OFFICE OF FISCAL ANALYSIS
Legislative Office Building, Room 5200
Hartford, CT 06106 (860) 240-0200
http://www.cga.ct.gov/ofa
sSB-989
AN ACT CONCERNING NURSING HOME AIR CONDITIONING,
COST REPORTING TRANSPARENCY, WAITING LIST
REQUIREMENTS, INVOLUNTARY PATIENT TRANSFER NOTICES
AND TRANSPORTATION FOR RESIDENT SOCIAL VISITS.
Primary Analyst: RDP 4/12/23
Contributing Analyst(s): LD, CG, ES
OFA Fiscal Note
State Impact:
Agency Affected Fund-Effect FY 24 $ FY 25 $
Connecticut Health and
Educational Facilities Authority
See Below - See
Below
See Below See Below
Social Services, Dept. GF - See Below See Below See Below
Note: GF=General Fund
Municipal Impact: None
Explanation
The fiscal impacts of the bill are broken out by section below. Other
provisions of the bill are not anticipated to result in a fiscal impact to the
State or municipalities.
Section 2 results in a potential fiscal impact to the Connecticut Health
and Educational Facilities Authority (CHEFA) to provide financial
assistance to nursing homes for costs incurred to install air conditioning
systems in each resident room, through a revolving loan account. The
bill does not specify a funding source for the revolving loan account and
makes such loans subject to requirements to be determined by CHEFA.
No new loan may be made after January 1, 2026, and any remaining
funds may be withdrawn by the authority from such account and used
for other purposes of the authority.
Section 5 results in a cost to the Department of Social Services (DSS)
associated with establishing a grant program for nursing homes to 2023SB-00989-R000554-FN.DOCX Page 2 of 2
provide for the nonemergency transportation of residents to the homes
of nearby family members. The extent of the cost is dependent on the
parameters of the grant program established by the bill and within
available appropriations.
Section 7 could result in a revenue gain or cost savings 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. The fine may be paid to the General Fund and credited
to the Medicaid account, or DSS may collect the fine through reduced
Medicaid payments due to such facilities.
The Out Years
The annualized ongoing fiscal impact identified above would
continue into the future.