OFFICE OF FISCAL ANALYSIS Legislative Office Building, Room 5200 Hartford, CT 06106 (860) 240-0200 http://www.cga.ct.gov/ofa sSB-946 AN ACT CONCERNING THE CONNECTICUT HOME -CARE PROGRAM FOR THE ELDERLY. Primary Analyst: ES 5/3/23 Contributing Analyst(s): LD OFA Fiscal Note State Impact: Agency Affected Fund-Effect FY 24 $ FY 25 $ Social Services, Dept. GF - Cost See Below See Below Note: GF=General Fund Municipal Impact: None Explanation The bill results in increased costs to the Department of Social Services (DSS) associated with decreasing client cost sharing requirements under the Connecticut Home Care Program from three percent to two percent of the cost of care, resulting in a state cost of approximately $300,000 annually. The bill also results in a cost to DSS due to requiring that family caregivers, including spouses, be compensated for personal care assistance services. This increases costs to DSS associated with clients who would not otherwise access PCA services, but will do so if provided by their spouse. The extent of the cost is unknown and is based on the number of home care clients who would utilize PCA services through a family member not currently eligible for such reimbursement. For context, there are approximately 12,400 clients on the Home Care Waiver program and 1,700 on the state-funded program. The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to service utilization.