Substitute Senate Bill No. 985 introduces significant changes to the oversight and management of the HUSKY Health Program in Connecticut, particularly regarding the Medicaid reimbursement and care delivery model. The bill mandates that any proposed changes to the Medicaid payment model, specifically transitioning from a fee-for-service to a managed care model, must receive legislative approval from the Appropriations and Human Services committees. The Commissioner of Social Services is required to submit proposals to these committees, which must hold public hearings and provide feedback within thirty days. If consensus is not reached, a committee of conference will be formed to resolve disagreements. Additionally, the bill repeals existing statutes related to Medicaid managed care and modifies language to reflect a shift away from that model, emphasizing enhanced oversight and accountability.

The bill also updates the composition and responsibilities of the Council on Medical Assistance Program Oversight, introducing new members that represent various stakeholders, including Medicaid recipients and advocates for individuals with disabilities. It establishes a standing subcommittee focused on the needs of children and adults with complex health care requirements, which will submit biannual reports to the General Assembly. Furthermore, the bill allows the Commissioner of Social Services to create pilot programs for specific populations, such as Medicare-eligible individuals served by Oak Hill, and includes provisions for sharing information with state agencies to improve child support and rehabilitation programs. The effective date for these changes is set for July 1, 2025.

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