SB 153 expands Medicaid eligibility for older adults with disabilities who qualify as "adult disabled children" under federal Social Security rules. The bill amends state law to disregard certain income (such as Social Security benefits) that would otherwise make these individuals ineligible for Medicaid. This change directly affects older adults with disabilities meeting federal Social Security criteria who previously lost Medicaid coverage due to income thresholds. The key mechanism is excluding specific income sources from eligibility calculations, aligning state policy with a federal Medicaid provision.
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Medicaid
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People with Disabilities
HB 5026 would allow taxpayers to deduct premiums paid for long-term care insurance from their personal income tax. This directly affects individuals who purchase long-term care insurance policies, reducing their taxable income by the amount paid for these premiums. The bill adds this deduction to the state's tax code, meaning eligible taxpayers would subtract their qualifying insurance costs when calculating their income tax liability. It does not change eligibility for long-term care insurance itself, only provides a tax benefit for those who already have coverage. The policy creates a concrete tax reduction for a specific type of insurance expense.
HB 5356 requires Connecticut's Commissioner of Social Services to identify geographic areas where competitive bidding for nonemergency medical transportation (NEMT) services for Medicaid recipients could save state costs. It mandates that providers meeting state licensure/certification standards must compete for contracts to offer these services, with payment only made for actual transport provided. The bill also requires annual review of reimbursement rates to ensure they maintain an adequate driver pool and includes provisions for pilot programs before statewide implementation. This directly affects Medicaid recipients needing nonemergency medical transport and transportation providers contracted to serve them.
SB 293 extends the time frame for minors to sue providers for fraud in fertility care. It allows victims to file claims up to three years after reaching age 18 (the age of majority) or three years after discovering the fraud, whichever occurs later. This directly affects minors who suffered harm due to fraudulent fertility treatments or care. The law takes effect October 1, 2026, and modifies existing statute of limitations rules for these specific cases.
SB 391 requires the Commissioner of Correction to arrange breast cancer screening, diagnosis, and treatment services for women in state custody at licensed healthcare facilities closer to their correctional facility than the University of Connecticut Health Center. The bill specifically allows for on-site mammograms when possible, but if unavailable, permits arranging services at nearer facilities instead of defaulting to UConn Health Center. This applies to all women committed to correctional custody and takes effect July 1, 2026. The law directly expands access to timely breast cancer care by prioritizing proximity to correctional facilities.
SB 342 requires health insurers and health care providers to use consistent reimbursement rates for outpatient services, regardless of where care is delivered (e.g., office, hospital, or telehealth) or the provider's affiliation. It prohibits insurers from automatically downcoding claims using algorithms without clinical review by a qualified peer. The bill mandates equal reimbursement rates for similar services within the same geographic area and includes a requirement for contracts to clearly state compliance with these rules. These changes directly affect insurers, hospitals, and clinics by standardizing payment practices for covered outpatient benefits starting July 2026.
SB 327 expands emergency Medicaid coverage to include specific medical conditions requiring immediate care, such as high-risk pregnancies, severe diabetes complications, diabetic ketoacidosis, renal failure needing dialysis, certain fractures, hypertensive emergencies, unstable seizure disorders, active cancer treatment, ventilator dependency, labor/delivery, and acute psychiatric care. It directly affects low-income residents who need emergency medical treatment but may not qualify for regular Medicaid. The bill requires the state Commissioner to implement this expanded coverage starting July 1, 2026, and establish an online advance application system by July 1, 2027, for outpatient emergency care. This system will include clear information on covered conditions on the Department of Social Services website and in department materials. The law aims to ensure timely access to critical emergency care without requiring hospital emergency department visits for qualifying conditions.
HB 5354 limits how Connecticut can audit Medicaid pharmacies by prohibiting the use of data extrapolation for minor clerical errors in audits. It requires the state to confirm notices to pharmacies about billing and maintain a real-time database of approved drugs on the preferred drug list. Pharmacies can challenge disputed reimbursements through a new grievance process starting October 2026, allowing them to present cost evidence. The bill directly affects pharmacies participating in Connecticut's Medicaid program and takes effect July 1, 2026.
HB 5071 appropriates funds from the General Fund for the 2026-2027 fiscal year to increase Medicaid reimbursement rates for private healthcare providers. This bill directly affects private doctors, clinics, and other medical providers who treat Medicaid patients by raising the payments they receive from the state. The funding implements "phase one" of a Medicaid rate study, aiming to adjust payment rates based on that study's findings. The bill does not change eligibility or coverage but modifies how much providers are paid for services.
HB 5031 allocates $70,010,000 from the General Fund to cover budget shortfalls for the fiscal year ending June 30, 2026, directly affecting state agencies. Key provisions include $14.5 million for the Department of Housing’s homeless services, $5.5 million for mental health personal services, $5.775 million for emergency services, and $6 million for inmate medical services under Corrections. The bill funds ongoing operations and critical programs rather than creating new policies. It is a routine budget adjustment to address existing fiscal gaps, not a new legislative initiative.
