OFFICE OF FISCAL ANALYSIS Legislative Office Building, Room 5200 Hartford, CT 06106 (860) 240-0200 http://www.cga.ct.gov/ofa sHB-5396 AN ACT INCREASING ACCESS TO MENTAL HEALTH MEDICATION. Primary Analyst: ES 3/30/22 Contributing Analyst(s): ME OFA Fiscal Note State Impact: Agency Affected Fund-Effect FY 23 $ FY 24 $ Mental Health & Addiction Serv., Dept. GF - Cost 3,000,000 See Below Mental Health & Addiction Serv., Dept. GF - Cost at least 86,000 at least 86,000 State Comptroller - Fringe Benefits 1 GF - Cost at least 34,800 at least 34,800 Note: GF=General Fund Municipal Impact: None Explanation The bill results in a cost to the Department of Mental Health and Addiction Services (DMHAS) associated with establishing a psychedelic-assisted therapy pilot program to provide grants to applicants to provide MDMA-assisted or psilocybin-assisted therapy to qualified patients, as part of an expanded access program approved by the federal Food and Drug Administration (FDA). Such grants will be funded through the Qualified Patients for Approved Treatment Sites Fund, known as the PAT Fund, established by the bill and administered by DMHAS. The bill appropriates $3 million to the PAT Fund in FY 23, with at least $1.5 million to be distributed to approved treatment sites 1 The fringe benefit costs for most state employees are budgeted centrally in accounts administered by the Comptroller. The estimated active employee fringe benefit cost associated with most personnel changes is 40.53% of payroll in FY 23. 2022HB-05396-R000237-FN.DOCX Page 2 of 2 that year. DMHAS may deposit other funds into the PAT Fund. DMHAS will incur additional costs of at least $86,000 (with associated fringe benefits of $34,800) for a Behavioral Health Program Manager to administer the grant program. The bill makes technical, conforming, and other changes that have no fiscal impact. The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to inflation. The pilot program will end when MDMA and psilocybin have been approved to have a medical use by the Drug Enforcement Administration (DEA), or its successor.