ConnecticutSB 001232026 Regular SessionSenateWALLET

AN ACT CONCERNING PUBLIC HEARINGS FOR CERTAIN RATE INCREASES AT ASSISTED LIVING FACILITIES, MUNICIPAL AGENTS FOR AGING, EMERGENCY POWER GENERATOR REQUIREMENTS FOR CERTAIN MULTIFAMILY HOUSING PROJECTS, PERSONAL PROTECTIVE EQUIPMENT FOR HOME HEALTH AIDE EMPLOYEES, THE NURSING HOME BED MORATORIUM AND NURSING HOME RESIDENT DATA.

Sponsored By: Aging Committee

Signed by Governor

Summary

To require each assisted living services agency to hold a public informational hearing when the agency increases a fee by more than ten per cent of the previous fee.

aging

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Bill Overview

Analyzed Economic Effects

6 provisions identified: 3 benefits, 0 costs, 3 mixed.

Backup power required in certain senior apartments

Beginning October 1, 2026, owners of qualifying private apartment projects must install and maintain emergency generators. Projects must be at least 15 stories tall and contain age-restricted homes. They must also have a mortgage insured, in whole or part, under the National Housing Act. Only municipalities with at least 130,000 but fewer than 140,000 residents in the 2020 census qualify. Generators must power the law's listed home needs and each passenger elevator for a minimum of four to twelve hours. Residents gain backup power protection, while owners bear equipment and maintenance costs.

Residents get hearings before assisted-living increases

Beginning October 1, 2026, assisted living services agencies must hold informational hearings before raising a fee by more than 10%. The hearing must happen at least 30 days before the increase takes effect. Residents, their representatives, and family members must have a chance to comment. The law does not cap fee increases.

Home health aides get free protective equipment

Beginning October 1, 2026, home health aide agencies must give each aide the protective equipment needed to serve clients safely. Agencies must provide this equipment at no cost to the employee.

Towns can share impartial aging agents

Beginning May 27, 2026, two or more Connecticut municipalities can jointly appoint aging agents through a written agreement. That agreement may explain how they share expenses. Agents cannot have conflicts that may interfere with unbiased information, help, or referrals. Beginning July 1, 2026, agents must certify at appointment or reappointment that they know of no disqualifying conflict. Agents must immediately report new conflicts or potential conflicts; interested parties may also report them. The appointing authority decides whether another agent or municipal employee can act instead. These changes do not require a particular service level or create a household payment.

Care facilities face audits with appeal protections

Beginning July 1, 2026, the Department of Social Services must audit covered Medicaid nursing, residential care, and intellectual-disability facilities. Covered facilities also include nursing-associated chronic disease hospitals and rest homes with nursing supervision. Audits generally require 30 days' notice, except for specified risk or fraud findings; selection must consider compliance history. Facilities generally get at least 30 days to provide records. Nursing homes must provide records within 10 days for required audits of resident data used to set Medicaid daily rates. Records generally cannot be accepted after the exit conference unless both sides agree. Clerical mistakes are not willful violations unless fraud is shown. Using sample errors to estimate wider overpayments is barred unless errors are sustained or high, education has failed, or annual claims exceed $200,000. The law sets reporting and rehearing deadlines, with unresolved issues after rehearing going to binding, three-person arbitration. The facility, commissioner, and Chief Court Administrator each appoint one board member. The department can compel testimony and records, with court enforcement available. False or misleading submissions can suspend state payments under adopted rules and pause related deadlines. Knowingly making false statements or submitting false data on approved forms can bring a class D felony charge. The department must publish audit guidance, offer free cost-report training, use experienced licensed health professionals, and establish facility-specific audit protocols consistent with effective practices as of April 1, 2015.

Nursing home beds face need-based approval rules

Beginning May 27, 2026, moratorium exceptions allow certain new Medicaid-certified beds when local census trends show priority needs. The state gives preference to small-house-style facilities that follow its long-term care plan. For covered bed requests, the Department of Social Services reviews finances and rates, quality and access, public need, utilization, owners' backgrounds, and other relevant factors. Quality review includes the federal five-star nursing home rating. The need test considers towns within 15 miles and whether the applicant's existing service area loses needed bed availability. Recent area occupancy must exceed 96% for at least two consecutive quarters to establish demonstrated need. The department may project need up to five years using official population and age-based utilization data, with reductions for less-institutional care options. Separate relocation and addition rules prohibit increases in Medicaid-certified beds, and relocation proposals must close at least one licensed facility. Replacement projects may require proportional bed cuts; owners of multiple facilities may have to close two or more facilities. Projects must support person-centered care, community space, and community ties.

Sponsors & Cosponsors

Sponsor

  • Aging Committee

    Affiliation unavailable

Cosponsors

  • Anne M. Hughes

    Democratic • House

  • Jaime S. Foster

    Democratic • House

  • Jan Hochadel

    Democratic • Senate

  • Jane M. Garibay

    Democratic • House

  • Mitch Bolinsky

    Republican • House

  • Nick Gauthier

    Democratic • House

  • Patricia Billie Miller

    Democratic • Senate

  • Tony Hwang

    Republican • Senate

  • William Pizzuto

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 0 • No: 0

Senate vote • 3/5/2026

AGE Vote Tally Sheet (Joint Favorable Substitute)

Yes: 0 • No: 0

Senate vote • 3/5/2026

Senate Roll Call Vote 230

Yes: 0 • No: 0

House vote • 3/5/2026

House Roll Call Vote 248 AS AMENDED

Yes: 0 • No: 0

Actions Timeline

  1. Signed by the Governor

    5/27/2026legislature
  2. Transmitted by Secretary of the State to Governor

    5/22/2026legislature
  3. Transmitted to the Secretary of State

    5/22/2026legislature
  4. Public Act 26-74

    5/19/2026legislature
  5. In Concurrence

    5/5/2026legislature
  6. House Passed as Amended by Senate Amendment Schedule A

    5/5/2026House
  7. House Adopted Senate Amendment Schedule A

    5/5/2026House
  8. House Calendar Number 558

    5/1/2026House
  9. Favorable Report, Tabled for the Calendar, House

    5/1/2026House
  10. Rules Suspended, Transmitted to the House

    5/1/2026House
  11. Senate Passed as Amended by Senate Amendment Schedule A

    5/1/2026Senate
  12. Senate Adopted Senate Amendment Schedule A 5644

    5/1/2026Senate
  13. File Number 67

    3/19/2026legislature
  14. Senate Calendar Number 67

    3/19/2026Senate
  15. Favorable Report, Tabled for the Calendar, Senate

    3/19/2026Senate
  16. Reported Out of Legislative Commissioners' Office

    3/19/2026legislature
  17. Referred to Office of Legislative Research and Office of Fiscal Analysis 03/18/26 5:00 PM

    3/13/2026legislature
  18. Filed with Legislative Commissioners' Office

    3/5/2026legislature
  19. Joint Favorable Substitute

    3/5/2026legislature
  20. Public Hearing 02/19

    2/13/2026legislature
  21. Referred to Joint Committee on Aging

    2/11/2026legislature

Bill Text

  • Public Act No. 26-74

    5/1/2026

  • File No. 67

    3/19/2026

  • AGE Joint Favorable Substitute

    3/5/2026

  • Raised Bill

    2/11/2026

  • AGE Joint Fav. Rpt

  • AGE Vote Tally Sheet (Joint Favorable Substitute)

  • Bill Analysis For File Copy 67

  • Bill Analysis for SB-123, as amended by Senate "A"

  • Fiscal Note For File Copy 67

  • Fiscal Note for Amendment LCO 5644 (See Fiscal Note Details)

  • Fiscal Note for SB-123, As Amended by Senate "A" (LCO 5644)

  • House Roll Call Vote 248 AS AMENDED

  • Senate Roll Call Vote 230

  • Senate Schedule A LCO# 5644 (J)

  • Summary for Public Act No. 26-74

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