Connecticut legislation · 2026 General Assembly
Connecticut HB5354: AN ACT CONCERNING MEDICAID PROVIDER AUDITS.
Status: Signed into law, June 2, 2026
What the bill says
An act concerning medicaid provider audits. assembly convened.
From the enrolled text:
AN ACT CONCERNING MEDICAID PROVIDER AUDITS. Assembly convened: Section 1. Subdivision (4) of subsection (d) of section 17b-99 of the general statutes is repealed and the following is substituted in lieu thereof (Effective October 1, 2026): (4) A finding of overpayment or underpayment to a provider in a program operated or administered by the department pursuant to this chapter or chapter 319t, 319v, 319y or 319ff, except a provider for which rates are established pursuant to section 17b-340, shall not be based on extrapolation unless the total net amount of extrapolated overpayment calculated from a statistically valid sampling and extrapolation methodology exceeds [one] two and three-quarters per cent of total claims paid to the provider for the audit period. Beginning with audit review periods commencing January 1, 2027, the commissioner shall make available up-to-date education materials and technical assistance documents to assist providers with proper Medicaid billing prior to extrapolation. Governor's Action: Approved June 2, 2026
Sponsors
- Tracy Marra (R, 141) · primary sponsor
- Tom Delnicki (R, 14)
- Kenneth Gucker (D, 138)
- Saud Anwar (D, 3)
- Nicole Klarides-Ditria (R, 105)
Latest actions
- : Signed by the Governor
- : Transmitted by Secretary of the State to Governor
- : Transmitted to the Secretary of State
- : Public Act 26-143
- : In Concurrence
- : House Passed as Amended by Senate Amendment Schedule A
- : House Passed as Amended by House Amendment Schedule A
- : House Adopted Senate Amendment Schedule A
- : Potential Disagreeing Action, Tabled for the Calendar, House
- : Transmitted Pursuant To Joint Rule 17
Votes
- Senate Roll Call 392 (May 6, 2026): 36 yea, 0 nay, passed
- House Roll Call 313 (May 6, 2026): 150 yea, 0 nay, passed
- House Roll Call 199 (May 1, 2026): 133 yea, 10 nay, passed
- FIN Vote Tally Sheet (Joint Favorable) (April 20, 2026): 53 yea, 0 nay, passed
- HS Vote Tally Sheet (Joint Favorable Substitute) (March 19, 2026): 23 yea, 0 nay, passed
Subjects: Audits, Social Services, Department of
Common questions
- What is HB5354?
- HB5354 is a bill in the Connecticut Legislature (2026 General Assembly): AN ACT CONCERNING MEDICAID PROVIDER AUDITS.
- What does HB5354 do?
- In its own words: An act concerning medicaid provider audits. assembly convened.
- What is the status of HB5354?
- Signed into law as of June 2, 2026. Latest action: Signed by the Governor (June 2, 2026).
- Who sponsored HB5354?
- Tracy Marra (R, 141), with 4 co-sponsors.
- Where is the official record for HB5354?
- On the Connecticut Legislature website: https://www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=HB05354&which_year=2026
Source: official Connecticut record. Tracked by Delilah, AI for legislation across all 50 states and Congress.