OFFICE OF FISCAL ANALYSIS Legislative Office Building, Room 5200 Hartford, CT 06106 (860) 240-0200 http://www.cga.ct.gov/ofa sHB-6678 AN ACT CONCERNING NURSING HOME TRANSPARENCY. As Amended by House "A" (LCO 7123) House Calendar No.: 71 Senate Calendar No.: 396 Primary Analyst: ES 5/1/23 Contributing Analyst(s): OFA Fiscal Note State Impact: Agency Affected Fund-Effect FY 24 $ FY 25 $ Social Services, Dept. GF - Potential Revenue Gain See Below See Below Note: GF=General Fund Municipal Impact: None Explanation The bill could result in a revenue gain to the Department of Social Services (DSS) associated with fines for nursing homes due to noncompliance with documentation requirements established by the bill. The bill requires nursing homes to provide narrative summaries of expenditures in addition to their currently required cost reports. Failure to comply with the provisions of the bill could result in a fine of not more than $10,000 for each incident of noncompliance. Fines must be paid to the General Fund and credited to the Medicaid account. House “A” removes language allowing DSS to offset payments to a facility in order to collect penalties, which eliminates the associated potential cost savings to the agency. The amendment maintains the potential revenue gain to DSS associated with the collection of penalty payments. The Out Years 2023HB-06678-R010670-FN.DOCX Page 2 of 2 The annualized ongoing fiscal impact identified above would continue into the future subject to the rate of noncompliance and the amount of fines levied.