LCO No. 3823 1 of 4 General Assembly Raised Bill No. 1231 January Session, 2025 LCO No. 3823 Referred to Committee on GOVERNMENT ADMINISTRATION AND ELECTIONS Introduced by: (GAE) AN ACT CONCERNING STATE CONTRACTS WITH NONPROFIT HUMAN SERVICES PROVIDERS. 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 and 1 section 2 of this act, (1) "nonprofit human services provider" means a 2 nonprofit entity that contracts with the state to provide health and 3 human services that may include, but need not be limited to: (A) 4 Services for persons with a physical disability, (B) services for persons 5 with intellectual disability or developmental disabilities, including, but 6 not limited to, autism spectrum disorder, and (C) behavioral health 7 services; and (2) "purchase of service contract" and "state agency" have 8 the same meanings as provided in section 4-70b of the general statutes. 9 (b) Not later than January 1, 2026, and every five years thereafter, the 10 Secretary of the Office of Policy and Management shall, in consultation 11 with representatives of nonprofit human services providers, complete a 12 review of the state's purchase of service contracts with nonprofit human 13 services providers to determine whether the rates such providers are 14 Raised Bill No. 1231 LCO No. 3823 2 of 4 paid to deliver health and human services pursuant to such contracts 15 adequately compensate such providers for providing the level of 16 services expected by the state agency contracting with such provider. 17 For the purposes of such review, the secretary shall examine the 18 contracts and agreements for such services of not less than two state 19 agencies each year. 20 (c) Not later than February 1, 2027, and every five years thereafter, 21 the secretary shall submit a report, in accordance with the provisions of 22 section 11-4a of the general statutes, to the joint standing committees of 23 the General Assembly having cognizance of matters relating to human 24 services, government administration and appropriations and the 25 budgets of state agencies. Such report shall include (1) a summary of the 26 results of the review conducted under subsection (b) of this section, (2) 27 any applicable recommendations concerning requiring contracting state 28 agencies to reduce contractual expectations if those expectations are not 29 adequately funded by the contract or agreement, and (3) any 30 recommended legislation necessary to implement such 31 recommendations. 32 Sec. 2. (NEW) (Effective from passage) (a) Not later than January 1, 2026, 33 and triennially thereafter, the Secretary of the Office of Policy and 34 Management shall conduct a review of any reports that nonprofit 35 human services providers are required to file with various state 36 agencies, including requirements for program licensure or certification. 37 Such review shall include, but not be limited to, the number of reports 38 that are required to be filed, the amount of overlapping information in 39 such reports, the time and resources needed for providers to prepare 40 and file the reports, the reasons for requiring such reports and an 41 analysis of how the reports are utilized by the state agency receiving 42 such reports. State agencies and nonprofit human services providers 43 shall provide any information requested by the secretary for purposes 44 of such review. 45 (b) The secretary shall eliminate or consolidate any reporting 46 Raised Bill No. 1231 LCO No. 3823 3 of 4 required by a state agency that the secretary identifies under subsection 47 (a) of this section as unduly burdensome or duplicative, unless such 48 reporting is (1) necessary to prevent fraud or misuse of funds, (2) 49 prescribed under federal law or regulation for the use of federal funds, 50 or (3) required under any provision of state law. 51 (c) Not later than February 1, 2027, and triennially thereafter, the 52 secretary shall submit a report, in accordance with the provisions of 53 section 11-4a of the general statutes, to the joint standing committees of 54 the General Assembly having cognizance of matters relating to human 55 services, government administration and appropriations and the 56 budgets of state agencies. Such report shall include a summary of the 57 results of the review conducted under subsection (a) of this section, any 58 reporting eliminated or consolidated under subsection (a) of this section 59 and any recommendations for any legislation necessary to eliminate 60 burdensome or duplicative reporting requirements required under state 61 law. 62 Sec. 3. Subsection (d) of section 4-70b of the general statutes is 63 repealed and the following is substituted in lieu thereof (Effective July 1, 64 2025): 65 (d) The secretary shall establish uniform policies and procedures for 66 obtaining, managing and evaluating the quality and cost effectiveness 67 of direct health and human services purchased from a private provider 68 organization or municipality. To the extent permissible under federal 69 law, such policies and procedures shall include, but not be limited to, a 70 requirement that a private provider organization receive payment for 71 any services provided pursuant to a purchase of service contract not 72 later than forty-five days after the receipt of a properly completed claim 73 or the receipt of such services, whichever is later, in accordance with 74 section 4a-71. The secretary shall require all state agencies which 75 purchase direct health and human services to comply with such policies 76 and procedures 77 Raised Bill No. 1231 LCO No. 3823 4 of 4 Sec. 4. Sections 17a-227d and 17a-476a of the general statutes are 78 repealed. (Effective from passage) 79 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 Sec. 3 July 1, 2025 4-70b(d) Sec. 4 from passage Repealer section Statement of Purpose: To (1) require the Secretary of the Office of Policy and Management to conduct reviews of the level of services and reporting requirements of nonprofit human services providers, and (2) repeal provisions concerning the cost allowance cap for executive director salaries in certain state agencies' calculations of grants to nonstate organizations that provide employment opportunities, day services, or residential facility 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.]