Connecticut HB5561: AN ACT CONCERNING A FIVE-YEAR MEDICAID RATE REVIEW, DENTAL REPRESENTATION ON A MEDICAL ASSISTANCE OVERSIGHT COUNCIL, BIOMARKER TESTING AND OPIOID PRESCRIPTION COVERAGE REQUIREMENTS AND A STUDY CONCERNING PAYMENT OF SPOUSES FOR STATE-SUBSIDIZED HOME CARE.

What the bill says

An act concerning a five-year medicaid rate review, dental representation on a medical assistance oversight council, biomarker testing and opioid prescription coverage requirements and a study concerning payment of spouses for state-subsidized home care. assembly convened.

From the enrolled text:

AN ACT CONCERNING A FIVE-YEAR MEDICAID RATE REVIEW, DENTAL REPRESENTATION ON A MEDICAL ASSISTANCE OVERSIGHT COUNCIL, BIOMARKER TESTING AND OPIOID PRESCRIPTION COVERAGE REQUIREMENTS AND A STUDY CONCERNING PAYMENT OF SPOUSES FOR STATE-SUBSIDIZED HOME CARE. Assembly convened: Section 1. (NEW) (Effective July 1, 2026) (a) As used in this section, "Medicaid rate study" means the study commissioned by the Department of Social Services pursuant to section 1 of public act 23-186. (b) The Commissioner of Social Services shall create a five-year process for the regular and predictable review of Medicaid rates of reimbursement, which shall (1) examine the rates of reimbursement paid to Medicaid providers, and (2) benchmark such rates to rates for the same services paid by Medicare when possible under available appropriations. Not later than January 1, 2027, the commissioner shall review Medicaid rates of reimbursement in accordance with such process. (c) The Medicaid rate review process may include the evaluation of rates paid in individual components of the Medicaid program, provided an evaluation of all rates paid shall be completed not later than January Substitute House Bill No. 5561 1, 2032. As part of this process, the commissioner may, in consultation with the Secretary of the Office of Policy and Management, review and, to the extent funds are appropriated for this purpose, increase and rebase rates at the …

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Sponsors

• Sarah Keitt (D, 134) · primary sponsor