LCO 1 of 11 General Assembly Substitute Bill No. 1359 January Session, 2025 AN ACT CONCERNING VARIOUS REVISIONS TO STATUTES CONCERNING THE DEPARTMENT OF SOCIAL SERVICES. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Subsection (d) of section 52-362d of the general statutes is 1 repealed and the following is substituted in lieu thereof (Effective from 2 passage): 3 (d) Whenever an order of the Superior Court or a family support 4 magistrate of this state, or an order of another state that has been 5 registered in this state, for support of a minor child or children is issued 6 and such payments have been ordered through the IV-D agency, or 7 when a request from another state for assistance enforcing an order that 8 has not been registered in this state is received by the IV-D agency and 9 such request meets the requirements of 42 USC 666(a)(14), and the 10 obligor against whom such support order was issued owes overdue 11 support under such order in the amount of five hundred dollars or 12 more, the IV-D agency, as defined in subdivision (12) of subsection (b) 13 of section 46b-231, or Support Enforcement Services of the Superior 14 Court may notify (1) any state or local agency or officer with authority 15 (A) to hold assets or property for such obligor including, but not limited 16 to, any property unclaimed or presumed abandoned under part III of 17 chapter 32, or (B) to distribute benefits to such obligor including, but not 18 limited to, unemployment compensation and workers' compensation, 19 Substitute Bill No. 1359 LCO 2 of 11 (2) any person having or expecting to have custody or control of or 20 authority to distribute any amounts due such obligor under any 21 judgment or settlement, (3) any financial institution holding assets of 22 such obligor, and (4) any public or private entity administering a public 23 or private retirement fund in which such obligor has an interest that 24 such obligor owes overdue support in a IV-D support case. Upon receipt 25 of such notice, such agency, officer, person, institution or entity shall 26 withhold delivery or distribution of any such property, benefits, 27 amounts, assets or funds until receipt of further notice from the IV-D 28 agency. 29 Sec. 2. Subsections (a) to (c), inclusive, of section 46b-215e of the 30 general statutes are repealed and the following is substituted in lieu 31 thereof (Effective from passage): 32 (a) Notwithstanding any provision of the general statutes, whenever 33 a child support obligor is institutionalized or incarcerated, the Superior 34 Court or a family support magistrate shall establish an initial order for 35 current support, or modify an existing order for current support, upon 36 proper motion, based upon the obligor's present income and substantial 37 assets, if any, in accordance with the child support guidelines 38 established pursuant to section 46b-215a. [Downward modification of 39 an existing support order based solely on a loss of income due to 40 incarceration or institutionalization shall not be granted in the case of a 41 child support obligor who is incarcerated or institutionalized for an 42 offense against the custodial party or the child subject to such support 43 order.] 44 (b) In IV-D support cases, as defined in section 46b-231, when the 45 child support obligor is institutionalized or incarcerated for more than 46 ninety days, any existing support order, as defined in section 46b-231, 47 shall be modified to zero dollars effective upon the date that a support 48 enforcement officer files an affidavit in the Family Support Magistrate 49 Division. The affidavit shall include: (1) The beginning and expected 50 end dates of such obligor's institutionalization or incarceration; and (2) 51 a statement by such officer that (A) a diligent search failed to identify 52 Substitute Bill No. 1359 LCO 3 of 11 any income or assets that could be used to satisfy the child support order 53 while the obligor is incarcerated or institutionalized, and (B) [the offense 54 for which the obligor is institutionalized or incarcerated was not an 55 offense against the custodial party or the child subject to such support 56 order, and (C)] a notice in accordance with subsection (c) of this section 57 was provided to the custodial party and an objection form was not 58 received from such party. 59 (c) Prior to filing an affidavit under subsection (b) of this section, the 60 support enforcement officer shall provide notice to the custodial party 61 in accordance with section 52-57 or by certified mail, return receipt 62 requested. The notice shall state in clear and simple language that: (1) 63 Such child support order shall be modified unless the custodial party 64 objects not later than fifteen calendar days after receipt of such notice on 65 the grounds that [(A)] the obligor has sufficient income or assets to 66 comply with the support order, [or (B) the obligor is incarcerated or 67 institutionalized for an offense against the custodial party or the child 68 subject to such support order;] and (2) the custodial party may object to 69 the proposed modification by delivering a signed objection form, or 70 other written notice or motion, indicating the nature of the objection or 71 grounds of the motion, to the support enforcement officer not later than 72 fifteen calendar days after receipt of such notice. Upon receipt of any 73 objection or motion, the support enforcement officer shall promptly 74 arrange with the clerk of the Family Support Magistrate Division to 75 enter the appearance of the custodial party, set the matter for a hearing, 76 send a file-stamped copy of the objection or motion to the IV-D agency 77 of the state to whom the support order is payable, and notify all parties 78 of the hearing date set. The court or family support magistrate shall 79 promptly hear the objection or motion and determine whether the child 80 support order should be modified in accordance with subsection (b) of 81 this section. 82 Sec. 3. Subsection (b) of section 19a-697 of the general statutes is 83 repealed and the following is substituted in lieu thereof (Effective October 84 1, 2025): 85 Substitute Bill No. 1359 LCO 4 of 11 (b) A managed residential community shall post in a prominent place 86 in the managed residential community the resident's bill of rights, 87 including those rights set forth in subsection (a) of this section. The 88 posting of the resident's bill of rights shall include contact information 89 for (1) the Department of Public Health and the Office of the State Long-90 Term Care Ombudsman, including the names, addresses and telephone 91 numbers of persons within such agencies who handle questions, 92 comments or complaints concerning managed residential community, 93 and (2) the Department of Social Services to report the suspected abuse, 94 neglect, exploitation or abandonment of an elderly person, or that an 95 elderly person may be in need of protective services. 96 Sec. 4. Subsection (d) of section 17b-105a of the general statutes is 97 repealed and the following is substituted in lieu thereof (Effective July 1, 98 2025): 99 (d) Not later than December 31, 2024, the Commissioner of Social 100 Services shall enter into a contract with an outside vendor to update the 101 system utilized by the Department of Social Services to administer the 102 supplemental nutrition assistance program for the purpose of enabling 103 the department to stagger the distribution of program benefits so that 104 benefits are distributed, in accordance with federal law, to cohorts of 105 program beneficiaries designated by the commissioner at multiple 106 intervals during each month. Not later than March 1, 2026, the 107 commissioner shall commence staggering the distribution of such 108 benefits to such cohorts of beneficiaries each month, in accordance with 109 federal law. Not later than April 1, 2026, [and annually thereafter,] the 110 commissioner shall report, in accordance with the provisions of section 111 11-4a, to the joint standing committee of the General Assembly having 112 cognizance of matters relating to human services regarding the 113 staggering of distribution benefits pursuant to this subsection. 114 Sec. 5. Subsections (a) and (b) of section 17b-244 of the general statutes 115 are repealed and the following is substituted in lieu thereof (Effective July 116 1, 2026): 117 Substitute Bill No. 1359 LCO 5 of 11 (a) The room and board component of the rates to be paid by the state 118 to private facilities and facilities operated by regional education service 119 centers which are licensed to provide residential care pursuant to 120 section 17a-227, but not certified to participate in the Title XIX Medicaid 121 program as intermediate care facilities for individuals with intellectual 122 disabilities, shall be determined annually by the Commissioner of Social 123 Services, except that rates effective April 30, 1989, shall remain in effect 124 through October 31, 1989. Any facility with real property other than 125 land placed in service prior to July 1, 1991, shall, for the fiscal year 126 ending June 30, 1995, receive a rate of return on real property equal to 127 the average of the rates of return applied to real property other than land 128 placed in service for the five years preceding July 1, 1993. For the fiscal 129 year ending June 30, 1996, and any succeeding fiscal year, the rate of 130 return on real property for property items shall be revised every five 131 years. The commissioner shall, upon submission of a request by such 132 facility, allow actual debt service, comprised of principal and interest, 133 on the loan or loans in lieu of property costs allowed pursuant to section 134 17-313b-5 of the regulations of Connecticut state agencies, whether 135 actual debt service is higher or lower than such allowed property costs, 136 provided such debt service terms and amounts are reasonable in 137 relation to the useful life and the base value of the property. In the case 138 of facilities financed through the Connecticut Housing Finance 139 Authority, the commissioner shall allow actual debt service, comprised 140 of principal, interest and a reasonable repair and replacement reserve 141 on the loan or loans in lieu of property costs allowed pursuant to section 142 17-313b-5 of the regulations of Connecticut state agencies, whether 143 actual debt service is higher or lower than such allowed property costs, 144 provided such debt service terms and amounts are determined by the 145 commissioner at the time the loan is entered into to be reasonable in 146 relation to the useful life and base value of the property. The 147 commissioner may allow fees associated with mortgage refinancing 148 provided such refinancing will result in state reimbursement savings, 149 after comparing costs over the terms of the existing proposed loans. For 150 the fiscal year ending June 30, 1992, the inflation factor used to 151 determine rates shall be one-half of the gross national product 152 Substitute Bill No. 1359 LCO 6 of 11 percentage increase for the period between the midpoint of the cost year 153 through the midpoint of the rate year. For fiscal year ending June 30, 154 1993, the inflation factor used to determine rates shall be two-thirds of 155 the gross national product percentage increase from the midpoint of the 156 cost year to the midpoint of the rate year. For the fiscal years ending 157 June 30, 1996, and June 30, 1997, no inflation factor shall be applied in 158 determining rates. The Commissioner of Social Services shall prescribe 159 uniform forms on which such facilities shall report their costs. Such rates 160 shall be determined on the basis of a reasonable payment for necessary 161 services. Any increase in grants, gifts, fund-raising or endowment 162 income used for the payment of operating costs by a private facility in 163 the fiscal year ending June 30, 1992, shall be excluded by the 164 commissioner from the income of the facility in determining the rates to 165 be paid to the facility for the fiscal year ending June 30, 1993, provided 166 any operating costs funded by such increase shall not obligate the state 167 to increase expenditures in subsequent fiscal years. Nothing contained 168 in this section shall authorize a payment by the state to any such facility 169 in excess of the charges made by the facility for comparable services to 170 the general public. The service component of the rates to be paid by the 171 state to private facilities and facilities operated by regional education 172 service centers which are licensed to provide residential care pursuant 173 to section 17a-227, but not certified to participate in the Title XIX 174 Medicaid programs as intermediate care facilities for individuals with 175 intellectual disabilities, shall be determined annually by the 176 Commissioner of Developmental Services in accordance with section 177 17b-244a. For the fiscal year ending June 30, 2008, no facility shall receive 178 a rate that is more than two per cent greater than the rate in effect for 179 the facility on June 30, 2007, except any facility that would have been 180 issued a lower rate effective July 1, 2007, due to interim rate status or 181 agreement with the department, shall be issued such lower rate effective 182 July 1, 2007. For the fiscal year ending June 30, 2009, no facility shall 183 receive a rate that is more than two per cent greater than the rate in effect 184 for the facility on June 30, 2008, except any facility that would have been 185 issued a lower rate effective July 1, 2008, due to interim rate status or 186 agreement with the department, shall be issued such lower rate effective 187 Substitute Bill No. 1359 LCO 7 of 11 July 1, 2008. For the fiscal years ending June 30, 2010, and June 30, 2011, 188 rates in effect for the period ending June 30, 2009, shall remain in effect 189 until June 30, 2011, except that (1) the rate paid to a facility may be higher 190 than the rate paid to the facility for the period ending June 30, 2009, if a 191 capital improvement required by the Commissioner of Developmental 192 Services for the health or safety of the residents was made to the facility 193 during the fiscal years ending June 30, 2010, or June 30, 2011, and (2) any 194 facility that would have been issued a lower rate for the fiscal year 195 ending June 30, 2010, or June 30, 2011, due to interim rate status or 196 agreement with the department, shall be issued such lower rate. For the 197 fiscal year ending June 30, 2012, rates in effect for the period ending June 198 30, 2011, shall remain in effect until June 30, 2012, except that (A) the 199 rate paid to a facility may be higher than the rate paid to the facility for 200 the period ending June 30, 2011, if a capital improvement required by 201 the Commissioner of Developmental Services for the health or safety of 202 the residents was made to the facility during the fiscal year ending June 203 30, 2012, and (B) any facility that would have been issued a lower rate 204 for the fiscal year ending June 30, 2012, due to interim rate status or 205 agreement with the department, shall be issued such lower rate. Any 206 facility that has a significant decrease in land and building costs shall 207 receive a reduced rate to reflect such decrease in land and building costs. 208 The rate paid to a facility may be increased if a capital improvement 209 approved by the Department of Developmental Services, in consultation 210 with the Department of Social Services, for the health or safety of the 211 residents was made to the facility during the fiscal year ending June 30, 212 2014, or June 30, 2015, only to the extent such increases are within 213 available appropriations. For the fiscal years ending June 30, 2016, and 214 June 30, 2017, rates shall not exceed those in effect for the period ending 215 June 30, 2015, except the rate paid to a facility may be higher than the 216 rate paid to the facility for the period ending June 30, 2015, if a capital 217 improvement approved by the Department of Developmental Services, 218 in consultation with the Department of Social Services, for the health or 219 safety of the residents was made to the facility during the fiscal year 220 ending June 30, 2016, or June 30, 2017, to the extent such rate increases 221 are within available appropriations. For the fiscal years ending June 30, 222 Substitute Bill No. 1359 LCO 8 of 11 2016, and June 30, 2017, and each succeeding fiscal year, any facility that 223 would have been issued a lower rate, due to interim rate status, a change 224 in allowable fair rent or agreement with the department, shall be issued 225 such lower rate. For the fiscal years ending June 30, 2018, and June 30, 226 2019, rates shall not exceed those in effect for the period ending June 30, 227 2017, except the rate paid to a facility may be higher than the rate paid 228 to the facility for the period ending June 30, 2017, if a capital 229 improvement approved by the Department of Developmental Services, 230 in consultation with the Department of Social Services, for the health or 231 safety of the residents was made to the facility during the fiscal year 232 ending June 30, 2018, or June 30, 2019, to the extent such rate increases 233 are within available appropriations. For the fiscal years ending June 30, 234 2020, and June 30, 2021, rates shall not exceed those in effect for the fiscal 235 year ending June 30, 2019, except the rate paid to a facility may be higher 236 than the rate paid to the facility for the fiscal year ending June 30, 2019, 237 if a capital improvement approved by the Department of 238 Developmental Services, in consultation with the Department of Social 239 Services, for the health or safety of the residents was made to the facility 240 during the fiscal year ending June 30, 2020, or June 30, 2021, to the extent 241 such rate increases are within available appropriations. For the fiscal 242 years ending June 30, 2022, and June 30, 2023, rates shall be based upon 243 rates in effect for the fiscal year ending June 30, 2021, inflated by the 244 gross domestic product deflator applicable to each rate year, except the 245 commissioner may, in the commissioner's discretion and within 246 available appropriations, provide pro rata fair rent increases to facilities 247 which have documented fair rent additions placed in service in the cost 248 report years ending September 30, 2020, and September 30, 2021, that 249 are not otherwise included in rates issued, or if a rate adjustment for a 250 capital improvement approved by the Department of Developmental 251 Services, in consultation with the Department of Social Services, for the 252 health or safety of the residents was made to the facility during the fiscal 253 year ending June 30, 2022, or June 30, 2023. For the fiscal year ending 254 June 30, 2024, rates shall not exceed those in effect for the fiscal year 255 ending June 30, 2023, except the rate paid to a facility may be higher 256 than the rate paid to the facility for the fiscal year ending June 30, 2023, 257 Substitute Bill No. 1359 LCO 9 of 11 if a capital improvement approved by the Department of 258 Developmental Services, in consultation with the Department of Social 259 Services, for the health or safety of the residents was made to the facility 260 during the fiscal year ending June 30, 2024, to the extent such rate 261 increases are within available appropriations. Notwithstanding any 262 provision of this chapter or of any regulation adopted pursuant to title 263 17 or 17b, any subsequent increase to allowable operating costs, 264 excluding fair rent, shall be inflated by the gross domestic product 265 deflator when funding is specifically appropriated for such purposes in 266 the enacted budget. The rate of inflation shall be computed by 267 comparing the most recent rate year to the average of the gross domestic 268 product deflator for the previous four fiscal quarters ending March 269 thirty-first. Any increase to rates based on inflation shall be applied 270 prior to the application of any other budget adjustment factors that may 271 impact such rates. 272 (b) Notwithstanding the provisions of subsection (a) of this section, 273 state rates of payment for the fiscal years ending June 30, 2018, June 30, 274 2019, June 30, 2020, and June 30, 2021, for residential care homes and 275 community living arrangements that receive the flat rate for residential 276 services under section 17-311-54 of the regulations of Connecticut state 277 agencies shall be set in accordance with section 298 of public act 19-117. 278 For the fiscal years ending June 30, 2022, and June 30, 2023, rates shall 279 be based upon rates in effect for the fiscal year ending June 30, 2021, 280 inflated by the gross domestic product deflator applicable to each rate 281 year. Notwithstanding any provision of this chapter, any subsequent 282 increase to allowable operating costs, excluding fair rent, shall be 283 inflated by the gross domestic product deflator when funding is 284 specifically appropriated for such purposes in the enacted budget. The 285 rate of inflation shall be computed by comparing the most recent rate 286 year to the average of the gross domestic product deflator for the 287 previous four fiscal quarters ending March thirty-first. Any increase to 288 rates based on inflation shall be applied prior to the application of any 289 other budget adjustment factors that may impact such rates. 290 Sec. 6. Subsection (c) of section 17a-247b of the general statutes is 291 Substitute Bill No. 1359 LCO 10 of 11 repealed and the following is substituted in lieu thereof (Effective from 292 passage): 293 (c) The department shall make information in the registry available 294 only to: (1) Authorized agencies, for the purpose of protective service 295 determinations; (2) employers who employ employees to provide 296 services to an individual who receives services or funding from the 297 department or the Medicaid waiver program for autism spectrum 298 disorder administered by the Department of Social Services, as 299 described in section 17a-215c; (3) the Departments of Children and 300 Families, Mental Health and Addiction Services, Social Services and 301 Administrative Services and the Office of Labor Relations, for the 302 purpose of determining whether an applicant for employment with the 303 Departments of Children and Families, Developmental Services, Mental 304 Health and Addiction Services and Social Services appears on the 305 registry; or (4) charitable organizations that recruit volunteers to 306 support programs for persons with intellectual disability or autism 307 spectrum disorder, upon application to and approval by the 308 commissioner, for purposes of conducting background checks on such 309 volunteers. 310 Sec. 7. (NEW) (Effective from passage) As used in this section, "custom-311 made, noninvasive breast prosthesis" means an exterior, custom-made 312 form to fit the individual physical profile of a mastectomy patient to 313 restore such patient's symmetrical appearance after surgery. The 314 Commissioner of Social Services shall (1) develop and distribute to 315 Medicaid-enrolled providers a bulletin concerning Medicaid coverage 316 for a custom-made, noninvasive breast prosthesis, (2) include 317 information on such coverage in newsletters to persons enrolled in the 318 Medicaid program, and (3) in collaboration with the Commissioner of 319 Public Health, develop an outreach program for breast cancer survivors 320 concerning such available coverage. 321 This act shall take effect as follows and shall amend the following sections: Substitute Bill No. 1359 LCO 11 of 11 Section 1 from passage 52-362d(d) Sec. 2 from passage 46b-215e(a) to (c) Sec. 3 October 1, 2025 19a-697(b) Sec. 4 July 1, 2025 17b-105a(d) Sec. 5 July 1, 2026 17b-244(a) and (b) Sec. 6 from passage 17a-247b(c) Sec. 7 from passage New section HS Joint Favorable Subst.