OFFICE OF FISCAL ANALYSIS Legislative Office Building, Room 5200 Hartford, CT 06106 (860) 240-0200 http://www.cga.ct.gov/ofa sSB-1358 AN ACT CONCERNING EQUITABLE COMPENSATION FOR STATE-CONTRACTED NONPROFIT HUMAN SERVICES PROVIDERS. Primary Analyst: ES 3/18/25 Contributing Analyst(s): LD, LG Reviewer: LD OFA Fiscal Note State Impact: Agency Affected Fund-Effect FY 26 $ FY 27 $ Social Services, Dept. GF - Cost $55 million at least $55 million Various GF - Cost at least $72 million at least $72 million Resources of the General Fund GF - Revenue Gain at least $20 million at least $20 million Note: GF=General Fund Municipal Impact: None Explanation The bill results in a significant cost to the state associated with requiring annual increases in non-profit human services provider contracts and Medicaid rates. The increase is based on any percentage increase in the consumer price index (CPI) for urban consumers in the northeast region for the previous calendar year. This does not apply if the CPI decreases. Based on calendar year 2024, this results in a 3.5% increase in FY 26. Based on historical increases for human services related providers, the bill is anticipated to result in additional state costs of at least $72 million in FY 26 and FY 27. This results in a related federal grants revenue increase of approximately $20 million to reflect the federal share of Medicaid eligible expenditures that are gross funded outside of 2025SB-01358-R000134-FN.DOCX Page 2 of 2 the Department of Social Services (DSS). The bill also results in a state cost to DSS of approximately $55 million in FY 26 and at least $55 million in FY 27 based on Medicaid expenditures to non-profit providers. If the applicable CPI increases similarly in FY 27, the state will incur additional costs of at least $127 million with a corresponding federal grants revenue gain of at least $20 million. The Out Years The annualized ongoing fiscal impact identified above would continue into the future subject to inflation.