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General Assembly Governor's Bill No. 1251
January Session, 2025
LCO No. 4290
Referred to Committee on HUMAN SERVICES
Introduced by:
Request of the Governor Pursuant
to Joint Rule 9
AN ACT IMPLEMENTING THE GOVERNOR’S RECOMMENDATIONS
FOR HEALTH AND HUMAN SERVICES.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. Section 14-11b of the general statutes is repealed and the 1
following is substituted in lieu thereof (Effective July 1, 2025): 2
(a) There shall be within the Department of [Aging and Disability 3
Services] Motor Vehicles a unit for the purpose of evaluating and 4
training persons with disabilities in the operation of motor vehicles. 5
There shall be assigned to the driver training unit for persons with 6
disabilities such staff as is necessary for the orderly administration of 7
the driver training program for persons with disabilities. The personnel 8
assigned to the driver training unit for persons with disabilities shall, 9
while engaged in the evaluation, [or] instruction or examination of a 10
person with disabilities, have the authority and immunities with respect 11
to such activities as are granted under the general statutes to motor 12
vehicle inspectors. The Commissioner of Motor Vehicles may permit a 13
person whose license has been withdrawn as a result of a condition that 14
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makes such person eligible for evaluation and training under this 15
section to operate a motor vehicle while accompanied by personnel 16
assigned to the driver training unit for persons with disabilities. [When 17
a person with disabilities has successfully completed the driver training 18
program for persons with disabilities, the Department of Aging and 19
Disability Services shall certify such completion in writing to the 20
Commissioner of Motor Vehicles and shall recommend any license 21
restrictions or limitations to be placed on the license of such person. The 22
Commissioner of Motor Vehicles may accept such certification in lieu of 23
the driving skills portion of the examination prescribed under 24
subsection (e) of section 14-36. If such person with disabilities has met 25
all other requirements for obtaining a license, the Commissioner of 26
Motor Vehicles shall issue a license with such restrictions recommended 27
by the Department of Aging and Disability Services.] 28
(b) Any resident of this state who has a serious physical or mental 29
disability which does not render the resident incapable of operating a 30
motor vehicle and who must utilize special equipment in order to 31
operate a motor vehicle and who cannot obtain instruction in the 32
operation of a motor vehicle through any alternate program, including, 33
but not limited to, other state, federal or privately operated drivers' 34
schools shall be eligible for instruction under the Department of [Aging 35
and Disability Services] Motor Vehicles driver training program for 36
persons with disabilities. 37
Sec. 2. Subsection (b) of section 17b-104 of the general statutes is 38
repealed and the following is substituted in lieu thereof (Effective July 1, 39
2025): 40
(b) On July 1, 2007, and annually thereafter, the commissioner shall 41
increase the payment standards over those of the previous fiscal year 42
under the state-administered general assistance program by the 43
percentage increase, if any, in the most recent calendar year average in 44
the consumer price index for urban consumers over the average for the 45
previous calendar year, provided the annual increase, if any, shall not 46
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exceed five per cent, except that the payment standards for the fiscal 47
years ending June 30, 2010, June 30, 2011, June 30, 2012, June 30, 2013, 48
June 30, 2016, June 30, 2017, June 30, 2018, June 30, 2019, June 30, 2020, 49
[and] June 30, 2021, June 30, 2026, and June 30, 2027, shall not be 50
increased. 51
Sec. 3. Subsection (a) of section 17b-106 of the general statutes is 52
repealed and the following is substituted in lieu thereof (Effective July 1, 53
2025): 54
(a) On July 1, 1989, and annually thereafter, the commissioner shall 55
increase the adult payment standards over those of the previous fiscal 56
year for the state supplement to the federal Supplemental Security 57
Income Program by the percentage increase, if any, in the most recent 58
calendar year average in the consumer price index for urban consumers 59
over the average for the previous calendar year, provided the annual 60
increase, if any, shall not exceed five per cent, except that the adult 61
payment standards for the fiscal years ending June 30, 1993, June 30, 62
1994, June 30, 1995, June 30, 1996, June 30, 1997, June 30, 1998, June 30, 63
1999, June 30, 2000, June 30, 2001, June 30, 2002, June 30, 2003, June 30, 64
2004, June 30, 2005, June 30, 2006, June 30, 2007, June 30, 2008, June 30, 65
2009, June 30, 2010, June 30, 2011, June 30, 2012, June 30, 2013, June 30, 66
2016, June 30, 2017, June 30, 2018, June 30, 2019, June 30, 2020, [and] June 67
30, 2021, June 30, 2026, and June 30, 2027, shall not be increased. 68
Effective October 1, 1991, the coverage of excess utility costs for 69
recipients of the state supplement to the federal Supplemental Security 70
Income Program is eliminated. Notwithstanding the provisions of this 71
section, the commissioner may increase the personal needs allowance 72
component of the adult payment standard as necessary to meet federal 73
maintenance of effort requirements. 74
Sec. 4. Subsection (a) of section 17b-112g of the general statutes is 75
repealed and the following is substituted in lieu thereof (Effective July 1, 76
2025): 77
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(a) The Commissioner of Social Services shall offer immediate 78
diversion assistance designed to prevent certain families who are 79
applying for monthly temporary family assistance from needing such 80
assistance. Diversion assistance shall be offered to families that (1) upon 81
initial assessment are determined eligible for temporary family 82
assistance, (2) demonstrate a short-term need that cannot be met with 83
current or anticipated family resources, and (3) with the provision of a 84
service or short-term benefit, would be prevented from needing 85
monthly temporary family assistance. [Within resources available to the 86
Department of Social Services, a person who requests diversion 87
assistance on the basis of being a victim of domestic violence, as defined 88
in section 17b-112a, shall be deemed to satisfy subdivision (2) of this 89
subsection and shall not be subject to the requirements of subdivision 90
(3) of this subsection. In determining whether the family of such a victim 91
of domestic violence satisfies the requirements of subdivision (1) of this 92
subsection and the appropriate amount of diversion assistance to 93
provide, the commissioner shall not include as a member of the family 94
the spouse, domestic partner or other household member credibly 95
accused of domestic violence by such victim, nor shall the commissioner 96
count the income or assets of such a spouse, domestic partner or other 97
household member. For purposes of this subsection, allegations of 98
domestic violence may be substantiated by the commissioner pursuant 99
to the provisions of subsection (b) of section 17b-112a.] 100
Sec. 5. Section 17b-191 of the general statutes is repealed and the 101
following is substituted in lieu thereof (Effective July 1, 2025): 102
(a) Notwithstanding the provisions of sections 17b-190, 17b-195 and 103
17b-196, the Commissioner of Social Services shall operate a state-104
administered general assistance program in accordance with this section 105
and sections 17b-131, 17b-193, 17b-194, 17b-197 and 17b-198. 106
Notwithstanding any provision of the general statutes, on and after 107
October 1, 2003, no town shall be reimbursed by the state for any general 108
assistance medical benefits incurred after September 30, 2003, and on 109
and after March 1, 2004, no town shall be reimbursed by the state for 110
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any general assistance cash benefits or general assistance program 111
administrative costs incurred after February 29, 2004. 112
(b) The state-administered general assistance program shall provide 113
cash assistance of (1) two hundred dollars per month for an 114
unemployable person upon determination of such person's 115
unemployability; (2) two hundred dollars per month for a transitional 116
person who is required to pay for shelter; and (3) fifty dollars per month 117
for a transitional person who is not required to pay for shelter. The 118
standard of assistance paid for individuals residing in rated boarding 119
facilities shall remain at the level in effect on August 31, 2003. No person 120
shall be eligible for cash assistance under the program if eligible for cash 121
assistance under any other state or federal cash assistance program. The 122
standards of assistance set forth in this subsection shall be subject to 123
annual increases, as described in subsection (b) of section 17b-104, as 124
amended by this act. 125
(c) To be eligible for cash assistance under the program, a person shall 126
(1) be (A) eighteen years of age or older; (B) a minor found by a court to 127
be emancipated pursuant to section 46b-150; or (C) under eighteen years 128
of age and the commissioner determines good cause for such person's 129
eligibility, and (2) not have assets exceeding five hundred dollars or, if 130
such person is married, such person and his or her spouse shall not have 131
assets exceeding one thousand dollars. In determining eligibility, the 132
commissioner shall not consider as income (A) Aid and Attendance 133
pension benefits granted to a veteran, as defined in section 27-103, or the 134
surviving spouse of such veteran; and (B) any tax refund or advance 135
payment with respect to a refundable credit to the same extent such 136
refund or advance payment would be disregarded under 26 USC 6409 137
in any federal program or state or local program financed in whole or in 138
part with federal funds. No person who is a substance abuser and 139
refuses or fails to enter available, appropriate treatment shall be eligible 140
for cash assistance under the program until such person enters 141
treatment. No person whose benefits from the temporary family 142
assistance program have terminated as a result of time-limited benefits 143
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or for failure to comply with a program requirement shall be eligible for 144
cash assistance under the program. 145
(d) Prior to or upon discontinuance of assistance, a person previously 146
determined to be a transitional person may petition the commissioner 147
to review the determination of his or her status. In such review, the 148
commissioner shall consider factors, including, but not limited to: (1) 149
Age; (2) education; (3) vocational training; (4) mental and physical 150
health; and (5) employment history and shall make a determination of 151
such person's ability to obtain gainful employment. 152
[(e) Notwithstanding any other provision of this section or section 153
17b-194, a victim of domestic violence, as defined in section 17b-112a, 154
who is not eligible for diversion assistance under the provisions of 155
section 17b-112g, shall be eligible for a one-time assistance payment 156
under the state-administered general assistance program within 157
resources available to the Department of Social Services. Such payment 158
shall be equivalent to that which such victim would be entitled to 159
receive as diversion assistance if such victim and his or her family, if 160
any, were eligible for diversion assistance. In determining whether and 161
in what amount a victim of domestic violence and his or her family are 162
eligible for a one-time assistance payment pursuant to this subsection, 163
the commissioner shall not include as a member of such victim's family 164
the spouse, domestic partner or other household member credibly 165
accused of domestic violence by such victim, nor shall the commissioner 166
count the income or assets of such a spouse, domestic partner or other 167
household member. For purposes of this subsection, allegations of 168
domestic violence may be substantiated by the commissioner pursuant 169
to the provisions of subsection (b) of section 17b-112a, and "family" has 170
the same meaning as used in section 17b-112, except as otherwise 171
provided in this subsection.] 172
Sec. 6. Section 17b-278l of the general statutes is repealed and the 173
following is substituted in lieu thereof (Effective July 1, 2025): 174
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(a) (1) As used in this section, "bariatric surgery" means surgical 175
changes to the digestive system to help a patient with obesity to lose 176
weight; 177
(2) "Body mass index" means the number calculated by dividing an 178
individual's weight in kilograms by the individual's height in meters 179
squared; 180
(3) "Medical services" means (A) prescription drugs approved by the 181
federal Food and Drug Administration for the treatment of obesity on 182
an outpatient basis for individuals with type 2 diabetes and prescription 183
drugs approved by the federal Food and Drug Administration on an 184
outpatient basis for the treatment of a comorbid condition for 185
individuals with obesity, subject to prior authorization and only after 186
step therapy when clinically appropriate, and (B) nutritional counseling 187
provided by a registered dietitian-nutritionist certified pursuant to 188
section 20-206n; 189
(4) "Severe obesity" means a body mass index that is: 190
(A) Greater than forty; or 191
(B) Thirty-five or more if an individual has been diagnosed with a 192
comorbid disease or condition, including, but not limited to, a 193
cardiopulmonary condition, diabetes, hypertension or sleep apnea; and 194
(5) "Obesity" means a body mass index of thirty or higher. 195
(b) The Commissioner of Social Services shall [provide medical 196
assistance] amend the Medicaid state plan and the state plan for the 197
Children's Health Insurance Program to implement the provisions of 198
this section and provide coverage under the Medicaid program, in 199
accordance with federal law, for (1) bariatric surgery and related 200
medical services for Medicaid and HUSKY B beneficiaries with severe 201
obesity, and (2) medical services for Medicaid and HUSKY B 202
beneficiaries with a body mass index greater than thirty-five, provided 203
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such beneficiaries otherwise meet conditions set by the Centers for 204
Medicare and Medicaid Services for such surgery and medical services. 205
If necessary, the commissioner may amend the Medicaid state plan and 206
the state plan for the Children's Health Insurance Program to implement 207
the provisions of this section. 208
(c) Notwithstanding the provisions of subsection (b) of section 17b-209
274f, any step therapy that may be required by the Commissioner of 210
Social Services pursuant to the provisions of this section may be for a 211
period of time not longer than one hundred eighty days. 212
Sec. 7. Subsection (a) of section 17b-244 of the general statutes is 213
repealed and the following is substituted in lieu thereof (Effective July 1, 214
2025): 215
(a) The room and board component of the rates to be paid by the state 216
to private facilities and facilities operated by regional education service 217
centers which are licensed to provide residential care pursuant to 218
section 17a-227, but not certified to participate in the Title XIX Medicaid 219
program as intermediate care facilities for individuals with intellectual 220
disabilities, shall be determined annually by the Commissioner of Social 221
Services, except that rates effective April 30, 1989, shall remain in effect 222
through October 31, 1989. Any facility with real property other than 223
land placed in service prior to July 1, 1991, shall, for the fiscal year 224
ending June 30, 1995, receive a rate of return on real property equal to 225
the average of the rates of return applied to real property other than land 226
placed in service for the five years preceding July 1, 1993. For the fiscal 227
year ending June 30, 1996, and any succeeding fiscal year, the rate of 228
return on real property for property items shall be revised every five 229
years. The commissioner shall, upon submission of a request by such 230
facility, allow actual debt service, comprised of principal and interest, 231
on the loan or loans in lieu of property costs allowed pursuant to section 232
17-313b-5 of the regulations of Connecticut state agencies, whether 233
actual debt service is higher or lower than such allowed property costs, 234
provided such debt service terms and amounts are reasonable in 235
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relation to the useful life and the base value of the property. In the case 236
of facilities financed through the Connecticut Housing Finance 237
Authority, the commissioner shall allow actual debt service, comprised 238
of principal, interest and a reasonable repair and replacement reserve 239
on the loan or loans in lieu of property costs allowed pursuant to section 240
17-313b-5 of the regulations of Connecticut state agencies, whether 241
actual debt service is higher or lower than such allowed property costs, 242
provided such debt service terms and amounts are determined by the 243
commissioner at the time the loan is entered into to be reasonable in 244
relation to the useful life and base value of the property. The 245
commissioner may allow fees associated with mortgage refinancing 246
provided such refinancing will result in state reimbursement savings, 247
after comparing costs over the terms of the existing proposed loans. For 248
the fiscal year ending June 30, 1992, the inflation factor used to 249
determine rates shall be one-half of the gross national product 250
percentage increase for the period between the midpoint of the cost year 251
through the midpoint of the rate year. For fiscal year ending June 30, 252
1993, the inflation factor used to determine rates shall be two-thirds of 253
the gross national product percentage increase from the midpoint of the 254
cost year to the midpoint of the rate year. For the fiscal years ending 255
June 30, 1996, and June 30, 1997, no inflation factor shall be applied in 256
determining rates. The Commissioner of Social Services shall prescribe 257
uniform forms on which such facilities shall report their costs. Such rates 258
shall be determined on the basis of a reasonable payment for necessary 259
services. Any increase in grants, gifts, fund-raising or endowment 260
income used for the payment of operating costs by a private facility in 261
the fiscal year ending June 30, 1992, shall be excluded by the 262
commissioner from the income of the facility in determining the rates to 263
be paid to the facility for the fiscal year ending June 30, 1993, provided 264
any operating costs funded by such increase shall not obligate the state 265
to increase expenditures in subsequent fiscal years. Nothing contained 266
in this section shall authorize a payment by the state to any such facility 267
in excess of the charges made by the facility for comparable services to 268
the general public. The service component of the rates to be paid by the 269
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state to private facilities and facilities operated by regional education 270
service centers which are licensed to provide residential care pursuant 271
to section 17a-227, but not certified to participate in the Title XIX 272
Medicaid programs as intermediate care facilities for individuals with 273
intellectual disabilities, shall be determined annually by the 274
Commissioner of Developmental Services in accordance with section 275
17b-244a. For the fiscal year ending June 30, 2008, no facility shall receive 276
a rate that is more than two per cent greater than the rate in effect for 277
the facility on June 30, 2007, except any facility that would have been 278
issued a lower rate effective July 1, 2007, due to interim rate status or 279
agreement with the department, shall be issued such lower rate effective 280
July 1, 2007. For the fiscal year ending June 30, 2009, no facility shall 281
receive a rate that is more than two per cent greater than the rate in effect 282
for the facility on June 30, 2008, except any facility that would have been 283
issued a lower rate effective July 1, 2008, due to interim rate status or 284
agreement with the department, shall be issued such lower rate effective 285
July 1, 2008. For the fiscal years ending June 30, 2010, and June 30, 2011, 286
rates in effect for the period ending June 30, 2009, shall remain in effect 287
until June 30, 2011, except that (1) the rate paid to a facility may be higher 288
than the rate paid to the facility for the period ending June 30, 2009, if a 289
capital improvement required by the Commissioner of Developmental 290
Services for the health or safety of the residents was made to the facility 291
during the fiscal years ending June 30, 2010, or June 30, 2011, and (2) any 292
facility that would have been issued a lower rate for the fiscal year 293
ending June 30, 2010, or June 30, 2011, due to interim rate status or 294
agreement with the department, shall be issued such lower rate. For the 295
fiscal year ending June 30, 2012, rates in effect for the period ending June 296
30, 2011, shall remain in effect until June 30, 2012, except that (A) the 297
rate paid to a facility may be higher than the rate paid to the facility for 298
the period ending June 30, 2011, if a capital improvement required by 299
the Commissioner of Developmental Services for the health or safety of 300
the residents was made to the facility during the fiscal year ending June 301
30, 2012, and (B) any facility that would have been issued a lower rate 302
for the fiscal year ending June 30, 2012, due to interim rate status or 303
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agreement with the department, shall be issued such lower rate. Any 304
facility that has a significant decrease in land and building costs shall 305
receive a reduced rate to reflect such decrease in land and building costs. 306
The rate paid to a facility may be increased if a capital improvement 307
approved by the Department of Developmental Services, in consultation 308
with the Department of Social Services, for the health or safety of the 309
residents was made to the facility during the fiscal year ending June 30, 310
2014, or June 30, 2015, only to the extent such increases are within 311
available appropriations. For the fiscal years ending June 30, 2016, and 312
June 30, 2017, rates shall not exceed those in effect for the period ending 313
June 30, 2015, except the rate paid to a facility may be higher than the 314
rate paid to the facility for the period ending June 30, 2015, if a capital 315
improvement approved by the Department of Developmental Services, 316
in consultation with the Department of Social Services, for the health or 317
safety of the residents was made to the facility during the fiscal year 318
ending June 30, 2016, or June 30, 2017, to the extent such rate increases 319
are within available appropriations. For the fiscal years ending June 30, 320
2016, and June 30, 2017, and each succeeding fiscal year, any facility that 321
would have been issued a lower rate, due to interim rate status, a change 322
in allowable fair rent or agreement with the department, shall be issued 323
such lower rate. For the fiscal years ending June 30, 2018, and June 30, 324
2019, rates shall not exceed those in effect for the period ending June 30, 325
2017, except the rate paid to a facility may be higher than the rate paid 326
to the facility for the period ending June 30, 2017, if a capital 327
improvement approved by the Department of Developmental Services, 328
in consultation with the Department of Social Services, for the health or 329
safety of the residents was made to the facility during the fiscal year 330
ending June 30, 2018, or June 30, 2019, to the extent such rate increases 331
are within available appropriations. For the fiscal years ending June 30, 332
2020, and June 30, 2021, rates shall not exceed those in effect for the fiscal 333
year ending June 30, 2019, except the rate paid to a facility may be higher 334
than the rate paid to the facility for the fiscal year ending June 30, 2019, 335
if a capital improvement approved by the Department of 336
Developmental Services, in consultation with the Department of Social 337
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Services, for the health or safety of the residents was made to the facility 338
during the fiscal year ending June 30, 2020, or June 30, 2021, to the extent 339
such rate increases are within available appropriations. For the fiscal 340
years ending June 30, 2022, and June 30, 2023, rates shall be based upon 341
rates in effect for the fiscal year ending June 30, 2021, inflated by the 342
gross domestic product deflator applicable to each rate year, except the 343
commissioner may, in the commissioner's discretion and within 344
available appropriations, provide pro rata fair rent increases to facilities 345
which have documented fair rent additions placed in service in the cost 346
report years ending September 30, 2020, and September 30, 2021, that 347
are not otherwise included in rates issued, or if a rate adjustment for a 348
capital improvement approved by the Department of Developmental 349
Services, in consultation with the Department of Social Services, for the 350
health or safety of the residents was made to the facility during the fiscal 351
year ending June 30, 2022, or June 30, 2023. For the fiscal year ending 352
June 30, 2024, rates shall not exceed those in effect for the fiscal year 353
ending June 30, 2023, except the rate paid to a facility may be higher 354
than the rate paid to the facility for the fiscal year ending June 30, 2023, 355
if a capital improvement approved by the Department of 356
Developmental Services, in consultation with the Department of Social 357
Services, for the health or safety of the residents was made to the facility 358
during the fiscal year ending June 30, 2024, to the extent such rate 359
increases are within available appropriations. For the fiscal years ending 360
June 30, 2026, and June 30, 2027, rates shall not exceed those in effect for 361
the fiscal year ending June 30, 2025, except the rate paid to a facility may 362
be higher than the rate paid to the facility for the fiscal year ending June 363
30, 2025, if a capital improvement approved by the Department of 364
Developmental Services, in consultation with the Department of Social 365
Services, for the health or safety of the residents was made to the facility 366
during the fiscal year ending June 30, 2026, or June 30, 2027, to the extent 367
such rate increases are within available appropriations. 368
Sec. 8. (Effective July 1, 2025) For the fiscal years ending June 30, 2026, 369
and June 30, 2027, notwithstanding the provisions of subsection (a) of 370
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section 17b-244 of the general statutes, as amended by this act, and 371
subsections (a) to (i), inclusive, of section 17b-340 of the general statutes, 372
as amended by this act, or any other provision of title 17 or 17b of the 373
general statutes, or regulations adopted thereunder, the state rates of 374
payment in effect for the fiscal year ending June 30, 2025, for residential 375
care homes, community living arrangements and community 376
companion homes that receive the flat rate for residential services under 377
section 17-311-54 of the regulations of Connecticut state agencies shall 378
remain in effect. 379
Sec. 9. Subdivision (1) of subsection (h) of section 17b-340 of the 380
general statutes is repealed and the following is substituted in lieu 381
thereof (Effective July 1, 2025): 382
(h) (1) For the fiscal year ending June 30, 1993, any intermediate care 383
facility for individuals with intellectual disabilities with an operating 384
cost component of its rate in excess of one hundred forty per cent of the 385
median of operating cost components of rates in effect January 1, 1992, 386
shall not receive an operating cost component increase. For the fiscal 387
year ending June 30, 1993, any intermediate care facility for individuals 388
with intellectual disabilities with an operating cost component of its rate 389
that is less than one hundred forty per cent of the median of operating 390
cost components of rates in effect January 1, 1992, shall have an 391
allowance for real wage growth equal to thirty per cent of the increase 392
determined in accordance with subsection (q) of section 17-311-52 of the 393
regulations of Connecticut state agencies, provided such operating cost 394
component shall not exceed one hundred forty per cent of the median 395
of operating cost components in effect January 1, 1992. Any facility with 396
real property other than land placed in service prior to October 1, 1991, 397
shall, for the fiscal year ending June 30, 1995, receive a rate of return on 398
real property equal to the average of the rates of return applied to real 399
property other than land placed in service for the five years preceding 400
October 1, 1993. For the fiscal year ending June 30, 1996, and any 401
succeeding fiscal year, the rate of return on real property for property 402
items shall be revised every five years. The commissioner shall, upon 403
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submission of a request, allow actual debt service, comprised of 404
principal and interest, in excess of property costs allowed pursuant to 405
section 17-311-52 of the regulations of Connecticut state agencies, 406
provided such debt service terms and amounts are reasonable in 407
relation to the useful life and the base value of the property. For the fiscal 408
year ending June 30, 1995, and any succeeding fiscal year, the inflation 409
adjustment made in accordance with subsection (p) of section 17-311-52 410
of the regulations of Connecticut state agencies shall not be applied to 411
real property costs. For the fiscal year ending June 30, 1996, and any 412
succeeding fiscal year, the allowance for real wage growth, as 413
determined in accordance with subsection (q) of section 17-311-52 of the 414
regulations of Connecticut state agencies, shall not be applied. For the 415
fiscal year ending June 30, 1996, and any succeeding fiscal year, no rate 416
shall exceed three hundred seventy-five dollars per day unless the 417
commissioner, in consultation with the Commissioner of 418
Developmental Services, determines after a review of program and 419
management costs, that a rate in excess of this amount is necessary for 420
care and treatment of facility residents. For the fiscal year ending June 421
30, 2002, rate period, the Commissioner of Social Services shall increase 422
the inflation adjustment for rates made in accordance with subsection 423
(p) of section 17-311-52 of the regulations of Connecticut state agencies 424
to update allowable fiscal year 2000 costs to include a three and one-half 425
per cent inflation factor. For the fiscal year ending June 30, 2003, rate 426
period, the commissioner shall increase the inflation adjustment for 427
rates made in accordance with subsection (p) of section 17-311-52 of the 428
regulations of Connecticut state agencies to update allowable fiscal year 429
2001 costs to include a one and one-half per cent inflation factor, except 430
that such increase shall be effective November 1, 2002, and such facility 431
rate in effect for the fiscal year ending June 30, 2002, shall be paid for 432
services provided until October 31, 2002, except any facility that would 433
have been issued a lower rate effective July 1, 2002, than for the fiscal 434
year ending June 30, 2002, due to interim rate status or agreement with 435
the department shall be issued such lower rate effective July 1, 2002, and 436
have such rate updated effective November 1, 2002, in accordance with 437
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applicable statutes and regulations. For the fiscal year ending June 30, 438
2004, rates in effect for the period ending June 30, 2003, shall remain in 439
effect, except any facility that would have been issued a lower rate 440
effective July 1, 2003, than for the fiscal year ending June 30, 2003, due 441
to interim rate status or agreement with the department shall be issued 442
such lower rate effective July 1, 2003. For the fiscal year ending June 30, 443
2005, rates in effect for the period ending June 30, 2004, shall remain in 444
effect until September 30, 2004. Effective October 1, 2004, each facility 445
shall receive a rate that is five per cent greater than the rate in effect 446
September 30, 2004. Effective upon receipt of all the necessary federal 447
approvals to secure federal financial participation matching funds 448
associated with the rate increase provided in subdivision (4) of 449
subsection (f) of this section, but in no event earlier than October 1, 2005, 450
and provided the user fee imposed under section 17b-320 is required to 451
be collected, each facility shall receive a rate that is four per cent more 452
than the rate the facility received in the prior fiscal year, except any 453
facility that would have been issued a lower rate effective October 1, 454
2005, than for the fiscal year ending June 30, 2005, due to interim rate 455
status or agreement with the department, shall be issued such lower rate 456
effective October 1, 2005. Such rate increase shall remain in effect unless: 457
(A) The federal financial participation matching funds associated with 458
the rate increase are no longer available; or (B) the user fee created 459
pursuant to section 17b-320 is not in effect. For the fiscal year ending 460
June 30, 2007, rates in effect for the period ending June 30, 2006, shall 461
remain in effect until September 30, 2006, except any facility that would 462
have been issued a lower rate effective July 1, 2006, than for the fiscal 463
year ending June 30, 2006, due to interim rate status or agreement with 464
the department, shall be issued such lower rate effective July 1, 2006. 465
Effective October 1, 2006, no facility shall receive a rate that is more than 466
three per cent greater than the rate in effect for the facility on September 467
30, 2006, except any facility that would have been issued a lower rate 468
effective October 1, 2006, due to interim rate status or agreement with 469
the department, shall be issued such lower rate effective October 1, 2006. 470
For the fiscal year ending June 30, 2008, each facility shall receive a rate 471
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that is two and nine-tenths per cent greater than the rate in effect for the 472
period ending June 30, 2007, except any facility that would have been 473
issued a lower rate effective July 1, 2007, than for the rate period ending 474
June 30, 2007, due to interim rate status, or agreement with the 475
department, shall be issued such lower rate effective July 1, 2007. For the 476
fiscal year ending June 30, 2009, rates in effect for the period ending June 477
30, 2008, shall remain in effect until June 30, 2009, except any facility that 478
would have been issued a lower rate for the fiscal year ending June 30, 479
2009, due to interim rate status or agreement with the department, shall 480
be issued such lower rate. For the fiscal years ending June 30, 2010, and 481
June 30, 2011, rates in effect for the period ending June 30, 2009, shall 482
remain in effect until June 30, 2011, except any facility that would have 483
been issued a lower rate for the fiscal year ending June 30, 2010, or the 484
fiscal year ending June 30, 2011, due to interim rate status or agreement 485
with the department, shall be issued such lower rate. For the fiscal year 486
ending June 30, 2012, rates in effect for the period ending June 30, 2011, 487
shall remain in effect until June 30, 2012, except any facility that would 488
have been issued a lower rate for the fiscal year ending June 30, 2012, 489
due to interim rate status or agreement with the department, shall be 490
issued such lower rate. For the fiscal years ending June 30, 2014, and 491
June 30, 2015, rates shall not exceed those in effect for the period ending 492
June 30, 2013, except the rate paid to a facility may be higher than the 493
rate paid to the facility for the period ending June 30, 2013, if a capital 494
improvement approved by the Department of Developmental Services, 495
in consultation with the Department of Social Services, for the health or 496
safety of the residents was made to the facility during the fiscal year 497
ending June 30, 2014, or June 30, 2015, to the extent such rate increases 498
are within available appropriations. Any facility that would have been 499
issued a lower rate for the fiscal year ending June 30, 2014, or the fiscal 500
year ending June 30, 2015, due to interim rate status or agreement with 501
the department, shall be issued such lower rate. For the fiscal years 502
ending June 30, 2016, and June 30, 2017, rates shall not exceed those in 503
effect for the period ending June 30, 2015, except the rate paid to a 504
facility may be higher than the rate paid to the facility for the period 505
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ending June 30, 2015, if a capital improvement approved by the 506
Department of Developmental Services, in consultation with the 507
Department of Social Services, for the health or safety of the residents 508
was made to the facility during the fiscal year ending June 30, 2016, or 509
June 30, 2017, to the extent such rate increases are within available 510
appropriations. For the fiscal years ending June 30, 2016, and June 30, 511
2017, and each succeeding fiscal year, any facility that would have been 512
issued a lower rate, due to interim rate status, a change in allowable fair 513
rent or agreement with the department, shall be issued such lower rate. 514
For the fiscal years ending June 30, 2018, and June 30, 2019, rates shall 515
not exceed those in effect for the period ending June 30, 2017, except the 516
rate paid to a facility may be higher than the rate paid to the facility for 517
the period ending June 30, 2017, if a capital improvement approved by 518
the Department of Developmental Services, in consultation with the 519
Department of Social Services, for the health or safety of the residents 520
was made to the facility during the fiscal year ending June 30, 2018, or 521
June 30, 2019, only to the extent such rate increases are within available 522
appropriations. For the fiscal years ending June 30, 2020, and June 30, 523
2021, rates shall not exceed those in effect for the fiscal year ending June 524
30, 2019, except the rate paid to a facility may be higher than the rate 525
paid to the facility for the fiscal year ending June 30, 2019, if a capital 526
improvement approved by the Department of Developmental Services, 527
in consultation with the Department of Social Services, for the health or 528
safety of the residents was made to the facility during the fiscal year 529
ending June 30, 2020, or June 30, 2021, only to the extent such rate 530
increases are within available appropriations. For the fiscal year ending 531
June 30, 2022, rates shall not exceed those in effect for the fiscal year 532
ending June 30, 2021, except the commissioner may, in the 533
commissioner's discretion and within available appropriations, provide 534
pro rata fair rent increases to facilities that have documented fair rent 535
additions placed in service in the cost report year ending September 30, 536
2020, that are not otherwise included in rates issued. For the fiscal year 537
ending June 30, 2023, rates shall not exceed those in effect for the fiscal 538
year ending June 30, 2022, except the commissioner may, in the 539
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LCO No. 4290 18 of 38
commissioner's discretion and within available appropriations, provide 540
pro rata fair rent increases to facilities which have documented fair rent 541
additions placed in service in the cost report year ending September 30, 542
2021, that are not otherwise included in rates issued. For the fiscal years 543
ending June 30, 2022, and June 30, 2023, a facility may receive a rate 544
increase for a capital improvement approved by the Department of 545
Developmental Services, in consultation with the Department of Social 546
Services, for the health or safety of the residents during the fiscal year 547
ending June 30, 2022, or June 30, 2023, only to the extent such rate 548
increases are within available appropriations. There shall be no increase 549
to rates based on inflation or any inflationary factor for the fiscal years 550
ending June 30, 2022, and June 30, 2023. Notwithstanding any other 551
provisions of this chapter, any subsequent increase to allowable 552
operating costs, excluding fair rent, shall be inflated by the gross 553
domestic product deflator when funding is specifically appropriated for 554
such purposes in the enacted budget. The rate of inflation shall be 555
computed by comparing the most recent rate year to the average of the 556
gross domestic product deflator for the previous four fiscal quarters 557
ending March thirty-first. Any increase to rates based on inflation shall 558
be applied prior to the application of any other budget adjustment 559
factors that may impact such rates. For the fiscal year ending June 30, 560
2024, the department shall determine facility rates based upon 2022 cost 561
report filings subject to the provisions of this section, adjusted to reflect 562
any rate increases provided after the cost report year ending June 30, 563
2022, and with the addition of a two per cent adjustment factor. No 564
facility shall receive a rate less than the rate in effect for the fiscal year 565
ending June 30, 2023. For the fiscal year ending June 30, 2024, the 566
minimum per diem, per bed rate shall remain at five hundred one 567
dollars for a residential facility licensed pursuant to section 17a-227 and 568
certified to participate in the Title XIX Medicaid program as an 569
intermediate care facility for individuals with intellectual disability. 570
There shall be no increase to rates based on any inflationary factor for 571
the fiscal year ending June 30, 2024. For the fiscal year ending June 30, 572
2024, and each subsequent fiscal year, the commissioner may, in the 573
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LCO No. 4290 19 of 38
commissioner's discretion and within available appropriations, provide 574
pro rata fair rent increases to facilities that have documented fair rent 575
additions placed in service in the cost report years that are not otherwise 576
included in rates issued. For the fiscal year ending June 30, 2025, the 577
department shall determine facility rates based upon 2023 cost report 578
filings subject to the provisions of this section, adjusted to reflect any 579
rate increases provided after the cost report ending June 30, 2023. A 580
facility may receive a rate that is less than the rate in effect for the fiscal 581
year ending June 30, 2024, but shall not receive a rate less than the 582
minimum per diem, per bed rate. For the fiscal year ending June 30, 583
2025, the minimum per diem, per bed rate shall remain at five hundred 584
one dollars for a residential facility licensed pursuant to section 17a-227 585
and certified to participate in the Title XIX Medicaid program as an 586
intermediate care facility for individuals with intellectual disability. 587
There shall be no increase to rates based on any inflationary factor for 588
the fiscal year ending June 30, 2025. For the fiscal year ending June 30, 589
2026, the department shall determine facility rates based upon 2024 cost 590
report filings subject to the provisions of this section, adjusted to reflect 591
any rate increases provided after the cost report ending June 30, 2024. 592
For the fiscal year ending June 30, 2026, there shall be no minimum per 593
diem, per bed rate for a residential facility licensed pursuant to section 594
17a-227 and certified to participate in the Title XIX Medicaid program 595
as an intermediate care facility for individuals with intellectual 596
disability. There shall be no increase to rates based on any inflationary 597
factor for the fiscal year ending June 30, 2026. For the fiscal year ending 598
June 30, 2027, rates shall not exceed those in effect for the fiscal year 599
ending June 30, 2026, except the commissioner may, in the 600
commissioner's discretion and within available appropriations, provide 601
pro rata fair rent increases to facilities that have documented fair rent 602
additions placed in service in the cost report year ending September 30, 603
2025, that are not otherwise included in rates issued. For the fiscal years 604
ending June 30, 2024, and June 30, 2025, a facility may receive a rate 605
increase for a capital improvement approved by the Department of 606
Developmental Services, in consultation with the Department of Social 607
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Services, for the health or safety of the residents during the fiscal year 608
ending June 30, 2024, or June 30, 2025, only to the extent such rate 609
increases are within available appropriations. For the fiscal years ending 610
June 30, 2026, and June 30, 2027, a facility may receive a rate increase for 611
a capital improvement approved by the Department of Developmental 612
Services, in consultation with the Department of Social Services, for the 613
health or safety of the residents during the fiscal year ending June 30, 614
2026, or June 30, 2027, only to the extent such rate increases are within 615
available appropriations. Any facility that has a significant decrease in 616
land and building costs shall receive a reduced rate to reflect such 617
decrease in land and building costs. For the fiscal years ending June 30, 618
2012, June 30, 2013, June 30, 2014, June 30, 2015, June 30, 2016, June 30, 619
2017, June 30, 2018, June 30, 2019, June 30, 2020, June 30, 2021, June 30, 620
2022, June 30, 2023, June 30, 2024, [and] June 30, 2025, June 30, 2026, and 621
June 30, 2027, the Commissioner of Social Services may provide fair rent 622
increases to any facility that has undergone a material change in 623
circumstances related to fair rent and has an approved certificate of need 624
pursuant to section 17b-352, 17b-353, 17b-354 or 17b-355. 625
Notwithstanding the provisions of this section, the Commissioner of 626
Social Services may, within available appropriations, increase or 627
decrease rates issued to intermediate care facilities for individuals with 628
intellectual disabilities to reflect a reduction in available appropriations 629
as provided in subsection (a) of this section. For the fiscal years ending 630
June 30, 2014, and June 30, 2015, the commissioner shall not consider 631
rebasing in determining rates. Notwithstanding the provisions of this 632
subsection, effective July 1, 2021, and July 1, 2022, the commissioner 633
shall, within available appropriations, increase rates for the purpose of 634
wage and benefit enhancements for employees of intermediate care 635
facilities. Facilities that receive a rate adjustment for the purpose of wage 636
and benefit enhancements but do not provide increases in employee 637
salaries as described in this subsection on or before July 31, 2021, and 638
July 31, 2022, respectively, may be subject to a rate decrease in the same 639
amount as the adjustment by the commissioner. 640
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LCO No. 4290 21 of 38
Sec. 10. Subsection (i) of section 17b-340 of the general statutes is 641
repealed and the following is substituted in lieu thereof (Effective July 1, 642
2025): 643
(i) For the fiscal year ending June 30, 1993, any residential care home 644
with an operating cost component of its rate in excess of one hundred 645
thirty per cent of the median of operating cost components of rates in 646
effect January 1, 1992, shall not receive an operating cost component 647
increase. For the fiscal year ending June 30, 1993, any residential care 648
home with an operating cost component of its rate that is less than one 649
hundred thirty per cent of the median of operating cost components of 650
rates in effect January 1, 1992, shall have an allowance for real wage 651
growth equal to sixty-five per cent of the increase determined in 652
accordance with subsection (q) of section 17-311-52 of the regulations of 653
Connecticut state agencies, provided such operating cost component 654
shall not exceed one hundred thirty per cent of the median of operating 655
cost components in effect January 1, 1992. Beginning with the fiscal year 656
ending June 30, 1993, for the purpose of determining allowable fair rent, 657
a residential care home with allowable fair rent less than the twenty-658
fifth percentile of the state-wide allowable fair rent shall be reimbursed 659
as having allowable fair rent equal to the twenty-fifth percentile of the 660
state-wide allowable fair rent. Beginning with the fiscal year ending 661
June 30, 1997, a residential care home with allowable fair rent less than 662
three dollars and ten cents per day shall be reimbursed as having 663
allowable fair rent equal to three dollars and ten cents per day. Property 664
additions placed in service during the cost year ending September 30, 665
1996, or any succeeding cost year shall receive a fair rent allowance for 666
such additions as an addition to three dollars and ten cents per day if 667
the fair rent for the facility for property placed in service prior to 668
September 30, 1995, is less than or equal to three dollars and ten cents 669
per day. Beginning with the fiscal year ending June 30, 2016, a 670
residential care home shall be reimbursed the greater of the allowable 671
accumulated fair rent reimbursement associated with real property 672
additions and land as calculated on a per day basis or three dollars and 673
Governor's Bill No. 1251
LCO No. 4290 22 of 38
ten cents per day if the allowable reimbursement associated with real 674
property additions and land is less than three dollars and ten cents per 675
day. For the fiscal year ending June 30, 1996, and any succeeding fiscal 676
year, the allowance for real wage growth, as determined in accordance 677
with subsection (q) of section 17-311-52 of the regulations of Connecticut 678
state agencies, shall not be applied. For the fiscal year ending June 30, 679
1996, and any succeeding fiscal year, the inflation adjustment made in 680
accordance with subsection (p) of section 17-311-52 of the regulations of 681
Connecticut state agencies shall not be applied to real property costs. 682
Beginning with the fiscal year ending June 30, 1997, minimum allowable 683
patient days for rate computation purposes for a residential care home 684
with twenty-five beds or less shall be eighty-five per cent of licensed 685
capacity. Beginning with the fiscal year ending June 30, 2002, for the 686
purposes of determining the allowable salary of an administrator of a 687
residential care home with sixty beds or less the department shall revise 688
the allowable base salary to thirty-seven thousand dollars to be annually 689
inflated thereafter in accordance with section 17-311-52 of the 690
regulations of Connecticut state agencies. The rates for the fiscal year 691
ending June 30, 2002, shall be based upon the increased allowable salary 692
of an administrator, regardless of whether such amount was expended 693
in the 2000 cost report period upon which the rates are based. Beginning 694
with the fiscal year ending June 30, 2000, and until the fiscal year ending 695
June 30, 2009, inclusive, the inflation adjustment for rates made in 696
accordance with subsection (p) of section 17-311-52 of the regulations of 697
Connecticut state agencies shall be increased by two per cent, and 698
beginning with the fiscal year ending June 30, 2002, the inflation 699
adjustment for rates made in accordance with subsection (c) of said 700
section shall be increased by one per cent. Beginning with the fiscal year 701
ending June 30, 1999, for the purpose of determining the allowable 702
salary of a related party, the department shall revise the maximum 703
salary to twenty-seven thousand eight hundred fifty-six dollars to be 704
annually inflated thereafter in accordance with section 17-311-52 of the 705
regulations of Connecticut state agencies and beginning with the fiscal 706
year ending June 30, 2001, such allowable salary shall be computed on 707
Governor's Bill No. 1251
LCO No. 4290 23 of 38
an hourly basis and the maximum number of hours allowed for a related 708
party other than the proprietor shall be increased from forty hours to 709
forty-eight hours per work week. For the fiscal year ending June 30, 710
2005, each facility shall receive a rate that is two and one-quarter per 711
cent more than the rate the facility received in the prior fiscal year, 712
except any facility that would have been issued a lower rate effective 713
July 1, 2004, than for the fiscal year ending June 30, 2004, due to interim 714
rate status or agreement with the department shall be issued such lower 715
rate effective July 1, 2004. Effective upon receipt of all the necessary 716
federal approvals to secure federal financial participation matching 717
funds associated with the rate increase provided in subdivision (4) of 718
subsection (f) of this section, but in no event earlier than October 1, 2005, 719
and provided the user fee imposed under section 17b-320 is required to 720
be collected, each facility shall receive a rate that is determined in 721
accordance with applicable law and subject to appropriations, except 722
any facility that would have been issued a lower rate effective October 723
1, 2005, than for the fiscal year ending June 30, 2005, due to interim rate 724
status or agreement with the department, shall be issued such lower rate 725
effective October 1, 2005. Such rate increase shall remain in effect unless: 726
(1) The federal financial participation matching funds associated with 727
the rate increase are no longer available; or (2) the user fee created 728
pursuant to section 17b-320 is not in effect. For the fiscal year ending 729
June 30, 2007, rates in effect for the period ending June 30, 2006, shall 730
remain in effect until September 30, 2006, except any facility that would 731
have been issued a lower rate effective July 1, 2006, than for the fiscal 732
year ending June 30, 2006, due to interim rate status or agreement with 733
the department, shall be issued such lower rate effective July 1, 2006. 734
Effective October 1, 2006, no facility shall receive a rate that is more than 735
four per cent greater than the rate in effect for the facility on September 736
30, 2006, except for any facility that would have been issued a lower rate 737
effective October 1, 2006, due to interim rate status or agreement with 738
the department, shall be issued such lower rate effective October 1, 2006. 739
For the fiscal years ending June 30, 2010, and June 30, 2011, rates in effect 740
for the period ending June 30, 2009, shall remain in effect until June 30, 741
Governor's Bill No. 1251
LCO No. 4290 24 of 38
2011, except any facility that would have been issued a lower rate for 742
the fiscal year ending June 30, 2010, or the fiscal year ending June 30, 743
2011, due to interim rate status or agreement with the department, shall 744
be issued such lower rate, except (A) any facility that would have been 745
issued a lower rate for the fiscal year ending June 30, 2010, or the fiscal 746
year ending June 30, 2011, due to interim rate status or agreement with 747
the Commissioner of Social Services shall be issued such lower rate; and 748
(B) the commissioner may increase a facility's rate for reasonable costs 749
associated with such facility's compliance with the provisions of section 750
19a-495a concerning the administration of medication by unlicensed 751
personnel. For the fiscal year ending June 30, 2012, rates in effect for the 752
period ending June 30, 2011, shall remain in effect until June 30, 2012, 753
except that (i) any facility that would have been issued a lower rate for 754
the fiscal year ending June 30, 2012, due to interim rate status or 755
agreement with the Commissioner of Social Services shall be issued 756
such lower rate; and (ii) the commissioner may increase a facility's rate 757
for reasonable costs associated with such facility's compliance with the 758
provisions of section 19a-495a concerning the administration of 759
medication by unlicensed personnel. For the fiscal year ending June 30, 760
2013, the Commissioner of Social Services may, within available 761
appropriations, provide a rate increase to a residential care home. Any 762
facility that would have been issued a lower rate for the fiscal year 763
ending June 30, 2013, due to interim rate status or agreement with the 764
Commissioner of Social Services shall be issued such lower rate. For the 765
fiscal years ending June 30, 2012, and June 30, 2013, the Commissioner 766
of Social Services may provide fair rent increases to any facility that has 767
undergone a material change in circumstances related to fair rent and 768
has an approved certificate of need pursuant to section 17b-352, 17b-353, 769
17b-354 or 17b-355. For the fiscal years ending June 30, 2014, and June 770
30, 2015, for those facilities that have a calculated rate greater than the 771
rate in effect for the fiscal year ending June 30, 2013, the commissioner 772
may increase facility rates based upon available appropriations up to a 773
stop gain as determined by the commissioner. No facility shall be issued 774
a rate that is lower than the rate in effect on June 30, 2013, except that 775
Governor's Bill No. 1251
LCO No. 4290 25 of 38
any facility that would have been issued a lower rate for the fiscal year 776
ending June 30, 2014, or the fiscal year ending June 30, 2015, due to 777
interim rate status or agreement with the commissioner, shall be issued 778
such lower rate. For the fiscal year ending June 30, 2014, and each fiscal 779
year thereafter, a residential care home shall receive a rate increase for 780
any capital improvement made during the fiscal year for the health and 781
safety of residents and approved by the Department of Social Services, 782
provided such rate increase is within available appropriations. For the 783
fiscal year ending June 30, 2015, and each succeeding fiscal year 784
thereafter, costs of less than ten thousand dollars that are incurred by a 785
facility and are associated with any land, building or nonmovable 786
equipment repair or improvement that are reported in the cost year used 787
to establish the facility's rate shall not be capitalized for a period of more 788
than five years for rate-setting purposes. For the fiscal year ending June 789
30, 2015, subject to available appropriations, the commissioner may, at 790
the commissioner's discretion: Increase the inflation cost limitation 791
under subsection (c) of section 17-311-52 of the regulations of 792
Connecticut state agencies, provided such inflation allowance factor 793
does not exceed a maximum of five per cent; establish a minimum rate 794
of return applied to real property of five per cent inclusive of assets 795
placed in service during cost year 2013; waive the standard rate of return 796
under subsection (f) of section 17-311-52 of the regulations of 797
Connecticut state agencies for ownership changes or health and safety 798
improvements that exceed one hundred thousand dollars and that are 799
required under a consent order from the Department of Public Health; 800
and waive the rate of return adjustment under subsection (f) of section 801
17-311-52 of the regulations of Connecticut state agencies to avoid 802
financial hardship. For the fiscal years ending June 30, 2016, and June 803
30, 2017, rates shall not exceed those in effect for the period ending June 804
30, 2015, except the commissioner may, in the commissioner's discretion 805
and within available appropriations, provide pro rata fair rent increases 806
to facilities which have documented fair rent additions placed in service 807
in cost report years ending September 30, 2014, and September 30, 2015, 808
that are not otherwise included in rates issued. For the fiscal years 809
Governor's Bill No. 1251
LCO No. 4290 26 of 38
ending June 30, 2016, and June 30, 2017, and each succeeding fiscal year, 810
any facility that would have been issued a lower rate, due to interim rate 811
status, a change in allowable fair rent or agreement with the department, 812
shall be issued such lower rate. For the fiscal year ending June 30, 2018, 813
rates shall not exceed those in effect for the period ending June 30, 2017, 814
except the commissioner may, in the commissioner's discretion and 815
within available appropriations, provide pro rata fair rent increases to 816
facilities which have documented fair rent additions placed in service in 817
the cost report year ending September 30, 2016, that are not otherwise 818
included in rates issued. For the fiscal year ending June 30, 2019, rates 819
shall not exceed those in effect for the period ending June 30, 2018, 820
except the commissioner may, in the commissioner's discretion and 821
within available appropriations, provide pro rata fair rent increases to 822
facilities which have documented fair rent additions placed in service in 823
the cost report year ending September 30, 2017, that are not otherwise 824
included in rates issued. For the fiscal year ending June 30, 2020, rates 825
shall not exceed those in effect for the fiscal year ending June 30, 2019, 826
except the commissioner may, in the commissioner's discretion and 827
within available appropriations, provide pro rata fair rent increases to 828
facilities which have documented fair rent additions placed in service in 829
the cost report year ending September 30, 2018, that are not otherwise 830
included in rates issued. For the fiscal year ending June 30, 2021, rates 831
shall not exceed those in effect for the fiscal year ending June 30, 2020, 832
except the commissioner may, in the commissioner's discretion and 833
within available appropriations, provide pro rata fair rent increases to 834
facilities which have documented fair rent additions placed in service in 835
the cost report year ending September 30, 2019, that are not otherwise 836
included in rates issued. For the fiscal year ending June 30, 2022, the 837
commissioner may, in the commissioner's discretion and within 838
available appropriations, provide pro rata fair rent increases to facilities 839
that have documented fair rent additions placed in service in the cost 840
report year ending September 30, 2020, that are not otherwise included 841
in rates issued. For the fiscal year ending June 30, 2023, the 842
commissioner may, in the commissioner's discretion and within 843
Governor's Bill No. 1251
LCO No. 4290 27 of 38
available appropriations, provide pro rata fair rent increases to facilities 844
which have documented fair rent additions placed in service in the cost 845
report year ending September 30, 2021, that are not otherwise included 846
in rates issued. For the fiscal years ending June 30, 2022, and June 30, 847
2023, a facility may receive a rate increase for a capital improvement 848
approved by the Department of Social Services, for the health or safety 849
of the residents during the fiscal year ending June 30, 2022, or June 30, 850
2023, only to the extent such rate increases are within available 851
appropriations. For the fiscal year ending June 30, 2022, and June 30, 852
2023, rates shall be based upon rates in effect for the fiscal year ending 853
June 30, 2021, inflated by the gross domestic product deflator applicable 854
to each rate year, except the commissioner may, in the commissioner's 855
discretion and within available appropriations, provide pro rata fair 856
rent increases to facilities which have documented fair rent additions 857
placed in service in the cost report years ending September 30, 2020, and 858
September 30, 2021, that are not otherwise included in rates issued. For 859
the fiscal years ending June 30, 2024, and June 30, 2025, a facility may 860
receive a rate increase for a capital improvement approved by the 861
Department of Social Services, for the health or safety of the residents 862
during the fiscal year ending June 30, 2024, or June 30, 2025, only to the 863
extent such rate increases are within available appropriations. For the 864
fiscal year ending June 30, 2024, the department shall determine facility 865
rates based upon 2022 cost report filings subject to the provisions of this 866
section, adjusted to reflect any rate increases provided after the cost 867
report year ending September 30, 2022. There shall be no increase to 868
rates based on any inflationary factor for the fiscal year ending June 30, 869
2024. For the fiscal years ending June 30, 2026, and June 30, 2027, a 870
facility may receive a rate increase for a capital improvement approved 871
by the Department of Social Services, for the health or safety of the 872
residents during the fiscal year ending June 30, 2026, or June 30, 2027, 873
only to the extent such rate increases are within available 874
appropriations. For the fiscal year ending June 30, 2026, the department 875
shall determine facility rates based upon 2024 cost report filings subject 876
to the provisions of this section, adjusted to reflect any rate increases 877
Governor's Bill No. 1251
LCO No. 4290 28 of 38
provided after the cost report year ending September 30, 2024. For the 878
fiscal year ending June 30, 2027, the department shall determine facility 879
rates based upon 2025 cost report filings subject to the provisions of this 880
section, adjusted to reflect any rate increases provided after the cost 881
report year ending September 30, 2025. There shall be no increase to 882
rates based on any inflationary factor for the fiscal years ending June 30, 883
2026, and June 30, 2027. Notwithstanding any other provisions of this 884
chapter, any subsequent increase to allowable operating costs, 885
excluding fair rent, shall be inflated by the gross domestic product 886
deflator when funding is specifically appropriated for such purposes in 887
the enacted budget. The rate of inflation shall be computed by 888
comparing the most recent rate year to the average of the gross domestic 889
product deflator for the previous four fiscal quarters ending March 890
thirty-first. Any increase to rates based on inflation shall be applied 891
prior to the application of any other budget adjustment factors that may 892
impact such rates. The commissioner shall determine whether and to 893
what extent a change in ownership of a facility shall occasion the 894
rebasing of the facility's costs. There shall be no inflation adjustment 895
during a year in which a facility's rates are rebased. For the fiscal year 896
ending June 30, 2024, the commissioner may, in the commissioner's 897
discretion and within available appropriations, provide pro rata fair 898
rent increases to facilities that have documented fair rent additions 899
placed in service in the cost report year ending September 30, 2022, that 900
are not otherwise included in rates issued. For the fiscal year ending 901
June 30, 2025, the commissioner may, in the commissioner's discretion 902
and within available appropriations, provide pro rata fair rent increases 903
to facilities that have documented fair rent additions placed in service 904
in the cost report year ending September 30, 2023, that are not otherwise 905
included in rates issued. For the fiscal year ending June 30, 2026, the 906
commissioner may, in the commissioner's discretion and within 907
available appropriations, provide pro rata fair rent increases to facilities 908
that have documented fair rent additions placed in service in the cost 909
report year ending September 30, 2024, that are not otherwise included 910
in rates issued. For the fiscal year ending June 30, 2027, the 911
Governor's Bill No. 1251
LCO No. 4290 29 of 38
commissioner may, in the commissioner's discretion and within 912
available appropriations, provide pro rata fair rent increases to facilities 913
that have documented fair rent additions placed in service in the cost 914
report year ending September 30, 2025, that are not otherwise included 915
in rates issued. 916
Sec. 11. Subdivision (9) of subsection (a) of section 17b-340d of the 917
general statutes is repealed and the following is substituted in lieu 918
thereof (Effective July 1, 2025): 919
(9) On and after July 1, 2025, costs shall be rebased no more frequently 920
than every two years and no less frequently than every four years, as 921
determined by the commissioner. There shall be no inflation adjustment 922
during a year in which a facility's rates are rebased. The commissioner 923
shall determine whether and to what extent a change in ownership of a 924
facility shall occasion the rebasing of the facility's costs. There shall be 925
no rebasing for the fiscal years ending June 30, 2026, and June 30, 2027. 926
Sec. 12. Subdivision (11) of subsection (a) of section 17b-340d of the 927
general statutes is repealed and the following is substituted in lieu 928
thereof (Effective July 1, 2025): 929
(11) There shall be no increase to rates based on inflation or any 930
inflationary factor for the fiscal years ending June 30, 2022, and June 30, 931
2023, unless otherwise authorized under subdivision (1) of this 932
subsection. Notwithstanding section 17-311-52 of the regulations of 933
Connecticut state agencies, for the fiscal years ending June 30, 2024, 934
[and] June 30, 2025, June 30, 2026, and June 30, 2027, there shall be no 935
inflationary increases to rates beyond those already factored into the 936
model for the transition to an acuity-based reimbursement system. 937
Notwithstanding any other provisions of this chapter, any subsequent 938
increase to allowable operating costs, excluding fair rent, shall be 939
inflated by the gross domestic product deflator when funding is 940
specifically appropriated for such purposes in the enacted budget. The 941
rate of inflation shall be computed by comparing the most recent rate 942
Governor's Bill No. 1251
LCO No. 4290 30 of 38
year to the average of the gross domestic product deflator for the 943
previous four fiscal quarters ending March thirty-first. Any increase to 944
rates based on inflation shall be applied prior to the application of any 945
other budget adjustment factors that may impact such rates. 946
Sec. 13. Subsection (i) of section 17b-342 of the general statutes is 947
repealed and the following is substituted in lieu thereof (Effective July 1, 948
2025): 949
(i) (1) The Commissioner of Social Services shall, within available 950
appropriations, administer a state-funded portion of the Connecticut 951
home-care program for the elderly for persons (A) who are sixty-five 952
years of age and older and are not eligible for Medicaid; (B) who are 953
inappropriately institutionalized or at risk of inappropriate 954
institutionalization; (C) whose income is less than or equal to the 955
amount allowed for a person who would be eligible for medical 956
assistance if residing in a nursing facility; and (D) whose assets, if single, 957
do not exceed one hundred fifty per cent of the federal minimum 958
community spouse protected amount pursuant to 42 USC 1396r-5(f)(2) 959
or, if married, the couple's assets do not exceed two hundred per cent of 960
said community spouse protected amount. For program applications 961
received by the Department of Social Services for the fiscal years ending 962
June 30, 2016, and June 30, 2017, only persons who require the level of 963
care provided in a nursing home shall be eligible for the state-funded 964
portion of the program, except for persons residing in affordable 965
housing under the assisted living demonstration project established 966
pursuant to section 17b-347e who are otherwise eligible in accordance 967
with this section. 968
(2) Except for persons residing in affordable housing under the 969
assisted living demonstration project established pursuant to section 970
17b-347e, as provided in subdivision (3) of this subsection, any person 971
whose income is at or below two hundred per cent of the federal poverty 972
level and who is ineligible for Medicaid shall contribute [three] five per 973
cent of the cost of his or her care not to exceed a cap of one hundred 974
Governor's Bill No. 1251
LCO No. 4290 31 of 38
seventy-five dollars per month for the fiscal year ending June 30, 2026. 975
On July 1, 2026, and annually thereafter, said cap shall be indexed 976
annually based on the percentage increase in the most recent calendar 977
year average in the consumer price index for urban consumers over the 978
average for the previous calendar year. Any person whose income 979
exceeds two hundred per cent of the federal poverty level shall 980
contribute [three] five per cent of the cost of his or her care not to exceed 981
said cap in addition to the amount of applied income determined in 982
accordance with the methodology established by the Department of 983
Social Services for recipients of medical assistance. Any person who 984
does not contribute to the cost of care in accordance with this 985
subdivision shall be ineligible to receive services under this subsection. 986
Notwithstanding any provision of sections 17b-60 and 17b-61, the 987
department shall not be required to provide an administrative hearing 988
to a person found ineligible for services under this subsection because 989
of a failure to contribute to the cost of care. 990
(3) Any person who resides in affordable housing under the assisted 991
living demonstration project established pursuant to section 17b-347e 992
and whose income is at or below two hundred per cent of the federal 993
poverty level, shall not be required to contribute to the cost of care. Any 994
person who resides in affordable housing under the assisted living 995
demonstration project established pursuant to section 17b-347e and 996
whose income exceeds two hundred per cent of the federal poverty 997
level, shall contribute to the applied income amount determined in 998
accordance with the methodology established by the Department of 999
Social Services for recipients of medical assistance. Any person whose 1000
income exceeds two hundred per cent of the federal poverty level and 1001
who does not contribute to the cost of care in accordance with this 1002
subdivision shall be ineligible to receive services under this subsection. 1003
Notwithstanding any provision of sections 17b-60 and 17b-61, the 1004
department shall not be required to provide an administrative hearing 1005
to a person found ineligible for services under this subsection because 1006
of a failure to contribute to the cost of care. 1007
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LCO No. 4290 32 of 38
(4) The annualized cost of services provided to an individual under 1008
the state-funded portion of the program shall not exceed fifty per cent 1009
of the weighted average cost of care in nursing homes in the state, except 1010
an individual who received services costing in excess of such amount 1011
under the Department of Social Services in the fiscal year ending June 1012
30, 1992, may continue to receive such services, provided the annualized 1013
cost of such services does not exceed eighty per cent of the weighted 1014
average cost of such nursing home care. The commissioner may allow 1015
the cost of services provided to an individual to exceed the maximum 1016
cost established pursuant to this subdivision in a case of extreme 1017
hardship, as determined by the commissioner, provided in no case shall 1018
such cost exceed that of the weighted cost of such nursing home care. 1019
Sec. 14. Section 17b-597 of the general statutes, as amended by section 1020
64 of public act 24-81, is repealed and the following is substituted in lieu 1021
thereof (Effective July 1, 2025): 1022
(a) The Department of Social Services shall establish and implement 1023
a working persons with disabilities program to provide medical 1024
assistance as authorized under 42 USC 1396a(a)(10)(A)(ii), as amended 1025
from time to time, to persons who are disabled and regularly employed. 1026
(b) The Commissioner of Social Services shall amend the Medicaid 1027
state plan to allow persons specified in subsection (a) of this section to 1028
qualify for medical assistance. The amendment shall include the 1029
following requirements: (1) That the person be engaged in a substantial 1030
and reasonable work effort as determined by the commissioner and as 1031
permitted by federal law and have an annual adjusted gross income, as 1032
defined in Section 62 of the Internal Revenue Code of 1986, or any 1033
subsequent corresponding internal revenue code of the United States, 1034
as amended from time to time, of not more than eighty-five thousand 1035
dollars per year; (2) a disregard of all countable income up to two 1036
hundred per cent of the federal poverty level; (3) for an unmarried 1037
person, an asset limit of twenty thousand dollars, and for a married 1038
couple, an asset limit of thirty thousand dollars; (4) a disregard of any 1039
Governor's Bill No. 1251
LCO No. 4290 33 of 38
retirement and medical savings accounts established pursuant to 26 1040
USC 220 and held by either the person or the person's spouse; (5) a 1041
disregard of any moneys in accounts designated by the person or the 1042
person's spouse for the purpose of purchasing goods or services that 1043
will increase the employability of such person, subject to approval by 1044
the commissioner; (6) a disregard of spousal income solely for purposes 1045
of determination of eligibility; and (7) a contribution of any countable 1046
income of the person or the person's spouse which exceeds two hundred 1047
per cent of the federal poverty level, as adjusted for the appropriate 1048
family size, equal to ten per cent of the excess minus any premiums paid 1049
from income for health insurance by any family member, but which 1050
does not exceed the maximum contribution allowable under Section 1051
201(a)(3) of Public Law 106-170, as amended from time to time. 1052
[(c) Notwithstanding the provisions of subsection (b) of this section, 1053
on and after July 1, 2026, the commissioner shall phase in the elimination 1054
of income and asset limits for a participant in the program over four 1055
fiscal years by annually increasing (1) the income limit prescribed in 1056
subdivision (1) of subsection (b) of this section by ten thousand dollars, 1057
and (2) the asset limit prescribed in subdivision (3) of subsection (b) of 1058
this section by ten thousand dollars for an unmarried person and fifteen 1059
thousand dollars for a married couple. On and after July 1, 2029, there 1060
shall be no income or asset limit for eligibility for the program.] 1061
[(d)] (c) The Commissioner of Social Services shall implement the 1062
policies and procedures necessary to carry out the provisions of this 1063
section while in the process of adopting such policies and procedures in 1064
regulation form, provided notice of intent to adopt the regulations is 1065
posted on the eRegulations System in accordance with section 17b-10. 1066
The commissioner shall define "countable income" for purposes of 1067
subsection (b) of this section which shall take into account impairment-1068
related work expenses as defined in the Social Security Act. Such 1069
policies and procedures shall be valid until the time final regulations are 1070
effective. 1071
Governor's Bill No. 1251
LCO No. 4290 34 of 38
Sec. 15. Section 19a-634 of the general statutes is repealed and the 1072
following is substituted in lieu thereof (Effective July 1, 2025): 1073
(a) [The] On or before June 30, 2029, and every five years thereafter, 1074
the Health Systems Planning Unit shall conduct, [on a biennial basis] 1075
within available appropriations, a state-wide health care facility 1076
utilization study. Such study may include an assessment of: (1) Current 1077
availability and utilization of acute hospital care, hospital emergency 1078
care, specialty hospital care, outpatient surgical care, primary care and 1079
clinic care; (2) geographic areas and subpopulations that may be 1080
underserved or have reduced access to specific types of health care 1081
services; and (3) other factors that the unit deems pertinent to health care 1082
facility utilization. Not later than June thirtieth of the year in which the 1083
[biennial] quinquennial study is conducted, the Commissioner of 1084
Health Strategy shall report, in accordance with section 11-4a, to the 1085
Governor and the joint standing committees of the General Assembly 1086
having cognizance of matters relating to public health and human 1087
services on the findings of the study. Such report may also include the 1088
unit's recommendations for addressing identified gaps in the provision 1089
of health care services and recommendations concerning a lack of access 1090
to health care services. 1091
(b) The unit, in consultation with such other state agencies as the 1092
commissioner deems appropriate, shall establish and maintain a state-1093
wide health care facilities and services plan. Such plan may include, but 1094
not be limited to: (1) An assessment of the availability of acute hospital 1095
care, hospital emergency care, specialty hospital care, outpatient 1096
surgical care, primary care and clinic care; (2) an evaluation of the unmet 1097
needs of persons at risk and vulnerable populations as determined by 1098
the commissioner; (3) a projection of future demand for health care 1099
services and the impact that technology may have on the demand, 1100
capacity or need for such services; and (4) recommendations for the 1101
expansion, reduction or modification of health care facilities or services. 1102
In the development of the plan, the unit shall consider the 1103
recommendations of any advisory bodies which may be established by 1104
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LCO No. 4290 35 of 38
the commissioner. The commissioner may also incorporate the 1105
recommendations of authoritative organizations whose mission is to 1106
promote policies based on best practices or evidence-based research. 1107
The commissioner, in consultation with hospital representatives, shall 1108
develop a process that encourages hospitals to incorporate the state-1109
wide health care facilities and services plan into hospital long-range 1110
planning and shall facilitate communication between appropriate state 1111
agencies concerning innovations or changes that may affect future 1112
health planning. The unit shall update the state-wide health care 1113
facilities and services plan not less than once every [two] five years. 1114
(c) For purposes of conducting the state-wide health care facility 1115
utilization study and preparing the state-wide health care facilities and 1116
services plan, the unit shall establish and maintain an inventory of all 1117
health care facilities, the equipment identified in subdivisions (9) and 1118
(10) of subsection (a) of section 19a-638, and services in the state, 1119
including health care facilities that are exempt from certificate of need 1120
requirements under subsection (b) of section 19a-638. The unit shall 1121
develop an inventory questionnaire to obtain the following information: 1122
(1) The name and location of the facility; (2) the type of facility; (3) the 1123
hours of operation; (4) the type of services provided at that location; and 1124
(5) the total number of clients, treatments, patient visits, procedures 1125
performed or scans performed in a calendar year. The inventory shall 1126
be completed [biennially] every five years by health care facilities and 1127
providers and such health care facilities and providers shall not be 1128
required to provide patient specific or financial data. 1129
Sec. 16. Subsection (a) of section 38a-1060 of the general statutes is 1130
repealed and the following is substituted in lieu thereof (Effective July 1, 1131
2025): 1132
(a) There is established an Office of the Behavioral Health Advocate 1133
which shall be within the [Insurance Department for administrative 1134
purposes only] Office of the Healthcare Advocate. 1135
Governor's Bill No. 1251
LCO No. 4290 36 of 38
Sec. 17. Section 38a-1061 of the general statutes is repealed and the 1136
following is substituted in lieu thereof (Effective July 1, 2025): 1137
(a) [The Office of the Behavioral Health Advocate shall be under the 1138
direction of the Behavioral Health Advocate who shall be appointed by 1139
the Governor, with the approval of the General Assembly.] The 1140
Behavioral Health Advocate shall be an elector of the state with 1141
expertise and experience in the fields of mental or behavioral health 1142
care, health insurance and advocacy for parity in mental and behavioral 1143
health access and outcomes. [In addition to the Behavioral Health 1144
Advocate, the Office of the Behavioral Health Advocate shall consist of 1145
sufficient staff as the requirements and resources of the office permit, of 1146
whom at least one shall be an attorney and at least one shall be a patient 1147
care navigator.] 1148
(b) The Governor shall make the initial appointment of the Behavioral 1149
Health Advocate from a list of candidates prepared and submitted, not 1150
later than February 1, 2024, to the Governor by the advisory committee 1151
established pursuant to section 38a-1062. The Governor shall notify the 1152
advisory committee of the pending expiration of the term of an 1153
incumbent Behavioral Health Advocate not less than ninety days prior 1154
to the final day of the Behavioral Health Advocate's term in office. If a 1155
vacancy occurs in the position of Behavioral Health Advocate, the 1156
Governor shall notify the advisory committee immediately of the 1157
vacancy. The advisory committee shall meet to consider qualified 1158
candidates for the position of Behavioral Health Advocate and shall 1159
submit a list of not more than five candidates to the Governor ranked in 1160
order of preference, not more than sixty days after receiving notice from 1161
the Governor of the pending expiration of the Behavioral Health 1162
Advocate's term or the occurrence of a vacancy. The Governor shall 1163
designate, not more than sixty days after receipt of the list of candidates 1164
from the advisory committee, one candidate from the list for the position 1165
of Behavioral Health Advocate. If, after the list is submitted to the 1166
Governor by the advisory committee, any candidate withdraws from 1167
consideration, the Governor shall designate a candidate from those 1168
Governor's Bill No. 1251
LCO No. 4290 37 of 38
remaining on the list. If the Governor fails to designate a candidate 1169
within sixty days of receipt of the list from the advisory committee, the 1170
advisory committee shall refer the candidate with the highest ranking 1171
on the list to the General Assembly for confirmation. If the General 1172
Assembly is not in session at the time of the [Governor's or] advisory 1173
committee's designation of a candidate, the candidate shall serve as the 1174
acting Behavioral Health Advocate until the General Assembly meets 1175
and confirms the candidate as Behavioral Health Advocate. A candidate 1176
serving as acting Behavioral Health Advocate is entitled to 1177
compensation and has all the powers, duties and privileges of the 1178
Behavioral Health Advocate. A Behavioral Health Advocate shall serve 1179
a term of four years, not including any time served as acting Behavioral 1180
Health Advocate, and may be reappointed by the Governor or shall 1181
remain in the position until a successor is confirmed. Although an 1182
incumbent Behavioral Health Advocate may be reappointed, the 1183
Governor shall also consider additional candidates from a list submitted 1184
by the advisory committee as provided in this section. 1185
[(c) Upon a vacancy in the position of the Behavioral Health 1186
Advocate, the most senior attorney in the Office of the Behavioral 1187
Health Advocate shall serve as the acting Behavioral Health Advocate 1188
until the vacancy is filled pursuant to subsection (a) or (b) of this section. 1189
The acting Behavioral Health Advocate has all the powers, duties and 1190
privileges of the Behavioral Health Advocate.] 1191
Sec. 18. Subdivision (3) of subsection (d) of section 4-28f of the general 1192
statutes is repealed and the following is substituted in lieu thereof 1193
(Effective July 1, 2025): 1194
(3) After such recommendations for the authorization of 1195
disbursement have been approved or modified pursuant to subdivision 1196
(2) of this subsection, any modification in the amount of an authorized 1197
disbursement in excess of [fifty] one hundred seventy-five thousand 1198
dollars [or ten per cent of the authorized amount, whichever is less,] 1199
shall be submitted to said joint standing committees and approved, 1200
Governor's Bill No. 1251
LCO No. 4290 38 of 38
modified or rejected in accordance with the procedure set forth in 1201
subdivision (2) of this subsection. Notification of all disbursements from 1202
the trust fund made pursuant to this section shall be sent to the joint 1203
standing committees of the General Assembly having cognizance of 1204
matters relating to public health and appropriations and the budgets of 1205
state agencies, through the Office of Fiscal Analysis. 1206
This act shall take effect as follows and shall amend the following
sections:
Section 1 July 1, 2025 14-11b
Sec. 2 July 1, 2025 17b-104(b)
Sec. 3 July 1, 2025 17b-106(a)
Sec. 4 July 1, 2025 17b-112g(a)
Sec. 5 July 1, 2025 17b-191
Sec. 6 July 1, 2025 17b-278l
Sec. 7 July 1, 2025 17b-244(a)
Sec. 8 July 1, 2025 New section
Sec. 9 July 1, 2025 17b-340(h)(1)
Sec. 10 July 1, 2025 17b-340(i)
Sec. 11 July 1, 2025 17b-340d(a)(9)
Sec. 12 July 1, 2025 17b-340d(a)(11)
Sec. 13 July 1, 2025 17b-342(i)
Sec. 14 July 1, 2025 17b-597
Sec. 15 July 1, 2025 19a-634
Sec. 16 July 1, 2025 38a-1060(a)
Sec. 17 July 1, 2025 38a-1061
Sec. 18 July 1, 2025 4-28f(d)(3)
Statement of Purpose:
To implement the Governor's budget recommendations regarding
health and human 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.]