Connecticut Seal

General Assembly

 

Substitute Bill No. 5297

    February Session, 2010

 

*_____HB05297HS____032210____*

AN ACT CONCERNING STATE-WIDE EXPANSION OF THE PRIMARY CARE CASE MANAGEMENT PILOT PROGRAM.

Be it enacted by the Senate and House of Representatives in General Assembly convened:

Section 1. Section 17b-307 of the general statutes is repealed and the following is substituted in lieu thereof (Effective from passage):

(a) Notwithstanding any provision of the general statutes, [not later than November 1, 2007,] the Department of Social Services shall develop [a plan to] and implement a pilot program for the delivery of health care services through a system of primary care case management to not less than one thousand individuals who are otherwise eligible to receive HUSKY Plan, Part A benefits. [Such plan shall be submitted to the joint standing committees of the General Assembly having cognizance of matters relating to human services and appropriations and the budgets of state agencies. Not later than thirty days after the date of receipt of such plan, said joint standing committees of the General Assembly shall hold a joint public hearing to review such plan. Said joint standing committees of the General Assembly may advise the commissioner of their approval or denial or modifications, if any, of the plan.] Primary care providers participating in the primary care case management [system] pilot program shall provide program beneficiaries with primary care medical services and arrange for specialty care as needed. For purposes of this section, "primary care case management" means a system of care in which the health care services for program beneficiaries are coordinated by a primary care provider chosen by or assigned to the beneficiary. The Commissioner of Social Services shall begin enrollment for the primary care case management system not later than April 1, 2008.

(b) Not later than July 1, 2010, the Department of Social Services shall expand the pilot program for the delivery of health care services through the primary care case management system, as described in subsection (a) of this section to include primary care providers in the towns of Torrington and Putnam. Not later than every ninety days after July 1, 2010, the department shall expand the pilot program to include two additional municipalities in the pilot program and shall continue expansion of the pilot program until such program is operational in each county of the state. The Commissioner of Social Services may seek a waiver from federal law for the purpose of expanding the primary care case management system pursuant to this subsection.

(c) Not later than July 1, 2011, the commissioner shall report, in accordance with section 11-4a, to the joint standing committees of the General Assembly having cognizance of matters relating to human services and appropriations and the budgets of state agencies on the expansion of the pilot program.

This act shall take effect as follows and shall amend the following sections:

Section 1

from passage

17b-307

Statement of Legislative Commissioners:

In the second sentence of subsection (b), "commissioner" was changed to "department" for internal consistency.

HS

Joint Favorable Subst.