OFFICE OF FISCAL ANALYSIS Legislative Office Building, Room 5200 Hartford, CT 06106 (860) 240-0200 http://www.cga.ct.gov/ofa sHB-5313 AN ACT CONCERNING REGISTRATION OF TEMPORARY NURSING SERVICES AGENCIES AND MAXIMUM RATES FOR TEMPORARY NURSING SERVICES AT NURSING HOME FACILITIES. Primary Analyst: ES 3/28/22 Contributing Analyst(s): LD, MR, PR Reviewer: LD OFA Fiscal Note State Impact: Agency Affected Fund-Effect FY 23 $ FY 24 $ Public Health, Dept. GF - Revenue Gain See Below See Below Social Services, Dept. GF - Potential See Below See Below Note: GF=General Fund Municipal Impact: None Explanation The bill results in a revenue gain to the Department of Public Health (DPH) associated with registration fees for temporary nursing services. The revenue gain is dependent on the fee established (up to $750 annually) and the number of registrations. The bill also requires the Department of Social Services (DSS), in consultation with DPH, to set the maximum rates temporary nursing services agencies may charge nursing homes by type of nursing personnel. To the extent this impacts the level of Medicaid reimbursement provided to nursing homes for staffing costs, the state could be impacted. Maximum rates must be established by 1/1/23. The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to inflation.