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General Assembly Substitute Bill No. 985
January Session, 2025
AN ACT CONCERNING LEGISLATIVE APPROVAL FOR CHANGES TO
THE HUSKY HEALTH PROGRAM REIMBURSEMENT AND CARE
DELIVERY MODEL.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. (NEW) (Effective July 1, 2025) (a) The Commissioner of 1
Social Services shall submit any proposal to change the fee-for-service 2
Medicaid payment model to a managed care payment model to the joint 3
standing committees of the General Assembly having cognizance of 4
matters relating to human services and appropriations and the budgets 5
of state agencies for approval, denial or modification before 6
implementing such change or seeking any necessary federal approval to 7
implement such change. Not later than thirty days after the date of their 8
receipt of such proposal, such joint standing committees shall hold a 9
public hearing on the proposal. Not later than thirty days before such 10
hearing, such joint standing committees shall inform the commissioner, 11
in writing, of the date and time of such hearing and invite the 12
commissioner to testify on the reasons for such proposal, including, but 13
not limited to, (1) any costs or benefits to the state, (2) the expected 14
impact on care provided to Medicaid recipients, and (3) the expected 15
impact on Medicaid reimbursements to providers of such care. At the 16
conclusion of such hearing, such joint standing committees shall advise 17
the commissioner of their approval, denial or modifications, if any, of 18 Substitute Bill No. 985
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the commissioner's proposal. If such joint standing committees advise 19
the commissioner of their denial, the commissioner shall not implement 20
the proposal or seek any necessary federal approval to implement the 21
proposal. 22
(b) If such joint standing committees do not concur, the committee 23
chairpersons shall appoint a committee of conference, which shall be 24
composed of three members from each joint standing committee. At 25
least one member appointed from each joint standing committee shall 26
be a member of the minority party. The report of the committee of 27
conference shall be made to each joint standing committee, which shall 28
vote to accept or reject the report. The report of the committee of 29
conference may not be amended. If one joint standing committee rejects 30
the report of the committee of conference, the proposal shall be deemed 31
denied. If such joint standing committees accept the report, the 32
committee having cognizance of matters relating to appropriations and 33
the budgets of state agencies shall advise the commissioner of their 34
approval, denial or modifications, if any, of the commissioner's 35
proposal. If such joint standing committees do not so advise the 36
commissioner during the thirty-day period, the proposal shall be 37
deemed denied. 38
(c) Any application for a federal waiver, waiver renewal or proposed 39
Medicaid state plan amendment submitted to the federal government 40
by the commissioner to implement a proposal under subsection (a) of 41
this section shall be in accordance with the approval or modifications, if 42
any, of the joint standing committees of the General Assembly having 43
cognizance of matters relating to human services and appropriations 44
and the budgets of state agencies. 45
(d) Thirty days prior to submission of such proposal to such joint 46
standing committees pursuant to subsection (a) of this section, the 47
Commissioner of Social Services shall post a notice that the 48
commissioner intends to seek approval for such proposal on the 49
Department of Social Services' Internet web site, along with a summary 50
of the provisions of such proposal and the manner in which individuals 51 Substitute Bill No. 985
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may submit comments. The commissioner shall allow thirty days for 52
written comments on such proposal and shall include all written 53
comments with the submission of such proposal to such joint standing 54
committees. 55
(e) The commissioner shall include with any application for federal 56
approval of such proposal: (1) Any written comments received pursuant 57
to subsection (d) of this section; and (2) any additional written 58
comments submitted to such joint standing committees at such 59
proceedings. Such joint standing committees shall transmit any such 60
materials to the commissioner for inclusion with any such application 61
for federal approval. 62
Sec. 2. (NEW) (Effective July 1, 2025) Not later than December 1, 2025, 63
and annually thereafter, the Commissioner of Social Services shall file 64
reports with the Council on Medical Assistance Program Oversight, 65
established pursuant to section 17b-28 of the general statutes, as 66
amended by this act, concerning (1) the financial performance of the 67
Medicaid program, and (2) access to and quality of care for Medicaid 68
members. The financial performance report shall minimally include 69
updated data similar to the data in the report on financial trends in the 70
HUSKY Health program filed with the council by the commissioner in 71
February 2023, and the report concerning access to and quality of care 72
shall minimally include updated data similar to the data included in the 73
reports filed with the council by the commissioner on physical health 74
measures in January 2023 and behavioral health quality indicators in 75
April 2023 in the HUSKY Health program. 76
Sec. 3. Subsection (a) of section 17a-460c of the general statutes is 77
repealed and the following is substituted in lieu thereof (Effective July 1, 78
2025): 79
(a) The center, when authorized by the commissioner, may enter into 80
provider agreements and other contractual arrangements with the 81
Medicaid fee-for-service program and Medicare managed care plans, 82
governmental health plans, health maintenance organizations, health 83 Substitute Bill No. 985
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insurance plans, employer and union health plans, preferred provider 84
organizations, physician-hospital organizations, managed care plans, 85
networks and other similar arrangements or plans offered by insurers, 86
third-party payers or other entities offering health care plans to their 87
members or employees and their dependents. 88
Sec. 4. Section 17b-28 of the general statutes is repealed and the 89
following is substituted in lieu thereof (Effective July 1, 2025): 90
(a) There is established a Council on Medical Assistance Program 91
Oversight which shall advise the Commissioner of Social Services on the 92
planning and implementation of the health care delivery system for the 93
HUSKY Health program. The council shall monitor planning and 94
implementation of matters related to Medicaid care management 95
initiatives including, but not limited to, (1) eligibility standards, (2) 96
benefits, (3) access, (4) quality assurance, (5) outcome measures, and (6) 97
the issuance of any request for proposal by the Department of Social 98
Services for utilization of an administrative services organization in 99
connection with such initiatives. 100
[(b) On or before June 30, 2011, the council shall be composed of the 101
chairpersons and ranking members of the joint standing committees of 102
the General Assembly having cognizance of matters relating to human 103
services, public health and appropriations and the budgets of state 104
agencies, or their designees; two members of the General Assembly, one 105
to be appointed by the president pro tempore of the Senate and one to 106
be appointed by the speaker of the House of Representatives; the 107
director of the Commission on Aging, or a designee; the director of the 108
Commission on Children, or a designee; a representative of each 109
organization that has been selected by the state to provide managed care 110
and a representative of a primary care case management provider, to be 111
appointed by the president pro tempore of the Senate; two 112
representatives of the insurance industry, to be appointed by the 113
speaker of the House of Representatives; two advocates for persons 114
receiving Medicaid, one to be appointed by the majority leader of the 115
Senate and one to be appointed by the minority leader of the Senate; one 116 Substitute Bill No. 985
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advocate for persons with substance use disorders, to be appointed by 117
the majority leader of the House of Representatives; one advocate for 118
persons with psychiatric disabilities, to be appointed by the minority 119
leader of the House of Representatives; two advocates for the 120
Department of Children and Families foster families, one to be 121
appointed by the president pro tempore of the Senate and one to be 122
appointed by the speaker of the House of Representatives; two members 123
of the public who are currently recipients of Medicaid, one to be 124
appointed by the majority leader of the House of Representatives and 125
one to be appointed by the minority leader of the House of 126
Representatives; two representatives of the Department of Social 127
Services, to be appointed by the Commissioner of Social Services; two 128
representatives of the Department of Public Health, to be appointed by 129
the Commissioner of Public Health; two representatives of the 130
Department of Mental Health and Addiction Services, to be appointed 131
by the Commissioner of Mental Health and Addiction Services; two 132
representatives of the Department of Children and Families, to be 133
appointed by the Commissioner of Children and Families; two 134
representatives of the Office of Policy and Management, to be appointed 135
by the Secretary of the Office of Policy and Management; and one 136
representative of the office of the State Comptroller, to be appointed by 137
the State Comptroller.] 138
[(c) On and after October 31, 2017, the] (b) The council shall be 139
composed of the following members: 140
(1) The chairpersons and ranking members of the joint standing 141
committees of the General Assembly having cognizance of matters 142
relating to aging, human services, public health and appropriations and 143
the budgets of state agencies, or their designees; 144
(2) Five appointed by the speaker of the House of Representatives, 145
one of whom shall be a member of the General Assembly, one of whom 146
shall be a community provider of adult Medicaid health services, one of 147
whom shall be a recipient of Medicaid benefits for the aged, blind and 148
disabled or an advocate for such a recipient, one of whom shall be a 149 Substitute Bill No. 985
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representative of the state's federally qualified health clinics and one of 150
whom shall be a member of the Connecticut Hospital Association; 151
(3) Five appointed by the president pro tempore of the Senate, one of 152
whom shall be a member of the General Assembly, one of whom shall 153
be a representative of the home health care industry, one of whom shall 154
be a primary care medical home provider, one of whom shall be an 155
advocate for Department of Children and Families foster families and 156
one of whom shall be a representative of the business community with 157
experience in cost efficiency management; 158
(4) Three appointed by the majority leader of the House of 159
Representatives, one of whom shall be an advocate for persons with 160
substance abuse disabilities, one of whom shall be a Medicaid dental 161
provider and one of whom shall be a representative of the for-profit 162
nursing home industry; 163
(5) Three appointed by the majority leader of the Senate, one of whom 164
shall be a representative of school-based health centers, one of whom 165
shall be a recipient of benefits under the HUSKY Health program and 166
one of whom shall be a physician who serves Medicaid clients; 167
(6) Three appointed by the minority leader of the House of 168
Representatives, one of whom shall be an advocate for persons with 169
disabilities, one of whom shall be a dually eligible Medicaid-Medicare 170
beneficiary or an advocate for such a beneficiary and one of whom shall 171
be a representative of the not-for-profit nursing home industry; 172
(7) Three appointed by the minority leader of the Senate, one of 173
whom shall be a low-income adult recipient of Medicaid benefits or an 174
advocate for such a recipient, one of whom shall be a representative of 175
hospitals and one of whom shall be a representative of the business 176
community with experience in cost efficiency management; 177
(8) The executive director of the Commission on Women, Children, 178
Seniors, Equity and Opportunity, or the executive director's designee; 179 Substitute Bill No. 985
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(9) A member of the Commission on Women, Children, Seniors, 180
Equity and Opportunity, designated by the executive director of said 181
commission; 182
(10) A representative of the Long-Term Care Advisory Council; 183
(11) The Commissioners of Social Services, Children and Families, 184
Public Health, Developmental Services, Aging and Disability Services 185
and Mental Health and Addiction Services, or their designees, who shall 186
be ex-officio nonvoting members; 187
(12) The Comptroller, or the Comptroller's designee, who shall be an 188
ex-officio nonvoting member; 189
(13) The Secretary of the Office of Policy and Management, or the 190
secretary's designee, who shall be an ex-officio nonvoting member; and 191
(14) One representative of an administrative services organization 192
which contracts with the Department of Social Services in the 193
administration of the Medicaid program, who shall be a nonvoting 194
member. 195
[(d)] (c) The council shall choose a chairperson from among its 196
members. The Joint Committee on Legislative Management shall 197
provide administrative support to such chairperson. 198
[(e)] (d) The council shall monitor and make recommendations 199
concerning: (1) An enrollment process that ensures access for the 200
HUSKY Health program and effective outreach and client education for 201
said program; (2) available services comparable to those already in the 202
Medicaid state plan, including those guaranteed under the federal Early 203
and Periodic Screening, Diagnostic and Treatment Services Program 204
under 42 USC 1396d; (3) the sufficiency of accessible adult and child 205
primary care providers, specialty providers and hospitals in Medicaid 206
provider networks; (4) the sufficiency of provider rates to maintain the 207
Medicaid network of providers and service access; (5) funding and 208
agency personnel resources to guarantee timely access to services and 209 Substitute Bill No. 985
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effective management of the Medicaid program; (6) participation in care 210
management programs including, but not limited to, medical home and 211
health home models by existing community Medicaid providers; (7) the 212
linguistic and cultural competency of providers and other program 213
facilitators and data on the provision of Medicaid linguistic translation 214
services; (8) program quality, including outcome measures and 215
continuous quality improvement initiatives that may include provider 216
quality performance incentives and performance targets for 217
administrative services organizations; (9) timely, accessible and 218
effective client grievance procedures; (10) coordination of the Medicaid 219
care management programs with state and federal health care reforms; 220
(11) eligibility levels for inclusion in the programs; (12) enrollee cost-221
sharing provisions; (13) a benefit package for the HUSKY Health 222
program; (14) coordination of coverage continuity among Medicaid 223
programs and integration of care, including, but not limited to, 224
behavioral health, dental and pharmacy care provided through 225
programs administered by the Department of Social Services; and (15) 226
the need for program quality studies within the areas identified in this 227
section and the department's application for available grant funds for 228
such studies. The chairperson of the council shall ensure that sufficient 229
members of the council participate in the review of any contract entered 230
into by the Department of Social Services and an administrative services 231
organization. 232
[(f)] (e) The Commissioner of Social Services may, in consultation 233
with an educational institution, apply for any available funding, 234
including federal funding, to support Medicaid care management 235
programs. 236
[(g)] (f) The Commissioner of Social Services shall provide monthly 237
reports to the council on the matters described in subsection [(e)] (d) of 238
this section, including, but not limited to, policy changes and proposed 239
regulations that affect Medicaid health services. The commissioner shall 240
also provide the council with quarterly financial reports for each 241
covered Medicaid population which reports shall include a breakdown 242
of sums expended for each covered population. 243 Substitute Bill No. 985
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[(h)] (g) The council shall biannually report on its activities and 244
progress to the General Assembly. 245
[(i)] (h) There is established, within the Council on Medical 246
Assistance Program Oversight, a standing subcommittee to study and 247
make recommendations to the council on children and adults who have 248
complex health care needs. The subcommittee shall consist of council 249
members appointed by the chairpersons of the council and other 250
individuals who shall serve for terms prescribed by the cochairpersons 251
to advise the council on specific needs of children and adults with 252
complex health care needs. For the purposes of completing the reports 253
required pursuant to subparagraphs (A) and (B) of this subsection, such 254
individuals shall include, but need not be limited to: (1) The Child 255
Advocate, or the Child Advocate's designee; (2) a family or child 256
advocate; (3) the executive director of the Council on Developmental 257
Disabilities, or the executive director's designee; (4) the executive 258
director of the Connecticut Association of Public School 259
Superintendents, or the executive director's designee; (5) an expert in 260
the diagnosis, evaluation, education and treatment of children and 261
young adults with developmental disabilities; and (6) the Healthcare 262
Advocate, or the Healthcare Advocate's designee. The subcommittee 263
shall submit the following reports, in accordance with section 11-4a to 264
the council, the Governor and the joint standing committees of the 265
General Assembly having cognizance of matters relating to children, 266
human services and public health regarding the efficacy of support 267
systems for children and young adults, not older than twenty-one years 268
of age, with developmental disabilities and with or without co-269
occurring mental health conditions: 270
(A) Not later than July 1, 2017, recommendations including, but not 271
limited to: (i) Metrics for evaluating the quality of state-funded services 272
to such children and young adults that can be utilized by state agencies 273
that fund such services; (ii) statutory changes needed to promote 274
effective service delivery for such children and young adults and their 275
families; and (iii) any other changes needed to address gaps in services 276
identified by the subcommittee or council with respect to such children, 277 Substitute Bill No. 985
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young adults and their families; and 278
(B) Not later than January 1, 2018, an assessment of: (i) Early 279
intervention services available to such children and young adults in this 280
state; (ii) the system of community-based services for such children and 281
young adults; (iii) the treatment provided by congregate care settings 282
that are operated privately or by the state and provide residential 283
supports and services to such children and young adults and how the 284
quality of care is measured; and (iv) how the state Department of 285
Education, local boards of education, the Department of Children and 286
Families, the Department of Developmental Services and other 287
appropriate agencies can work collaboratively to improve educational, 288
developmental, medical and behavioral health outcomes for such 289
children and young adults and reduce the number at risk of entering 290
institutional care. As used in this subsection, "developmental disability" 291
means a severe, chronic disability of an individual, as defined in 42 USC 292
15002, as amended from time to time. 293
Sec. 5. Section 17b-28h of the general statutes is repealed and the 294
following is substituted in lieu thereof (Effective July 1, 2025): 295
The Commissioner of Social Services may, to the extent permitted by 296
federal law, amend the Medicaid state plan to establish a pilot program 297
that serves not more than five hundred persons served by Oak Hill - The 298
Connecticut Institute for the Blind, Inc. who are eligible for Medicare 299
and who voluntarily agree to participate in the program. Such program 300
shall be designed to demonstrate the feasibility and cost effectiveness of 301
delivering comprehensive health insurance coverage [in a managed care 302
setting] to such persons. The commissioner may include medical 303
assistance services in the program not covered on October 5, 2009, in the 304
state medical assistance program or other modifications to the state 305
medical assistance program to encourage voluntary participation in the 306
pilot program. 307
Sec. 6. Subsection (b) of section 17b-90 of the general statutes is 308
repealed and the following is substituted in lieu thereof (Effective July 1, 309 Substitute Bill No. 985
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2025): 310
(b) No person shall, except for purposes directly connected with the 311
administration of programs of the Department of Social Services and in 312
accordance with the regulations of the commissioner, solicit, disclose, 313
receive or make use of, or authorize, knowingly permit, participate in or 314
acquiesce in the use of, any list of the names of, or any information 315
concerning, persons applying for or receiving assistance from the 316
Department of Social Services or persons participating in a program 317
administered by said department, directly or indirectly derived from 318
the records, papers, files or communications of the state or its 319
subdivisions or agencies, or acquired in the course of the performance 320
of official duties. The Commissioner of Social Services shall disclose (1) 321
to any authorized representative of the Labor Commissioner such 322
information directly related to unemployment compensation, 323
administered pursuant to chapter 567 or information necessary for 324
implementation of sections 17b-112l, 17b-688b, 17b-688c and 17b-688h 325
and section 122 of public act 97-2 of the June 18 special session, (2) to 326
any authorized representative of the Commissioner of Mental Health 327
and Addiction Services any information necessary for the 328
implementation and operation of the basic needs supplement program, 329
(3) to any authorized representative of the Commissioner of 330
Administrative Services or the Commissioner of Emergency Services 331
and Public Protection such information as the Commissioner of Social 332
Services determines is directly related to and necessary for the 333
Department of Administrative Services or the Department of 334
Emergency Services and Public Protection for purposes of performing 335
their functions of collecting social services recoveries and overpayments 336
or amounts due as support in social services cases, investigating social 337
services fraud or locating absent parents of public assistance recipients, 338
(4) to any authorized representative of the Commissioner of Children 339
and Families necessary information concerning a child or the immediate 340
family of a child receiving services from the Department of Social 341
Services, including safety net services, if (A) the Commissioner of 342
Children and Families or the Commissioner of Social Services has 343 Substitute Bill No. 985
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determined that imminent danger to such child's health, safety or 344
welfare exists to target the services of the family services programs 345
administered by the Department of Children and Families, or (B) the 346
Commissioner of Children and Families requires access to the federal 347
Parent Locator Service established pursuant to 42 USC 653 in order to 348
identify a parent or putative parent of a child, (5) to a town official or 349
other contractor or authorized representative of the Labor 350
Commissioner such information concerning an applicant for or a 351
recipient of assistance under state-administered general assistance 352
deemed necessary by the Commissioner of Social Services and the Labor 353
Commissioner to carry out their respective responsibilities to serve such 354
persons under the programs administered by the Labor Department 355
that are designed to serve applicants for or recipients of state-356
administered general assistance, (6) to any authorized representative of 357
the Commissioner of Mental Health and Addiction Services for the 358
purposes of the behavioral health [managed care] program established 359
by section 17a-453, (7) to any authorized representative of the 360
Commissioner of Early Childhood to carry out his or her respective 361
responsibilities under the two-generational academic achievement and 362
workforce readiness initiative established pursuant to section 17b-112l 363
and programs that regulate child care services or youth camps, (8) to a 364
health insurance provider, in IV-D support cases, as defined in 365
subdivision (13) of subsection (b) of section 46b-231, information 366
concerning a child and the custodial parent of such child that is 367
necessary to enroll such child in a health insurance plan available 368
through such provider when the noncustodial parent of such child is 369
under court order to provide health insurance coverage but is unable to 370
provide such information, provided the Commissioner of Social 371
Services determines, after providing prior notice of the disclosure to 372
such custodial parent and an opportunity for such parent to object, that 373
such disclosure is in the best interests of the child, (9) to any authorized 374
representative of the Department of Correction, in IV-D support cases, 375
as defined in subdivision (13) of subsection (b) of section 46b-231, 376
information concerning noncustodial parents that is necessary to 377
identify inmates or parolees with IV-D support cases who may benefit 378 Substitute Bill No. 985
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from Department of Correction educational, training, skill building, 379
work or rehabilitation programming that will significantly increase an 380
inmate's or parolee's ability to fulfill such inmate's support obligation, 381
(10) to any authorized representative of the Judicial Branch, in IV-D 382
support cases, as defined in subdivision (13) of subsection (b) of section 383
46b-231, information concerning noncustodial parents that is necessary 384
to: (A) Identify noncustodial parents with IV-D support cases who may 385
benefit from educational, training, skill building, work or rehabilitation 386
programming that will significantly increase such parent's ability to 387
fulfill such parent's support obligation, (B) assist in the administration 388
of the Title IV-D child support program, or (C) assist in the identification 389
of cases involving family violence, (11) to any authorized representative 390
of the State Treasurer, in IV-D support cases, as defined in subdivision 391
(13) of subsection (b) of section 46b-231, information that is necessary to 392
identify child support obligors who owe overdue child support prior to 393
the Treasurer's payment of such obligors' claim for any property 394
unclaimed or presumed abandoned under part III of chapter 32, (12) to 395
any authorized representative of the Secretary of the Office of Policy and 396
Management any information necessary for the implementation and 397
operation of the renters rebate program established by section 12-170d, 398
or (13) to any authorized representative of the Department of Aging and 399
Disability Services, or to an area agency on aging contracting with said 400
department to provide services under the elderly nutrition program, 401
information on persons enrolled in the supplemental nutrition 402
assistance program who have requested or been recommended to 403
receive elderly nutrition program services. No such representative shall 404
disclose any information obtained pursuant to this section, except as 405
specified in this section. Any applicant for assistance provided through 406
the Department of Social Services shall be notified that, if and when such 407
applicant receives benefits, the department will be providing law 408
enforcement officials with the address of such applicant upon the 409
request of any such official pursuant to section 17b-16a. 410
Sec. 7. Section 17b-265c of the general statutes is repealed and the 411
following is substituted in lieu thereof (Effective July 1, 2025): 412 Substitute Bill No. 985
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The Commissioner of Social Services, to the extent permitted by 413
federal law, shall amend the Medicaid state plan to establish a pilot 414
program serving not more than five hundred elderly or disabled state 415
medical assistance recipients who are also eligible for Medicare and who 416
voluntarily opt to participate in the program. Such program shall 417
demonstrate the feasibility and cost effectiveness of delivering 418
comprehensive health insurance coverage [in a managed care setting] to 419
such recipients. The commissioner may include medical assistance 420
services in the pilot program not presently covered in the state medical 421
assistance program or other modifications to the state medical assistance 422
program to encourage voluntary participation in the pilot program. 423
Sec. 8. Section 17b-10a of the general statutes is repealed and the 424
following is substituted in lieu thereof (Effective July 1, 2025): 425
The Commissioner of Social Services, pursuant to section 17b-10, may 426
implement policies and procedures necessary to administer [section 427
17b-197, subsection (d) of section 17b-266, section] sections 17b-197, 17b-428
280a and subsection (a) of section 17b-295, while in the process of 429
adopting such policies and procedures as regulation, provided the 430
commissioner prints notice of intent to adopt regulations on the 431
department's Internet web site and the eRegulations System not later 432
than twenty days after the date of implementation. Policies and 433
procedures implemented pursuant to this section shall be valid until the 434
time final regulations are adopted. 435
Sec. 9. Sections 17b-28b and 17b-266 of the general statutes are 436
repealed. (Effective July 1, 2025) 437
This act shall take effect as follows and shall amend the following
sections:
Section 1 July 1, 2025 New section
Sec. 2 July 1, 2025 New section
Sec. 3 July 1, 2025 17a-460c(a)
Sec. 4 July 1, 2025 17b-28
Sec. 5 July 1, 2025 17b-28h Substitute Bill No. 985
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Sec. 6 July 1, 2025 17b-90(b)
Sec. 7 July 1, 2025 17b-265c
Sec. 8 July 1, 2025 17b-10a
Sec. 9 July 1, 2025 Repealer section
Statement of Legislative Commissioners:
In Section 1, "Not later than sixty days after" was changed to "Not later
than thirty days after" for accuracy and internal consistency. In Section
2, in the first sentence, "on financial trends in the HUSKY Health
program", "on physical health measures", "behavioral health quality
indicators in" and "in the HUSKY Health program" were added for
clarity; and in the second sentence, provisions concerning the reporting
of data similar to data previously reported were redrafted for clarity.
HS Joint Favorable Subst.