Substitute Senate Bill No. 985 seeks to reform the HUSKY Health Program's reimbursement and care delivery model by establishing a legislative approval process for transitioning from a fee-for-service Medicaid payment model to a managed care model. Effective July 1, 2025, the Commissioner of Social Services must submit any proposals for such transitions to the relevant joint standing committees of the General Assembly, which are required to hold public hearings within thirty days to evaluate the proposals. If the committees cannot reach a consensus, a committee of conference will be formed, and the proposal will be denied if not accepted. The bill also introduces new reporting requirements for the Commissioner, mandating annual reports on the financial performance and quality of care within the Medicaid program, while enhancing the role of the Council on Medical Assistance Program Oversight.

Additionally, the bill modifies the composition and responsibilities of the oversight council, expanding its membership to include advocates for various groups and representatives from state departments and the business community. It establishes a standing subcommittee focused on individuals with complex health care needs and allows the Commissioner to create pilot programs for specific populations, including those served by Oak Hill - The Connecticut Institute for the Blind, Inc. The bill repeals existing laws related to Medicaid managed care contracts and introduces new provisions to streamline Medicaid administration, including the sharing of information for educational and rehabilitation programs for inmates and parolees with child support obligations. Overall, the bill aims to enhance the management and effectiveness of Medicaid services in Connecticut while ensuring stakeholder involvement in the decision-making process.

Statutes affected:
Committee Bill:
HS Joint Favorable Substitute:
File No. 165: