Old | New | Differences | |
---|---|---|---|
1 | 1 | ||
2 | 2 | ||
3 | - | LCO 1 of 3 | |
3 | + | LCO No. 4784 1 of 3 | |
4 | 4 | ||
5 | - | General Assembly | |
5 | + | General Assembly Raised Bill No. 1416 | |
6 | 6 | January Session, 2025 | |
7 | + | LCO No. 4784 | |
8 | + | ||
9 | + | ||
10 | + | Referred to Committee on HUMAN SERVICES | |
11 | + | ||
12 | + | ||
13 | + | Introduced by: | |
14 | + | (HS) | |
7 | 15 | ||
8 | 16 | ||
9 | 17 | ||
10 | - | AN ACT CONCERNING THE EXPANSION OF LONG -TERM CARE | |
11 | - | OPTIONS FOR MEDICAID BENEFICIARIES. | |
18 | + | ||
19 | + | AN ACT EXPANDING LONG -TERM CARE OPTIONS FOR MEDICAID | |
20 | + | BENEFICIARIES. | |
12 | 21 | Be it enacted by the Senate and House of Representatives in General | |
13 | 22 | Assembly convened: | |
14 | 23 | ||
15 | 24 | Section 1. Subsection (c) of section 17b-369 of the general statutes is 1 | |
16 | 25 | repealed and the following is substituted in lieu thereof (Effective from 2 | |
17 | 26 | passage): 3 | |
18 | 27 | (c) (1) The Commissioner of Social Services shall develop a strategic 4 | |
19 | 28 | plan, consistent with the long-term care plan established pursuant to 5 | |
20 | 29 | section 17b-337, as amended by this act, to rebalance Medicaid long-6 | |
21 | 30 | term care supports and services, including, but not limited to, those 7 | |
22 | 31 | supports and services provided in home, community-based settings and 8 | |
23 | 32 | institutional settings. The commissioner shall include home, 9 | |
24 | 33 | community-based and institutional providers in the development of the 10 | |
25 | 34 | strategic plan. In developing the strategic plan the commissioner shall 11 | |
26 | 35 | consider topics that include, but are not limited to: [(1)] (A) Regional 12 | |
27 | 36 | trends concerning the state's aging population; [(2)] (B) trends in the 13 | |
28 | 37 | demand for home, community-based and institutional services; [(3)] (C) 14 | |
29 | 38 | gaps in the provision of home and community-based services which 15 | |
39 | + | Raised Bill No. 1416 | |
40 | + | ||
41 | + | ||
42 | + | ||
43 | + | LCO No. 4784 2 of 3 | |
44 | + | ||
30 | 45 | prevent community placements; [(4)] (D) gaps in the provision of 16 | |
31 | 46 | institutional care; [(5)] (E) the quality of care provided by home, 17 | |
32 | 47 | community-based and institutional providers; [(6)] (F) the condition of 18 | |
33 | 48 | institutional buildings; [(7)] (G) the state's regional supply of 19 | |
34 | - | institutional beds; [(8)] (H) the current rate structure applicable to home, 20 Substitute Bill No. 1416 | |
35 | - | ||
36 | - | ||
37 | - | LCO 2 of 3 | |
38 | - | ||
49 | + | institutional beds; [(8)] (H) the current rate structure applicable to home, 20 | |
39 | 50 | community-based and institutional services; [(9)] (I) the methods of 21 | |
40 | 51 | implementing adjustments to the bed capacity of individual nursing 22 | |
41 | 52 | facilities; and [(10)] (J) a review of the provisions of subsection (a) of 23 | |
42 | 53 | section 17b-354. 24 | |
43 | 54 | (2) On and after July 1, 2025, the Commissioner of Social Services shall 25 | |
44 | 55 | rebalance the strategic plan for Medicaid long-term care supports and 26 | |
45 | 56 | services to increase opportunities for Medicaid beneficiaries to receive 27 | |
46 | - | care in a home or community-based setting. The rebalanced | |
47 | - | ||
48 | - | ||
57 | + | care in a home or community-based setting. The rebalanced plan shall 28 | |
58 | + | include, but need not be limited to, (A) increased outreach by the 29 | |
59 | + | Department of Social Services to Medicaid beneficiaries who may be 30 | |
49 | 60 | eligible for the Connecticut home-care program for the elderly, 31 | |
50 | - | established pursuant to section 17b-342 | |
51 | - | that provide home | |
61 | + | established pursuant to section 17b-342 and Medicaid waiver programs 32 | |
62 | + | that provide home and community-based care, and (B) assistance 33 | |
52 | 63 | provided by the department to such beneficiaries in completing 34 | |
53 | 64 | applications for such programs. 35 | |
54 | 65 | Sec. 2. Section 17b-337 of the general statutes is amended by adding 36 | |
55 | 66 | subsection (g) as follows (Effective from passage): 37 | |
56 | 67 | (NEW) (g) The Long-Term Care Planning Committee shall study 38 | |
57 | 68 | systems and methods to expand long-term care options for Medicaid 39 | |
58 | - | beneficiaries, including, but not limited to, allowing more | |
59 | - | ||
69 | + | beneficiaries, including, but not limited to, allowing more persons to 40 | |
70 | + | receive care at home or in a community-based setting rather than in 41 | |
60 | 71 | skilled nursing facilities. Not later than December 1, 2025, the Long-42 | |
61 | 72 | Term Care Planning Committee shall submit a report, in accordance 43 | |
62 | 73 | with the provisions of section 11-4a, to the joint standing committees of 44 | |
63 | 74 | the General Assembly having cognizance of matters relating to aging, 45 | |
64 | 75 | appropriations and the budgets of state agencies, human services and 46 | |
65 | 76 | public health on the study and any recommendations for appropriations 47 | |
77 | + | Raised Bill No. 1416 | |
78 | + | ||
79 | + | ||
80 | + | ||
81 | + | LCO No. 4784 3 of 3 | |
82 | + | ||
66 | 83 | or legislation necessary to expand long-term care options for Medicaid 48 | |
67 | 84 | beneficiaries. The report shall include any estimated savings to the state 49 | |
68 | - | related to reducing care in skilled nursing facilities as a result of 50 | |
69 | - | increasing options for care at home or in a community-based setting. 51 Substitute Bill No. 1416 | |
70 | - | ||
71 | - | ||
72 | - | LCO 3 of 3 | |
73 | - | ||
85 | + | related to reducing care in skilled nursing facilities in favor of care at 50 | |
86 | + | home or in a community-based setting. 51 | |
74 | 87 | This act shall take effect as follows and shall amend the following | |
75 | 88 | sections: | |
76 | 89 | ||
77 | 90 | Section 1 from passage 17b-369(c) | |
78 | 91 | Sec. 2 from passage 17b-337(g) | |
79 | 92 | ||
80 | - | Statement of Legislative Commissioners: | |
81 | - | The title was changed, in Section 1(c)(2), "rebalanced plan" was changed | |
82 | - | to "rebalanced strategic plan" and "home and community-based" was | |
83 | - | changed to "home or community-based" for internal consistency, and in | |
84 | - | Section 2(g), "persons" was changed to "beneficiaries" and the last | |
85 | - | sentence was redrafted for clarity and consistency. | |
93 | + | Statement of Purpose: | |
94 | + | To expand long-term care options for Medicaid beneficiaries. | |
86 | 95 | ||
87 | - | HS Joint Favorable Subst. -LCO | |
96 | + | [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except | |
97 | + | that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not | |
98 | + | underlined.] | |
88 | 99 |