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General Assembly Substitute Bill No. 5353
February Session, 2026
AN ACT REQUIRING DATA TRANSPARENCY FOR SELF-DIRECTED
HOME CARE PROGRAMS.
Be it enacted by the Senate and House of Representatives in General
Assembly convened:
Section 1. (NEW) (Effective July 1, 2026) (a) As used in this section, (1) 1
"self-directed home care programs" means Medicaid-funded programs 2
that allow a consumer to hire a personal care attendant, (2) "consumer" 3
and "personal care attendants" have the same meanings as provided in 4
section 17b -706 of the general statutes, and (3) "fiscal intermediary" 5
means the organization that contracts with the Department of Social 6
Services to provide payroll, taxes and administrative services for self -7
directed home care programs. 8
(b) Except for public records exempted from disclosure under section 9
1-210 of the general statutes, the Commissioner of Social Services shall 10
submit quarterly reports with the following information, commencing 11
with information from the quarterly period beginning on April 1, 2024, 12
in accordance with the provisions of section 11-4a of the general statutes, 13
to the joint standing committees of the General Assembly having 14
cognizance of matters relating to human services, labor and government 15
oversight: 16
(1) The most recent completed audited financial statements of the 17
fiscal intermediary; 18
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(2) All personal care attendant timesheet reports, including, but not 19
limited to, reports containing the (A) number of weekly consumer -20
approved timesheets submitted, (B) number submitted on time, (C) 21
number resubmitted after correction, (D) number paid on time, (E) 22
timesheet processing error rate, (F) payroll processing error rate, and (G) 23
number and amount of penalties levied, on a monthly and weekly basis, 24
against the fiscal intermediary for violating provisions of the contract 25
concerning timesheets; 26
(3) All budget, customer service telephone call center and service 27
level agreement reports; 28
(4) The number of and average response time to general customer 29
service requests and the amount and number of penalties levied, on a 30
monthly and weekly basis, against the fiscal intermediary for violations 31
of the contract concerning response time for customer service requests; 32
and 33
(5) The (A) number of telephone calls, voice mail messages, electronic 34
mail and telephonic text messages received from consumers and 35
personal care attendants, (B) number of instances in which such calls or 36
messages were responded to in the contractually required time period 37
and the means of response by the fiscal intermediary, and (C) number 38
and amount of penalties levied against the fiscal intermediary, on a 39
monthly and weekly basis, for violations of the provisions of the 40
contract concerning response time to inquiries from such consumers 41
and personal care attendants. 42
This act shall take effect as follows and shall amend the following
sections:
Section 1 July 1, 2026 New section
GOS Joint Favorable Subst. -LCO
APP Joint Favorable
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