OFFICE OF FISCAL ANALYSIS Legislative Office Building, Room 5200 Hartford, CT 06106 (860) 240-0200 http://www.cga.ct.gov/ofa sHB-5040 AN ACT CONCERNING THE GOVERNOR'S BUDGET RECOMMENDATIONS FOR HUMAN SERVICES. Primary Analyst: ES 3/21/22 Contributing Analyst(s): RDP, LD OFA Fiscal Note State Impact: Agency Affected Fund-Effect FY 23 $ FY 24 $ Social Services, Dept. / Public Health, Dept. FF - Transfer to/from 3,000,000 3,000,000 Social Services, Dept. GF - Potential Savings See Below See Below Note: GF=General Fund; FF=Federal Funds Municipal Impact: None Explanation Section 1, which makes changes to a Department of Public Health (DPH) grant program for community-based providers of primary care services, has no net fiscal impact as it does not change the total funding available to support the program. Sections 2-3 transfer the administration of the Community Health Worker Grant Program and associated American Rescue Plan Act (ARPA) funding totaling $6 million from DPH to the Department of Social Services (DSS). Section 2 also adjusts how the funding can be distributed and extends the date by which grants must be distributed but does not change the total funding allocated to the program. Section 4, which expands how temporary financial relief can be provided to nursing homes using federal ARPA funds, has no net fiscal impact as it does not change the total funding allocation available for such relief. 2022HB-05040-R000054-FN.DOCX Page 2 of 2 Section 5 limits the timeframe in which intermediate care facilities can receive a minimum per diem, per bed rate of $501 by specifying the increased minimum rate is for the purposes of providing pandemic- related support. To the extent this requires DSS to make payments utilizing a lower rate than they otherwise would have, the state could experience a General Fund savings. The total cost associated with the increased minimum rate of $501 is $2.8 million in FY 23. The Out Years Section 2 extends the timeframe in which grants (using ARPA funds) can be distributed to community health workers, from June 30, 2023 to June 30, 2024.