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. AMENDMENT LCO No.: 10117 File Copy No.: 554 House Calendar No.: 604 Senate Calendar No.: 326 Primary Analyst: ES 6/7/23 Contributing Analyst(s): (FN) OFA Fiscal Note See Fiscal Note Details The amendment strikes the language in the underlying bill and the associated fiscal impact. Section 1 of the amendment requires the Department of Social Services (DSS) to conduct a two-part study of Medicaid rates of reimbursement, within available appropriations, resulting in a cost of approximately $1 million in FY 24 and $2 million in FY 25 to contract for the comprehensive study. The study must include (1) an examination of rates for physician specialists, dentists, and behavioral health providers, and (2) a review of the reimbursement system for all other aspects of the Medicaid program. Section 2 requires state agencies that contract with a nonprofit private provider organization for health and human services to allow such nonprofit organization to retain any savings from a purchase of service contract at the end of each fiscal year, after meeting certain requirements. This provision is not anticipated to result in a net fiscal impact to the state. 2023SB-00989-R00LCO10117-FNA.DOCX Page 2 of 2 Section 3 eliminates an OPM incentive program for nonprofit human service providers, similar to the program established in Section 2. Section 4 requires the Department of Social Services (DSS) to design and implement a program to provide Medicaid reimbursement to certified community health workers. The extent of cost to the state depends on the Medicaid rate to be established and the utilization of services provided by community health workers. Sections 5 – 6, which allow facilities to provide nonemergency transportation to residents in certain circumstances and establish a working group concerning nursing home waiting list requirements, have no fiscal impact to the state. The preceding Fiscal Impact statement is prepared for the benefit of the members of the General Assembly, solely for the purposes of information, summarization and explanation and does not represent the intent of the General Assembly or either chamber thereof for any purpose. In general, fiscal impacts are based upon a variety of informational sources, including the analyst’s professional knowledge. Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.