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17 | 18 | | |
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18 | 19 | | AN ACT CONCERNING MEDICAID COVERAGE FOR MEDICALLY |
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19 | 20 | | NECESSARY CHILDREN'S DIAPERS. |
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20 | 21 | | Be it enacted by the Senate and House of Representatives in General |
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21 | 22 | | Assembly convened: |
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22 | 23 | | |
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23 | 24 | | Section 1. (NEW) (Effective July 1, 2025) (a) As used in this section, 1 |
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24 | 25 | | "medical necessity" means a determination by a physician or physician 2 |
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25 | 26 | | assistant licensed pursuant to chapter 370 of the general statutes or an 3 |
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26 | 27 | | advanced practice registered nurse licensed pursuant to chapter 378 of 4 |
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27 | 28 | | the general statutes that the provision of diapers to a child is medically 5 |
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28 | 29 | | necessary to prevent or ameliorate (1) severe and persistent diaper 6 |
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29 | 30 | | dermatitis, urinary tract infection or other disease of the skin related to 7 |
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30 | 31 | | inadequate diaper hygiene, or (2) another health condition, including, 8 |
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31 | 32 | | but not limited to, a developmental, psychiatric or neurological 9 |
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32 | 33 | | condition, that results in an unusual need to void or delayed 10 |
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33 | 34 | | developmentally appropriate toileting behavior. 11 |
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34 | 35 | | (b) The Commissioner of Social Services shall amend the Medicaid 12 |
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35 | 36 | | state plan to extend Medicaid coverage for diapers to children from 13 |
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36 | 37 | | birth to age three deemed to have a medical necessity for diapers. Not 14 |
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41 | 44 | | |
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42 | 45 | | accordance with the provisions of section 11-4a of the general statutes, 16 |
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43 | 46 | | with the joint standing committee of the General Assembly having 17 |
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44 | 47 | | cognizance of matters relating to human services on the (1) number of 18 |
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45 | 48 | | children from birth to age three determined to have a medical necessity 19 |
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46 | 49 | | for diapers in the previous fiscal year, (2) cost to the state to provide 20 |
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47 | 50 | | Medicaid coverage for diapers for such children, and (3) estimated 21 |
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48 | 51 | | savings on state Medicaid costs for treatment of potential health care 22 |
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49 | 52 | | conditions averted by the provision of access to diapers covered by 23 |
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50 | 53 | | Medicaid. 24 |
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51 | 54 | | This act shall take effect as follows and shall amend the following |
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52 | 55 | | sections: |
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53 | 56 | | |
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54 | 57 | | Section 1 July 1, 2025 New section |
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55 | 58 | | |
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