297a, 17b-297b and 17b-166 |
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| 226 | + | 300 while in the process of adopting such policies and procedures in 167 |
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| 227 | + | regulation form, provided notice of intent to adopt the regulations is 168 |
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| 228 | + | published on the Department of Social Services' Internet web site and 169 |
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| 229 | + | the eRegulations System not later than twenty days after 170 |
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| 230 | + | implementation. Such policies and procedures shall be valid until the 171 |
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| 231 | + | time final regulations are effective. 172 |
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| 232 | + | Sec. 5. Subdivision (4) of subsection (b) of section 12-202a of the 173 |
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| 233 | + | general statutes is repealed and the following is substituted in lieu 174 |
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| 234 | + | thereof (Effective from passage): 175 |
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| 235 | + | (4) Any new or renewal contract or policy entered into with the state 176 |
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| 236 | + | on or after April 1, 1998, to provide health care coverage to eligible 177 |
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| 237 | + | beneficiaries under the HUSKY Health program, [or HUSKY Plus 178 |
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| 238 | + | program, each] as defined in section 17b-290; 179 |
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| 239 | + | Sec. 6. Subsection (b) of section 12-202b of the general statutes is 180 |
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| 240 | + | repealed and the following is substituted in lieu thereof (Effective from 181 |
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| 241 | + | passage): 182 |
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| 242 | + | (b) The amount of credit allowed shall be equal to fifty-five dollars 183 |
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| 243 | + | multiplied by the sum of the number of persons provided health care 184 |
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| 244 | + | coverage by the taxpayer under the HUSKY Health program, [or the 185 |
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| 245 | + | HUSKY Plus program, each] as defined in section 17b-290, as amended 186 |
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| 246 | + | by this act, on the first day of each month of the income year for which 187 |
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| 247 | + | the credit is taken, divided by twelve. 188 |
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| 248 | + | Sec. 7. Subsection (b) of section 12-202c of the general statutes is 189 |
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| 249 | + | repealed and the following is substituted in lieu thereof (Effective from 190 |
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| 250 | + | passage): 191 |
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| 251 | + | (b) For the fiscal year ending June 30, 2003, any company that 192 Raised Bill No. 909 |
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| 252 | + | |
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| 253 | + | |
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| 256 | + | 8 of 8 |
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| 257 | + | |
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| 258 | + | received a payment under subsection (a) of this section shall be entitled 193 |
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| 259 | + | to an additional supplemental payment equal to thirty-six dollars and 194 |
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| 260 | + | seventy-five cents multiplied by the sum of the number of persons 195 |
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| 261 | + | provided health care coverage by the taxpayer under the HUSKY Health 196 |
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| 262 | + | program, [or the HUSKY Plus program, each] as defined in section 17b-197 |
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| 263 | + | 290, as amended by this act, on the first day of each month, January to 198 |
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| 264 | + | June, inclusive, of 2002, divided by six. 199 |
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| 265 | + | Sec. 8. Section 17b-294a of the general statutes is repealed. (Effective 200 |
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| 266 | + | from passage) 201 |
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| 267 | + | This act shall take effect as follows and shall amend the following |
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| 268 | + | sections: |
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| 269 | + | |
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| 270 | + | Section 1 from passage 17b-295(a) |
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| 271 | + | Sec. 2 from passage 17b-266 |
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| 272 | + | Sec. 3 from passage 17b-290 |
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| 273 | + | Sec. 4 from passage 17b-304 |
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| 274 | + | Sec. 5 from passage 12-202a(b)(4) |
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| 275 | + | Sec. 6 from passage 12-202b(b) |
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| 276 | + | Sec. 7 from passage 12-202c(b) |
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| 277 | + | Sec. 8 from passage Repealer section |
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| 278 | + | |
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| 279 | + | HS Joint Favorable |
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