OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
sSB-1030
AN ACT CONCERNING LONG -TERM CARE FACILITIES.
AMENDMENT
LCO No.: 9433
File Copy No.: 457
Senate Calendar No.: 281
Primary Analyst: ES 5/27/21
Contributing Analyst(s): (FN)
OFA Fiscal Note
See Fiscal Note Details
The amendment strikes the language in the underlying bill and the
associated fiscal impact.
The amendment results in a cost to the Department of Social Services
associated with eliminating the distinction between a chronic and
convalescent nursing home and a rest home with nursing supervision
and increasing minimum staffing level requirements in nursing homes.
The amendment requires the Department of Public Health (DPH) to
establish a minimum staffing level of three hours of direct care per
resident per day, by January 1, 2022. Based on 2019 cost report data,
there are several homes providing less than three hours of direct care
per resident per day. The total cost for these homes to meet the
amendment's provisions is approximately $600,000 to $1 million. If the
state supported those costs through increased rates, it would result in a
state Medicaid cost of $300,000 to $500,000. The actual cost depends on
the number and type of staff required.
The amendment also requires DPH to modify staffing requirements
to (1) include one full-time social worker per sixty residents, and (2)
reduce current staffing requirements for recreational staff. The net
impact will depend on the adjusted staffing required for each home and
the extent to which associated costs are reflected in Medicaid rates. 2021SB-01030-R00LCO09433-FNA.DOCX Page 2 of 2
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: 2019 Annual Cost Reports of Long Term Care Facilities per the Department of
Social Services