OFFICE OF FISCAL ANALYSIS Legislative Office Building, Room 5200 Hartford, CT 06106 (860) 240-0200 http://www.cga.ct.gov/ofa April 9, 2025 ADDENDUM To Fiscal Note on sSB-1300, File No. 105 AN ACT CONCERNING COMPENSATING SPOUSES FOR STATE - FUNDED HOME CARE. Primary Analyst: ES 4/9/25 Contributing Analyst(s): LD The fiscal note for the underlying bill recognized potential costs to the Department of Social Services (DSS) associated with allowing payment for personal care assistance (PCA) services for individuals enrolled in the state-funded Connecticut Home Care Program, including care provided by spouses. Based on a review of current participants, it is anticipated that 250 state-funded home care clients will have spouses who provide care as a PCA in lieu of their currently unpaid support. Assuming costs increase for these clients to the maximum allowed under the care plan, DSS will incur additional costs of approximately $7 million in FY 26 and $7.2 million in FY 27. DSS will experience additional costs associated with individuals who are currently eligible for the state funded program but will only access services if provided by their spouse. For context, if enrollment increased by 10% (approximately 180 clients), program costs will increase by $4.4 million in FY 26 and $8.8 million in FY 27. DSS will likely require additional staff to manage increased program enrollment ($75,000 annually with associated fringe of $30,500 per eligibility specialist). The 2025SB-01300-R00-ADD.DOCX Page 2 of 2 extent of the additional enrollment and associated program costs cannot be determined at this time.