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General Assembly Raised Bill No. 1110
January Session, 2023
LCO No. 4248
Referred to Committee on HUMAN SERVICES
Introduced by:
(HS)
AN ACT CONCERNING VARIOUS REVISIONS TO THE DEPARTMENT
OF SOCIAL SERVICES STATUTES.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Section 17b-8 of the general statutes is repealed and the 1
following is substituted in lieu thereof (Effective from passage): 2
(a) The Commissioner of Social Services shall submit an application 3
for a federal waiver or renewal of such waiver of any assistance program 4
requirements, except such application pertaining to routine operational 5
issues, and any proposed amendment to the Medicaid state plan to 6
make a change in program requirements that would have required a 7
waiver were it not for the passage of the Patient Protection and 8
Affordable Care Act, P.L. 111-148, and the Health Care and Education 9
Reconciliation Act of 2010, P.L. 111-152 to the joint standing committees 10
of the General Assembly having cognizance of matters relating to 11
human services and appropriations and the budgets of state agencies, 12
and, for the waiver application required under section 17b-312, the joint 13
standing committee of the General Assembly having cognizance of 14
matters relating to insurance, prior to the submission of such application 15 Raised Bill No. 1110
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or proposed amendment to the federal government. Not later than thirty 16
days after the date of their receipt of such application or proposed 17
amendment, the joint standing committees shall: (1) Hold a public 18
hearing on the waiver application, or (2) in the case of a proposed 19
amendment to the Medicaid state plan, notify the Commissioner of 20
Social Services whether or not said joint standing committees intend to 21
hold a public hearing. Any notice to the commissioner indicating that 22
the joint standing committees intend to hold a public hearing on a 23
proposed amendment to the Medicaid state plan shall state the date on 24
which the joint standing committees intend to hold such public hearing, 25
which shall not be later than sixty days after the joint standing 26
committees' receipt of the proposed amendment. At the conclusion of a 27
public hearing held in accordance with the provisions of this section, the 28
joint standing committees shall advise the commissioner of their 29
approval, denial or modifications, if any, of the commissioner's waiver 30
application or proposed amendment. If the joint standing committees 31
advise the commissioner of their denial of the commissioner's waiver 32
application or proposed amendment, the commissioner shall not submit 33
the application for a federal waiver or proposed amendment to the 34
federal government. If such committees do not concur, the committee 35
chairpersons shall appoint a committee of conference which shall be 36
composed of three members from each joint standing committee. At 37
least one member appointed from each joint standing committee shall 38
be a member of the minority party. The report of the committee of 39
conference shall be made to each joint standing committee, which shall 40
vote to accept or reject the report. The report of the committee of 41
conference may not be amended. If a joint standing committee rejects 42
the report of the committee of conference, that joint standing committee 43
shall notify the commissioner of the rejection and the commissioner's 44
waiver application or proposed amendment shall be deemed approved. 45
If the joint standing committees accept the report, the committee having 46
cognizance of matters relating to appropriations and the budgets of state 47
agencies shall advise the commissioner of their approval, denial or 48
modifications, if any, of the commissioner's waiver application or 49
proposed amendment. If the joint standing committees do not so advise 50 Raised Bill No. 1110
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the commissioner during the thirty-day period, the waiver application 51
or proposed amendment shall be deemed approved. Any application 52
for a federal waiver, waiver renewal or proposed amendment submitted 53
to the federal government by the commissioner, pursuant to this section, 54
shall be in accordance with the approval or modifications, if any, of the 55
joint standing committees of the General Assembly having cognizance 56
of matters relating to human services and appropriations and the 57
budgets of state agencies, and, for the waiver application required under 58
section 17b-312, the joint standing committee of the General Assembly 59
having cognizance of matters relating to insurance. 60
[(b) The Commissioner of Social Services shall annually, not later 61
than December fifteenth, notify the joint standing committee of the 62
General Assembly having cognizance of matters relating to 63
appropriations and the budgets of state agencies and the joint standing 64
committee of the General Assembly having cognizance of matters 65
relating to human services of potential Medicaid waivers and 66
amendments to the Medicaid state plan that may result in a cost savings 67
for the state. The commissioner shall notify the committees of the 68
possibility of any Medicaid waiver application or proposed amendment 69
to the Medicaid state plan that the commissioner is considering in 70
developing a budget for the next fiscal year before the commissioner 71
submits such budget for legislative approval.] 72
[(c)] (b) Thirty days prior to submission of an application for a waiver 73
from federal law, renewal of such waiver or proposed amendment to 74
the joint standing committees of the General Assembly under subsection 75
(a) of this section, the Commissioner of Social Services shall publish a 76
notice that the commissioner intends to seek such a waiver or waiver 77
renewal, or submit a proposed amendment to the federal government 78
in the Connecticut Law Journal and on the Department of Social 79
Services' Internet web site, along with a summary of the provisions of 80
the waiver application or the proposed amendment and the manner in 81
which individuals may submit comments. The commissioner shall 82
allow thirty days for written comments on the waiver application or 83
proposed amendment prior to submission of the application for a 84 Raised Bill No. 1110
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waiver, waiver renewal or proposed amendment to the General 85
Assembly under subsection (a) of this section and shall include all 86
written comments with the waiver, waiver renewal application or 87
proposed amendment in the submission to the General Assembly. 88
[(d)] (c) The commissioner shall include with any waiver application 89
or proposed amendment submitted to the federal government pursuant 90
to this section: (1) Any written comments received pursuant to 91
subsection [(c)] (b) of this section; and (2) any additional written 92
comments submitted to the joint standing committees at such 93
proceedings. The joint standing committees shall transmit any such 94
materials to the commissioner for inclusion with any such waiver 95
application or proposed amendment. 96
Sec. 2. Section 17b-265 of the general statutes is repealed and the 97
following is substituted in lieu thereof (Effective October 1, 2023): 98
(a) In accordance with 42 USC 1396k, the Department of Social 99
Services shall be subrogated to any right of recovery or indemnification 100
that an applicant or recipient of medical assistance or any legally liable 101
relative of such applicant or recipient has against an insurer or other 102
legally liable third party including, but not limited to, a self-insured 103
plan, group health plan, as defined in Section 607(1) of the Employee 104
Retirement Income Security Act of 1974, service benefit plan, managed 105
care organization, health care center, pharmacy benefit manager, dental 106
benefit manager, third-party administrator or other party that is, by 107
statute, contract or agreement, legally responsible for payment of a 108
claim for a health care item or service, for the cost of all health care items 109
or services furnished to the applicant or recipient, including, but not 110
limited to, hospitalization, pharmaceutical services, physician services, 111
nursing services, behavioral health services, long-term care services and 112
other medical services, not to exceed the amount expended by the 113
department for such care and treatment of the applicant or recipient. In 114
the case of such a recipient who is an enrollee in a care management 115
organization under a Medicaid care management contract with the state 116
or a legally liable relative of such an enrollee, the department shall be 117 Raised Bill No. 1110
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subrogated to any right of recovery or indemnification which the 118
enrollee or legally liable relative has against such a private insurer or 119
other third party for the medical costs incurred by the care management 120
organization on behalf of an enrollee. Whenever funds owed to a person 121
are collected pursuant to this section and the person who otherwise 122
would have been entitled to such funds is subject to a court-ordered 123
current or arrearage child support payment obligation in an IV-D 124
support case, such funds shall first be paid to the state for 125
reimbursement of Medicaid funds paid on behalf of such person for 126
medical expenses incurred for injuries related to a legal claim by such 127
person that was the subject of the state's right of subrogation, and 128
remaining funds, if any, shall then be paid to the Office of Child Support 129
Services for distribution pursuant to the federally mandated child 130
support distribution system implemented pursuant to subsection (j) of 131
section 17b-179. Any additional claim of the state to the remainder of 132
such funds, if any, shall be paid in accordance with state law. 133
(b) An applicant or recipient or legally liable relative, by the act of the 134
applicant's or recipient's receiving medical assistance, shall be deemed 135
to have made a subrogation assignment and an assignment of claim for 136
benefits to the department. The department shall inform an applicant of 137
such assignments at the time of application. Any entitlements from a 138
contractual agreement with an applicant or recipient, legally liable 139
relative or a state or federal program for such medical services, not to 140
exceed the amount expended by the department, shall be so assigned. 141
Such entitlements shall be directly reimbursable to the department by 142
third party payors. The Department of Social Services may assign its 143
right to subrogation or its entitlement to benefits to a designee or a 144
health care provider participating in the Medicaid program and 145
providing services to an applicant or recipient, in order to assist the 146
provider in obtaining payment for such services. In accordance with 147
subsection (b) of section 38a-472, a provider that has received an 148
assignment from the department shall notify the recipient's health 149
insurer or other legally liable third party including, but not limited to, a 150
self-insured plan, group health plan, as defined in Section 607(1) of the 151 Raised Bill No. 1110
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Employee Retirement Income Security Act of 1974, service benefit plan, 152
managed care organization, health care center, pharmacy benefit 153
manager, dental benefit manager, third-party administrator or other 154
party that is, by statute, contract or agreement, legally responsible for 155
payment of a claim for a health care item or service, of the assignment 156
upon rendition of services to the applicant or recipient. Failure to so 157
notify the health insurer or other legally liable third party shall render 158
the provider ineligible for payment from the department. The provider 159
shall notify the department of any request by the applicant or recipient 160
or legally liable relative or representative of such applicant or recipient 161
for billing information. This subsection shall not be construed to affect 162
the right of an applicant or recipient to maintain an independent cause 163
of action against such third party tortfeasor. 164
(c) Claims for recovery or indemnification submitted by the 165
department, or the department's designee, shall not be denied solely on 166
the basis of the date of the submission of the claim, the type or format of 167
the claim, the lack of prior authorization or the failure to present proper 168
documentation at the point-of-service that is the basis of the claim, if (1) 169
the claim is submitted by the state within the three-year period 170
beginning on the date on which the item or service was furnished; and 171
(2) any action by the state to enforce its rights with respect to such claim 172
is commenced within six years of the state's submission of the claim. 173
(d) (1) A party to whom a claim for recovery or indemnification is 174
submitted for an item or service furnished under the Medicaid state 175
plan, or a waiver of such plan, who requires prior authorization for such 176
item or service shall accept authorization provided by the Department 177
of Social Services that the item or service is covered under such plan or 178
waiver as if such authorization were the prior authorization made by 179
such party for the item or service. 180
(2) The provisions of subdivision (1) of this subsection shall not apply 181
with respect to a claim for recovery or indemnification submitted to 182
Medicare, a Medicare Advantage plan or a Medicare Part D plan. 183 Raised Bill No. 1110
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[(d)] (e) When a recipient of medical assistance has personal health 184
insurance in force covering care or other benefits provided under such 185
program, payment or part-payment of the premium for such insurance 186
may be made when deemed appropriate by the Commissioner of Social 187
Services. The commissioner shall limit reimbursement to medical 188
assistance providers for coinsurance and deductible payments under 189
Title XVIII of the Social Security Act to assure that the combined 190
Medicare and Medicaid payment to the provider shall not exceed the 191
maximum allowable under the Medicaid program fee schedules. 192
[(e)] (f) No self-insured plan, group health plan, as defined in Section 193
607(1) of the Employee Retirement Income Security Act of 1974, service 194
benefit plan, managed care plan, or any plan offered or administered by 195
a health care center, pharmacy benefit manager, dental benefit manager, 196
third-party administrator or other party that is, by statute, contract or 197
agreement, legally responsible for payment of a claim for a health care 198
item or service, shall contain any provision that has the effect of denying 199
or limiting enrollment benefits or excluding coverage because services 200
are rendered to an insured or beneficiary who is eligible for or who 201
received medical assistance under this chapter. No insurer, as defined 202
in section 38a-497a, shall impose requirements on the state Medicaid 203
agency, which has been assigned the rights of an individual eligible for 204
Medicaid and covered for health benefits from an insurer, that differ 205
from requirements applicable to an agent or assignee of another 206
individual so covered. 207
[(f)] (g) The Commissioner of Social Services shall not pay for any 208
services provided under this chapter if the individual eligible for 209
medical assistance has coverage for the services under an accident or 210
health insurance policy. 211
[(g)] (h) An insurer or other legally liable third party, upon receipt of 212
a claim submitted by the department or the department's designee, in 213
accordance with the requirements of subsection (c) of this section, for 214
payment of a health care item or service covered under a state medical 215
assistance program administered by the department, shall, not later 216 Raised Bill No. 1110
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than [ninety] sixty days after receipt of the claim or not later than 217
[ninety] sixty days after the effective date of this section, whichever is 218
later, (1) make payment on the claim, (2) request information necessary 219
to determine its legal obligation to pay the claim, or (3) issue a written 220
reason for denial of the claim. Failure to pay, request information 221
necessary to determine legal obligation to pay or issue a written reason 222
for denial of a claim not later than one hundred twenty days after receipt 223
of the claim, or not later than one hundred twenty days after the 224
effective date of this section, whichever is later, creates an uncontestable 225
obligation to pay the claim. The provisions of this subsection shall apply 226
to all claims, including claims submitted by the department or the 227
department's designee prior to July 1, 2021. 228
[(h)] (i) On and after July 1, 2021, an insurer or other legally liable 229
third party who has reimbursed the department for a health care item 230
or service paid for and covered under a state medical assistance 231
program administered by the department shall, upon determining it is 232
not liable and at risk for cost of the health care item or service, request 233
any refund from the department not later than twelve months from the 234
date of its reimbursement to the department. 235
Sec. 3. Section 17b-265g of the general statutes is repealed and the 236
following is substituted in lieu thereof (Effective October 1, 2023): 237
Any health insurer, including a self-insured plan, group health plan, 238
as defined in Section 607(1) of the Employee Retirement Income Security 239
Act of 1974, service benefit plan, managed care organization, health care 240
center, pharmacy benefit manager, dental benefit manager or other 241
party that is, by statute, contract or agreement, legally responsible for 242
payment of a claim for a health care item or service, and which may or 243
may not be financially at risk for the cost of a health care item or service, 244
shall, as a condition of doing business in the state, be required to: 245
(1) Provide, with respect to an individual who is eligible for, or is 246
provided, medical assistance under the Medicaid state plan, to all third-247
party administrators, pharmacy benefit managers, dental benefit 248 Raised Bill No. 1110
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managers or other entities with which the health insurer has a contract 249
or arrangement to adjudicate claims for a health care item or service, 250
and to the Commissioner of Social Services, or the commissioner's 251
designee, any and all information in a manner and format prescribed by 252
the commissioner, or commissioner's designee, necessary to determine 253
when the individual, his or her spouse or the individual's dependents 254
may be or have been covered by a health insurer and the nature of the 255
coverage that is or was provided by such health insurer including the 256
name, address and identifying number of the plan; 257
(2) [accept] Accept the state's right of recovery and the assignment to 258
the state of any right of an individual or other entity to payment from 259
the health insurer for an item or service for which payment has been 260
made under the Medicaid state plan; 261
(3) [respond to] Respond not later than sixty days after receiving any 262
inquiry [by] from the commissioner, or the commissioner's designee, 263
regarding a claim for payment for any health care item or service that is 264
submitted not later than three years after the date of the provision of the 265
item or service; and 266
(4) [agree] Agree (A) to accept authorization provided by the 267
Department of Social Services that an item or service is covered under 268
the Medicaid state plan, or a waiver of such plan, as if such 269
authorization were the prior authorization made by said health insurer 270
for such item or service, and (B) not to deny a claim submitted by the 271
state solely on the basis of the date of submission of the claim, the type 272
or format of the claim form or a failure to present proper documentation 273
at the point-of-sale that is the basis of the claim, if [(A)] (i) the claim is 274
submitted by the state or its agent within the three-year period 275
beginning on the date on which the item or service was furnished; and 276
[(B)] (ii) any legal action by the state to enforce its rights with respect to 277
such claim is commenced within six years of the state's submission of 278
such claim. 279
Sec. 4. Subsection (e) of section 12-746 of the general statutes is 280 Raised Bill No. 1110
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repealed and the following is substituted in lieu thereof (Effective from 281
passage): 282
(e) Amounts rebated pursuant to this section shall not be considered 283
income for purposes of sections 8-119l, 8-345, 12-170d, 12-170aa, [17b-284
550,] 47-88d and 47-287. 285
Sec. 5. Section 16a-41a of the general statutes is repealed and the 286
following is substituted in lieu thereof (Effective July 1, 2023): 287
(a) The Commissioner of Social Services shall submit to the joint 288
standing committees of the General Assembly having cognizance of 289
energy planning and activities, appropriations, and human services the 290
following on the implementation of the block grant program authorized 291
under the Low-Income Home Energy Assistance Act of 1981, as 292
amended: 293
(1) Not later than August first, annually, a Connecticut energy 294
assistance program annual plan which establishes guidelines for the use 295
of funds authorized under the Low-Income Home Energy Assistance 296
Act of 1981, as amended, and includes the following: 297
(A) Criteria for determining which households are to receive 298
emergency assistance; 299
(B) A description of systems used to ensure referrals to other energy 300
assistance programs and the taking of simultaneous applications, as 301
required under section 16a-41; 302
(C) A description of outreach efforts; 303
(D) Estimates of the total number of households eligible for assistance 304
under the program and the number of households in which one or more 305
elderly or physically disabled individuals eligible for assistance reside; 306
(E) Design of a basic grant for eligible households that does not 307
discriminate against such households based on the type of energy used 308
for heating; and 309 Raised Bill No. 1110
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(F) A payment plan for fuel deliveries beginning November 1, [2018] 310
2023, that ensures a vendor of deliverable fuel who completes deliveries 311
authorized by a community action agency that contracts with the 312
commissioner to administer a fuel assistance program is paid by the 313
community action agency not later than [thirty] ten business days after 314
the date the community action agency receives an authorized fuel slip 315
or invoice for payment from the vendor; 316
(2) Not later than January thirtieth, annually, a report covering the 317
preceding months of the program year, including: 318
(A) In each community action agency geographic area, the number of 319
fuel assistance applications filed, approved and denied, and the number 320
of emergency assistance requests made, approved and denied; 321
(B) In each such area, the total amount of fuel and emergency 322
assistance, itemized by such type of assistance, and total expenditures 323
to date; 324
(C) For each state-wide office of each state agency administering the 325
program and each community action agency, administrative expenses 326
under the program, by line item, and an estimate of outreach 327
expenditures; and 328
(D) A list of community action agencies that failed to make timely 329
payments to vendors of deliverable fuel in the Connecticut energy 330
assistance program and the steps taken by the commissioner to ensure 331
future timely payments by such agencies; and 332
(3) Not later than November first, annually, a report covering the 333
preceding twelve calendar months, including: 334
(A) In each community action agency geographic area, (i) seasonal 335
totals for the categories of data submitted under subdivision (1) of this 336
subsection, (ii) the number of households receiving fuel assistance in 337
which elderly or physically disabled individuals reside, and (iii) the 338
average combined benefit level of fuel, emergency and renter assistance; 339 Raised Bill No. 1110
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(B) The number of homeowners and tenants whose heat or total 340
energy costs are not included in their rent receiving fuel and emergency 341
assistance under the program by benefit level; 342
(C) The number of homeowners and tenants whose heat is included 343
in their rent and who are receiving assistance, by benefit level; and 344
(D) The number of households receiving assistance, by energy type 345
and total expenditures for each energy type. 346
(b) The Commissioner of Social Services shall implement a program 347
to purchase deliverable fuel for low-income households participating in 348
the Connecticut energy assistance program and the state-appropriated 349
fuel assistance program. The commissioner shall ensure that no fuel 350
vendor discriminates against fuel assistance program recipients who are 351
under the vendor's standard payment, delivery, service or other similar 352
plans. The commissioner may take advantage of programs offered by 353
fuel vendors that reduce the cost of the fuel purchased, including, but 354
not limited to, fixed price, capped price, prepurchase or summer-fill 355
programs that reduce program cost and that make the maximum use of 356
program revenues. As funding allows, the commissioner shall ensure 357
that all agencies administering the fuel assistance program shall make 358
payments to program fuel vendors in advance of the delivery of energy 359
where vendor provided price-management strategies require payments 360
in advance. 361
(c) Each community action agency administering a fuel assistance 362
program shall submit reports, as requested by the Commissioner of 363
Social Services, concerning pricing information from vendors of 364
deliverable fuel participating in the program. Such information shall 365
include, but not be limited to, the state-wide or regional retail price per 366
unit of deliverable fuel, the reduced price per unit paid by the state for 367
the deliverable fuel in utilizing price management strategies offered by 368
program vendors for all consumers, the number of units delivered to the 369
state under the program and the total savings under the program due 370
to the purchase of deliverable fuel utilizing price-management 371 Raised Bill No. 1110
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strategies offered by program vendors for all consumers. 372
(d) If funding allows, the Commissioner of Social Services, in 373
consultation with the Secretary of the Office of Policy and Management, 374
shall require that, each community action agency administering a fuel 375
assistance program begin accepting applications for the program not 376
later than September first of each year. 377
(e) Not later than November 1, [2018] 2023, the Commissioner of 378
Social Services shall require each community action agency 379
administering a fuel assistance program to make payment to a vendor 380
of deliverable fuel not later than [thirty] ten days after the community 381
action agency receives an authorized fuel slip or invoice for payment 382
from the vendor. 383
(f) The Commissioner of Social Services shall submit each plan or 384
report described in subsection (a) of this section to the Low-Income 385
Energy Advisory Board, established pursuant to section 16a-41b, not 386
later than seven days prior to submitting such plan or report to the joint 387
standing committee of the General Assembly having cognizance of 388
matters relating to energy and technology, appropriations and human 389
services. 390
Sec. 6. (NEW) (Effective July 1, 2023) To the extent permissible under 391
federal law and within available appropriations, as the single state 392
Medicaid agency designated under sections 17b-2 and 17b-260 of the 393
general statutes, the Commissioner of Social Services may implement a 394
bundled payment for maternity services and any other alternative 395
payment methodology or combination of methodologies that the 396
commissioner determines are designed to improve health quality, 397
equity, member experience, cost containment and coordination of care. 398
The commissioner may implement policies and procedures to the extent 399
that regulations may be required to carry out any of the provisions of 400
this section while in the process of adopting such policies and 401
procedures as regulations, provided the commissioner publishes notice 402
of intent to adopt regulations on the eRegulations System not later than 403 Raised Bill No. 1110
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twenty days after the date of implementation. Policies and procedures 404
implemented pursuant to this section shall be valid until the time final 405
regulations are adopted. 406
Sec. 7. Section 53a-290 of the general statutes is repealed and the 407
following is substituted in lieu thereof (Effective from passage): 408
A person commits vendor fraud when, with intent to defraud and 409
acting on such person's own behalf or on behalf of an entity, such person 410
provides goods or services to a beneficiary under sections 17b-22, 17b-411
75 to 17b-77, inclusive, 17b-79 to 17b-103, inclusive, 17b-180a, 17b-183, 412
17b-260 to 17b-262, inclusive, 17b-264 to 17b-285, inclusive, 17b-357 to 413
17b-361, inclusive, 17b-600 to 17b-604, inclusive, 17b-749 [, 17b-807] and 414
17b-808 or provides services to a recipient under Title XIX of the Social 415
Security Act, as amended, and, (1) presents for payment any false claim 416
for goods or services performed; (2) accepts payment for goods or 417
services performed, which exceeds either the amounts due for goods or 418
services performed, or the amounts authorized by law for the cost of 419
such goods or services; (3) solicits to perform services for or sell goods 420
to any such beneficiary, knowing that such beneficiary is not in need of 421
such goods or services; (4) sells goods to or performs services for any 422
such beneficiary without prior authorization by the Department of 423
Social Services, when prior authorization is required by said department 424
for the buying of such goods or the performance of any service; (5) 425
accepts from any person or source other than the state an additional 426
compensation in excess of the amount authorized by law; or (6) having 427
knowledge of the occurrence of any event affecting (A) his or her initial 428
or continued right to any such benefit or payment, or (B) the initial or 429
continued right to any such benefit or payment of any other individual 430
in whose behalf he or she has applied for or is receiving such benefit or 431
payment, conceals or fails to disclose such event with an intent to 432
fraudulently secure such benefit or payment either in a greater amount 433
or quantity than is due or when no such benefit or payment is 434
authorized. 435
Sec. 8. Subsection (l) of section 17b-261 of the general statutes is 436 Raised Bill No. 1110
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repealed and the following is substituted in lieu thereof (Effective from 437
passage): 438
(l) On and after January 1, 2023, the Commissioner of Social Services 439
shall, within available appropriations, provide state-funded medical 440
assistance to any child twelve years of age and younger, regardless of 441
immigration status, (1) whose household income does not exceed two 442
hundred one per cent of the federal poverty level without an asset limit, 443
and (2) who does not otherwise qualify for Medicaid, the Children's 444
Health Insurance Program, or an offer of affordable, employer-445
sponsored insurance, as defined in the Affordable Care Act, as an 446
employee or a dependent of an employee. A child eligible for such 447
assistance under this subsection shall continue to receive such assistance 448
until such child is nineteen years of age, provided the child continues to 449
meet the eligibility requirements prescribed in subdivisions (1) and (2) 450
of this subsection. The provisions of section 17b-265, as amended by this 451
act, shall apply with respect to any medical assistance provided 452
pursuant to this subsection. 453
Sec. 9. Subsection (a) of section 17b-292 of the general statutes is 454
repealed and the following is substituted in lieu thereof (Effective from 455
passage): 456
(a) A child who resides in a household with household income that 457
exceeds one hundred ninety-six per cent of the federal poverty level but 458
does not exceed three hundred eighteen per cent of the federal poverty 459
level may be eligible for benefits under HUSKY B. Not later than 460
January 1, 2023, the Commissioner of Social Services shall, within 461
available appropriations, provide state-funded medical assistance to 462
any child twelve years of age and younger, regardless of immigration 463
status, (1) with a household income that exceeds two hundred one per 464
cent of the federal poverty level but does not exceed three hundred 465
twenty-three per cent of the federal poverty level, and (2) who does not 466
otherwise qualify for Medicaid, the Children's Health Insurance 467
Program, or an offer of affordable, employer-sponsored insurance, as 468
defined in the Affordable Care Act, as an employee or a dependent of 469 Raised Bill No. 1110
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an employee. A child eligible for such assistance under this subsection 470
shall continue to receive such assistance until such child is nineteen 471
years of age, provided the child continues to meet the eligibility 472
requirements prescribed in subdivisions (1) and (2) of this subsection. 473
The provisions of section 17b-265, as amended by this act, shall apply 474
with respect to any medical assistance provided pursuant to this 475
subsection. 476
Sec. 10. Sections 17b-306a, 17b-550 to 17b-554, inclusive, and 17b-807 477
of the general statutes are repealed. (Effective from passage) 478
This act shall take effect as follows and shall amend the following
sections:
Section 1 from passage 17b-8
Sec. 2 October 1, 2023 17b-265
Sec. 3 October 1, 2023 17b-265g
Sec. 4 from passage 12-746(e)
Sec. 5 July 1, 2023 16a-41a
Sec. 6 July 1, 2023 New section
Sec. 7 from passage 53a-290
Sec. 8 from passage 17b-261(l)
Sec. 9 from passage 17b-292(a)
Sec. 10 from passage Repealer section
Statement of Purpose:
To (1) delete obsolete reporting requirements, (2) clarify liability of
third-party private insurers and other obligors for the costs of certain
medical assistance, (3) reduce from thirty to ten days the amount of time
a fuel vendor participating in the Low-Income Home Energy Assistance
Program shall be paid, and (4) establish bundled Medicaid payments for
maternity services.
[Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except
that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not
underlined.]