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.
As Amended by Senate "A" (LCO 9433)
House Calendar No.: 568
Senate Calendar No.: 281
Primary Analyst: ES 5/28/21
Contributing Analyst(s):
OFA Fiscal Note
State Impact: See Below
Municipal Impact: None
The bill 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 bill 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 bill'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 bill 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-R01-FN.DOCX Page 2 of 2
Senate "A" strikes the language in the underlying bill and the
associated fiscal impact and results in the impact described above.
The Out Years
The annualized ongoing fiscal impact identified above would
continue into the future subject to inflation.
Sources: 2019 Annual Cost Reports of Long Term Care Facilities per the Department of
Social Services