OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
sHB-6643
AN ACT CONCERNING MEDICAID REIMBURSEMENT FOR
MENTAL HEALTH AND SUICIDE RISK ASSESSMENTS
CONDUCTED AT SCHOOL -BASED HEALTH CENTERS AND
INSURANCE COVERAGE FOR THE PROVISION OF MENTAL
HEALTH WELLNESS EXAMINATIONS.
Primary Analyst: ES 3/13/23
Contributing Analyst(s): RDP, DD, LD, LG
Reviewer: LD
OFA Fiscal Note
State Impact:
Agency Affected Fund-Effect FY 24 $ FY 25 $
Social Services, Dept. GF - Potential See Below See Below
Note: GF=General Fund
Municipal Impact:
Municipalities Effect FY 24 $ FY 25 $
Various Municipalities Potential
Revenue
Gain
See Below See Below
Explanation
The bill could result in a fiscal impact to the Department of Social
Services (DSS) associated with establishing Medicaid coverage for
suicide risk assessments and mental health evaluations provided at
school-based health centers or public schools. DSS currently covers
comprehensive psychiatric diagnostic evaluations at these locations. To
the extent the bill requires DSS to establish coverage for a new, less
comprehensive screening DSS could experience a fiscal impact. This
impact is dependent on the utilization of the service and rate established
for such screening.
The bill could also result in a revenue gain to towns to the extent they 2023HB-06643-R000058-FN.DOCX Page 2 of 2
would receive Medicaid reimbursement for services currently provided
by schools but are not reimbursable.
The Out Years
The annualized ongoing fiscal impact identified above would
continue into the future subject to service utilization and the Medicaid
rate established.