PA 09-7, Sec. 107. (Effective from passage)
Medical Inefficiency Committee
(a)(1) Not later than July 1, 2010, the Department of Social Services shall
amend by regulation the definition of "medically necessary" services utilized in
the administration of Medicaid to reflect savings in the current biennial budget
by reducing inefficiencies in the administration of the program while not
reducing the quality of care provided to Medicaid beneficiaries.
(2) The Commissioner of Social Services shall implement policies and procedures
utilizing said amended definition to achieve the purposes of subdivision (1) of
this subsection while in the process of adopting the definition in regulation
form, provided notice of intention to adopt the regulation is printed in the
Connecticut Law Journal within forty-five days of implementation, and any such
policies or procedures shall be valid until the time the final regulation is
effective.
(b) There is established a Medical Inefficiency Committee to advise the
Department of Social Services on the amended definition and the implementation
of the amended definition required under subsection (a) of this section, and to
provide feedback to the department and the General Assembly on the impact of the
amended definition.
(c) The committee shall consist of the following members: Three appointed by the
Governor, two appointed by the speaker of the House of Representatives, two
appointed by the president pro tempore of the Senate and one each appointed by
the majority leaders of the House of Representatives and the Senate and the
minority leaders of the House of Representatives and the Senate.
(d) All appointments to the committee shall be made no later than thirty days
after the effective date of this section. Any vacancy shall be filled by the
appointing authority, except that vacancies left unfilled for more than sixty
days may be filled by joint appointment of the speaker of the House of
Representatives and the president pro tempore of the Senate.
(e) The speaker of the House of Representatives and the president pro tempore of
the Senate shall select the chairpersons of the committee from among the members
of the committee. Such chairpersons shall schedule the first meeting of the
committee, which shall be held no later than sixty days after the effective date
of this section.
(f) The administrative staff of the joint standing committee of the General
Assembly having cognizance of matters relating to human services shall serve as
administrative staff of the committee.
(g) Not later than January 1, 2010, January 1, 2011, and January 1, 2012, the
committee shall submit a report on its findings and recommendations to the
Governor and the joint standing committees of the General Assembly having
cognizance of matters relating to public health, human services and
appropriations and the budgets of state agencies, in accordance with the
provisions of section 11-4a of the general statutes. The committee shall
terminate on the date that it submits the third such report or January 1, 2012,
whichever is later.