ConnecticutHB 055612026 Regular SessionHouse

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.

Sponsored By: Human Services Committee

Signed by Governor

Summary

To increase Medicaid rates of reimbursement for certain providers.

human services

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Bill Overview

Analyzed Economic Effects

2 provisions identified: 2 benefits, 0 costs, 0 mixed.

Medicaid prescribers must consider nonopioid pain treatments

Beginning July 1, 2026, Connecticut Medicaid prescribers must consider whether nonopioid treatments are feasible before prescribing opioids for beneficiaries’ pain. Options include physical therapy, acupuncture, chiropractic care, and spinal cord stimulation. Providers do not have to prescribe these alternatives, and patients do not have to use them. The law does not guarantee coverage of these treatments.

Regular rate reviews for Connecticut Medicaid providers

Beginning July 1, 2026, Connecticut must establish five-year reviews of Medicaid provider payment rates, with public comment. The first review starts by January 1, 2027; all rates must be evaluated by January 1, 2032. Reviews compare rates with Medicare when possible within available funding. The state must consolidate payment schedules so every provider uses the same schedule for the same service. With funds appropriated and after consulting the state budget secretary, the commissioner may raise rates at each calendar year’s end. These updates may use a more current Medicare base year, but increases are not guaranteed. Annual reports to lawmakers start January 15, 2028, covering review methods and recommended funding for higher provider pay.

Sponsors & Cosponsors

Sponsor

  • Human Services Committee

    Affiliation unavailable

Cosponsors

  • Amy Morrin Bello

    Democratic • House

  • Anne M. Hughes

    Democratic • House

  • Anthony L. Nolan

    Democratic • House

  • Christopher Poulos

    Democratic • House

  • Eleni Kavros DeGraw

    Democratic • House

  • Eric C. Berthel

    Republican • Senate

  • Geraldo C. Reyes

    Democratic • House

  • Greg S. Howard

    Republican • House

  • Heather S. Somers

    Republican • Senate

  • Hilda E. Santiago

    Democratic • House

  • Jaime S. Foster

    Democratic • House

  • James Sanchez

    Democratic • House

  • Jane M. Garibay

    Democratic • House

  • Jill Barry

    Democratic • House

  • Joshua M. Hall

    Democratic • House

  • Julie Kushner

    Democratic • Senate

  • Kara Rochelle

    Democratic • House

  • Kate Farrar

    Democratic • House

  • Laurie Sweet

    Democratic • House

  • Lucy Dathan

    Democratic • House

  • Martha Marx

    Democratic • Senate

  • Martin M. Looney

    Democratic • Senate

  • Mary Fortier

    Democratic • House

  • Matthew L. Lesser

    Democratic • Senate

  • Michael "MJ" Shannon

    Democratic • House

  • Michael D. Quinn

    Democratic • House

  • Michael DiGiovancarlo

    Democratic • House

  • Nicholas Menapace

    Democratic • House

  • Nick Gauthier

    Democratic • House

  • Paul Cicarella

    Republican • Senate

  • Rebecca Martinez

    Democratic • House

  • Renee LaMark Muir

    Democratic • House

  • Sarah Keitt

    Democratic • House

  • Saud Anwar

    Democratic • Senate

  • Stephen G. Harding

    Republican • Senate

  • Tom Delnicki

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 0 • No: 0

Senate vote • 3/19/2026

Senate Roll Call Vote 396

Yes: 0 • No: 0

House vote • 3/19/2026

House Roll Call Vote 216 AS AMENDED

Yes: 0 • No: 0

House vote • 3/19/2026

HS Vote Tally Sheet (Joint Favorable Substitute)

Yes: 0 • No: 0

Bill Text

  • Public Act No. 26-146

    5/4/2026

  • File No. 445

    4/7/2026

  • HS Joint Favorable Substitute

    3/19/2026

  • Raised Bill

    3/12/2026

  • Bill Analysis For File Copy 445

  • Bill Analysis for HB-5561, as amended by House "A"

  • Fiscal Note For File Copy 445

  • Fiscal Note for Amendment LCO 5818 (See Fiscal Note Details)

  • Fiscal Note for HB-5561, As Amended by House "A" (LCO 5818)

  • HS Joint Fav. Rpt

  • HS Vote Tally Sheet (Joint Favorable Substitute)

  • House Roll Call Vote 216 AS AMENDED

  • House Schedule A LCO# 5818 (D)

  • Senate Roll Call Vote 396

  • Summary for Public Act No. 26-146

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