LCO 1 of 4 General Assembly Substitute Bill No. 7188 January Session, 2025 AN ACT CONCERNING HOMELESSNESS AND THE CHESS PROGRAM. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective from passage) (a) As used in this section, (1) 1 "Connecticut Housing Engagement and Support Services" or "CHESS" 2 initiative means a home and community -based services initiative 3 established pursuant to a Medicaid state plan amendment under Section 4 1915(i) of the Social Security Act and a Medicaid waiver pursuant to 5 Section 1915(b)(4) of the Social Security Act to improve housing stability 6 and health outcomes for persons who have (A) complex health 7 conditions, (B) experienced homelessness, and (C) been determined to 8 be likely to benefit from targeted services to improve health and housing 9 stability; (2) "pretenancy supports" means assistance in locating and 10 securing stable housing; and (3) "tenancy-sustaining supports" means 11 assistance in maintaining a successful tenancy, including, but not 12 limited to, through assistance with health care coordination, skill 13 development and community integration. 14 (b) The Commissioner of Social Services, in consultation with the 15 Commissioner of Housing, shall amend the Medicaid state plan 16 amendment filed under Section 1915(i) of the Social Security Act to 17 make the following changes in the CHESS initiative: (1) Establish a 18 minimum per person per month rate for providers for each CHESS 19 Substitute Bill No. 7188 LCO 2 of 4 initiative participant they serve, (2) ensure that CHESS initiative 20 eligibility criteria and provider payment rates match eligibility criteria 21 and provider payment rates for the supportive housing program 22 administered by the Department of Mental Health and Addiction 23 Services, (3) set provider payment rates that are comparable to those 24 provided in other states for pretenancy supports and tenancy-sustaining 25 supports, and (4) give newly enrolled, unhoused participants in the 26 CHESS initiative priority for any available housing assistance vouchers. 27 (c) The Commissioner of Social Services, in consultation with the 28 Commissioners of Housing and Mental Health and Addiction Services, 29 shall ensure that a provider of services under the supportive housing 30 program administered by the Department of Mental Health and 31 Addiction Services shall not experience a decrease in reimbursement 32 rates if such provider participates in the CHESS initiative. The 33 Commissioner of Social Services shall require the administrative 34 services organization managing the CHESS initiative to ensure that 35 providers in the CHESS initiative receive the same rates of 36 reimbursement as providers in the supportive housing program 37 administered by the Department of Mental Health and Addiction 38 Services. 39 Sec. 2. (NEW) (Effective from passage) (a) There is established an 40 oversight committee for services for homeless persons in the state. The 41 committee shall consist of: 42 (1) The House and Senate chairpersons of the joint standing 43 committee of the General Assembly having cognizance of matters 44 relating to housing, or their designees; 45 (2) The House and Senate chairpersons of the joint standing 46 committee of the General Assembly having cognizance of matters 47 relating to human services, or their designees; 48 (3) The House and Senate chairpersons of the joint standing 49 committee of the General Assembly having cognizance of matters 50 relating to planning and development, or their designees; 51 Substitute Bill No. 7188 LCO 3 of 4 (4) The House and Senate chairpersons of the joint standing 52 committee of the General Assembly having cognizance of matters 53 relating to public health, or their designees; 54 (5) The Commissioner of Housing, or the commissioner's designee; 55 (6) The Commissioner of Mental Health and Addiction Services, or 56 the commissioner's designee; 57 (7) The Commissioner of Social Services, or the commissioner's 58 designee; 59 (8) The chairperson of the interagency council on affordable housing 60 established pursuant to section 8-37nnn of the general statutes, or the 61 chairperson's designee; and 62 (9) Two representatives of private nonprofit organizations that focus 63 on serving the needs of homeless persons in the state, appointed by the 64 oversight committee's chairpersons. 65 (b) The oversight committee shall be appointed and meet not later 66 than sixty days after the effective date of this section. The chairpersons 67 shall be the House chairperson of the joint standing committee of the 68 General Assembly having cognizance of matters relating to housing, or 69 the chairperson's designee, and the Senate chairperson of the joint 70 standing committee of the General Assembly having cognizance of 71 matters relating to human services, or the chairperson's designee. The 72 oversight committee shall review services for homeless persons in the 73 state, including, but not limited to, the CHESS initiative, as defined in 74 section 1 of this act. 75 (c) The Commissioners of Housing, Mental Health and Addiction 76 Services and Social Services shall file quarterly reports with the 77 oversight committee on services for homeless persons in the state and 78 shall seek approval of the oversight committee for any changes to such 79 services, including, but not limited to, the CHESS initiative. The 80 committee shall schedule a vote on such changes not later than thirty 81 Substitute Bill No. 7188 LCO 4 of 4 days after receipt of notice from the commissioners of any such changes. 82 This act shall take effect as follows and shall amend the following sections: Section 1 from passage New section Sec. 2 from passage New section Statement of Legislative Commissioners: In Section 2(b), "be appointed and" was inserted for clarity. HS Joint Favorable Subst.