17 | | - | Section 1. (NEW) (Effective from passage) (a) As used in this section, (1) 1 |
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18 | | - | "nonprofit human services provider" means a nonprofit provider that 2 |
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19 | | - | contracts with the state to provide human services that may include, but 3 |
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20 | | - | need not be limited to: (A) Services for persons with a physical 4 |
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21 | | - | disability, (B) services for persons with intellectual disability or 5 |
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22 | | - | developmental disabilities, including, but not limited to, autism 6 |
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23 | | - | spectrum disorder, and (C) behavioral health services; and (2) "state 7 |
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24 | | - | agency" has the same meaning as provided in section 4-37e of the 8 |
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25 | | - | general statutes. 9 |
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26 | | - | (b) On July first annually, a state agency contracting with a nonprofit 10 |
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27 | | - | human services provider shall increase rates for recurring contracts by 11 |
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28 | | - | the percentage increase in the consumer price index for all urban 12 |
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29 | | - | consumers in the northeast region in the previous calendar year. If such 13 |
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30 | | - | consumer price index decreases, a state agency shall not decrease rates 14 |
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31 | | - | for such provider. 15 |
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32 | | - | (c) On July first annually, the Commissioner of Social Services shall 16 |
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33 | | - | adjust Medicaid rates for nonprofit human services providers 17 |
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34 | | - | contracting with the Department of Social Services by the percentage 18 Substitute Bill No. 1358 |
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| 24 | + | Section 1. (NEW) (Effective from passage) (a) As used in this section and 1 |
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| 25 | + | section 2 of this act, (1) "nonprofit human services provider" means a 2 |
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| 26 | + | nonprofit entity that contracts with the state to provide health and 3 |
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| 27 | + | human services that may include, but need not be limited to: (A) 4 |
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| 28 | + | Services for persons with a physical disability, (B) services for persons 5 |
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| 29 | + | with intellectual disability or developmental disabilities, including, but 6 |
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| 30 | + | not limited to, autism spectrum disorder, and (C) behavioral health 7 |
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| 31 | + | services; and (2) "purchase of service contract" and "state agency" have 8 |
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| 32 | + | the same meanings as provided in section 4-70b of the general statutes, 9 |
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| 33 | + | as amended by this act. 10 |
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| 34 | + | (b) Not later than January 1, 2026, and every five years thereafter, the 11 |
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| 35 | + | Secretary of the Office of Policy and Management shall, in consultation 12 |
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| 36 | + | with representatives of nonprofit human services providers, complete a 13 |
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| 37 | + | review of a portion of the state's purchase of service contracts and 14 |
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| 38 | + | personal service agreements with nonprofit human services providers 15 |
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| 39 | + | Raised Bill No. 1358 |
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39 | | - | rate increase, if any, for state agency contracts pursuant to subsection 19 |
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40 | | - | (b) of this section, unless such adjustment is not permissible under 20 |
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41 | | - | federal law governing the Medicaid program. 21 |
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42 | | - | (d) Not later than January 1, 2026, and every three years thereafter, 22 |
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43 | | - | the Secretary of the Office of Policy and Management shall file a report, 23 |
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44 | | - | in accordance with the provisions of section 11-4a of the general statutes, 24 |
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45 | | - | with the joint standing committees of the General Assembly having 25 |
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46 | | - | cognizance of matters relating to appropriations and the budgets of state 26 |
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47 | | - | agencies, human services and public health on state agency contracts 27 |
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48 | | - | with nonprofit human services providers. The report shall include, but 28 |
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49 | | - | need not be limited to, any appropriations needed to ensure that rates 29 |
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50 | | - | for all such contracts in subsequent fiscal years include any increase in 30 |
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51 | | - | the consumer price index for all urban consumers in the northeast 31 |
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52 | | - | region in the previous calendar year. 32 |
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| 43 | + | LCO No. 4457 2 of 4 |
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| 44 | + | |
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| 45 | + | to determine whether the rates such providers are paid to deliver health 16 |
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| 46 | + | and human services pursuant to such contracts or agreements 17 |
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| 47 | + | adequately compensate such providers for providing the level of 18 |
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| 48 | + | services expected by the state agency contracting with such provider. 19 |
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| 49 | + | For purposes of such review, the secretary shall examine the contracts 20 |
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| 50 | + | and agreements for such services of not less than two state agencies each 21 |
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| 51 | + | year. 22 |
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| 52 | + | (c) Not later than February 1, 2026, and every five years thereafter, 23 |
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| 53 | + | the secretary shall submit a report, in accordance with the provisions of 24 |
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| 54 | + | section 11-4a of the general statutes, to the joint standing committees of 25 |
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| 55 | + | the General Assembly having cognizance of matters relating to human 26 |
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| 56 | + | services, government administration and appropriations and the 27 |
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| 57 | + | budgets of state agencies. Such report shall include (1) a summary of the 28 |
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| 58 | + | results of the review conducted under subsection (b) of this section, (2) 29 |
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| 59 | + | any applicable recommendations concerning requiring contracting state 30 |
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| 60 | + | agencies to reduce contractual expectations if those expectations are not 31 |
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| 61 | + | adequately funded by the contract or agreement, and (3) any 32 |
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| 62 | + | recommended legislation necessary to implement such 33 |
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| 63 | + | recommendations. 34 |
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| 64 | + | Sec. 2. (NEW) (Effective from passage) (a) Not later than January 1, 2026, 35 |
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| 65 | + | and triennially thereafter, the Secretary of the Office of Policy and 36 |
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| 66 | + | Management shall conduct a review of any reports that nonprofit 37 |
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| 67 | + | human services providers are required to file with various state 38 |
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| 68 | + | agencies. Such review shall include, but not be limited to, looking at the 39 |
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| 69 | + | number of reports that are required to be filed, the amount of 40 |
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| 70 | + | overlapping information in such reports, the time and resources needed 41 |
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| 71 | + | for providers to prepare and file the reports, the reasons for requiring 42 |
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| 72 | + | such reports and an analysis of how the reports are utilized by the state 43 |
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| 73 | + | agency receiving such reports. State agencies and nonprofit human 44 |
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| 74 | + | services providers shall provide any information requested by the 45 |
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| 75 | + | secretary for purposes of such review. 46 |
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| 76 | + | (b) The secretary shall eliminate or consolidate any reporting 47 |
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| 77 | + | Raised Bill No. 1358 |
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| 78 | + | |
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| 79 | + | |
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| 80 | + | |
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| 81 | + | LCO No. 4457 3 of 4 |
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| 82 | + | |
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| 83 | + | required by a state agency that the secretary identifies under subsection 48 |
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| 84 | + | (a) of this section as unduly burdensome or duplicative, unless such 49 |
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| 85 | + | reporting is (1) necessary to prevent fraud or misuse of funds, (2) 50 |
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| 86 | + | prescribed under federal law or regulation for the use of federal funds, 51 |
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| 87 | + | or (3) required under any provision of state law. 52 |
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| 88 | + | (c) Not later than February 1, 2026, and triennially thereafter, the 53 |
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| 89 | + | secretary shall submit a report, in accordance with the provisions of 54 |
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| 90 | + | section 11-4a of the general statutes, to the joint standing committees of 55 |
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| 91 | + | the General Assembly having cognizance of matters relating to human 56 |
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| 92 | + | services, government administration and appropriations and the 57 |
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| 93 | + | budgets of state agencies. Such report shall include a summary of the 58 |
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| 94 | + | results of the review conducted under subsection (a) of this section, any 59 |
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| 95 | + | reporting eliminated or consolidated under subsection (b) of this section 60 |
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| 96 | + | and any recommendations for any legislation necessary to eliminate 61 |
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| 97 | + | burdensome or duplicative reporting requirements required under state 62 |
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| 98 | + | law. 63 |
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| 99 | + | Sec. 3. Subsection (d) of section 4-70b of the general statutes is 64 |
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| 100 | + | repealed and the following is substituted in lieu thereof (Effective July 1, 65 |
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| 101 | + | 2025): 66 |
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| 102 | + | (d) The secretary shall establish uniform policies and procedures for 67 |
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| 103 | + | obtaining, managing and evaluating the quality and cost effectiveness 68 |
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| 104 | + | of direct health and human services purchased from a private provider 69 |
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| 105 | + | organization or municipality. Such policies and procedures shall 70 |
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| 106 | + | include, but need not be limited to, a requirement that a private provider 71 |
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| 107 | + | organization receive payment for any services provided pursuant to a 72 |
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| 108 | + | purchase of service contract not later than thirty days after delivery of 73 |
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| 109 | + | such services. The secretary shall require all state agencies which 74 |
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| 110 | + | purchase direct health and human services to comply with such policies 75 |
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| 111 | + | and procedures. 76 |
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