Connecticut lawmakers evaluate changes to HUSKY Health Program reimbursement model

With the ongoing evolution of healthcare delivery systems, Connecticut's Senate Bill 985, introduced on February 20, 2025, seeks to reshape the oversight of the HUSKY Health Program by mandating legislative approval for any significant changes to its reimbursement and care delivery models. This bill, referred to the Human Services Committee, aims to enhance transparency and accountability in the management of Medicaid services.

The primary provision of Senate Bill 985 requires the Commissioner of Social Services to present any proposals to shift from a fee-for-service Medicaid payment model to a managed care model to the General Assembly's joint standing committees on human services and appropriations. This proposal must be submitted before any changes are implemented or federal approvals are sought. The bill stipulates that these committees must hold a public hearing within 60 days of receiving the proposal, allowing for community input and legislative scrutiny.

The bill addresses critical issues surrounding the management of Medicaid services, particularly concerns about the potential impacts on care quality and provider reimbursements. By requiring legislative oversight, the bill aims to ensure that any changes made to the HUSKY Health Program are in the best interest of Medicaid recipients and the state’s budget.

Debate surrounding Senate Bill 985 has already begun, with proponents arguing that increased legislative oversight will protect vulnerable populations by ensuring that changes to the Medicaid system are thoroughly vetted. Critics, however, express concerns that the added bureaucracy could delay necessary reforms and hinder the state's ability to adapt to changing healthcare needs.

The implications of this bill are significant. If passed, it could set a precedent for how healthcare changes are managed in Connecticut, potentially influencing similar legislative approaches in other states. Experts suggest that while the bill promotes accountability, it may also complicate the state's ability to respond swiftly to healthcare challenges, especially in times of crisis.

As the bill progresses through the legislative process, stakeholders from various sectors, including healthcare providers, advocacy groups, and policymakers, will be closely monitoring its developments. The outcome of Senate Bill 985 could reshape the landscape of Medicaid services in Connecticut, impacting both the delivery of care and the financial sustainability of the HUSKY Health Program.