OFFICE OF FISCAL ANALYSIS

Legislative Office Building, Room 5200

Hartford, CT 06106 (860) 240-0200

http: //www.cga.ct.gov/ofa

sHB-6308

AN ACT CONCERNING HEALTHCARE REFORM.

AMENDMENT

LCO No.: 8462

File Copy No.: 868

House Calendar No.: 282

Senate Calendar No.: 592

OFA Fiscal Note

State Impact:

Agency Affected

Fund-Effect

FY 12 $

FY 13 $

Department of Social Services

GF - Potential Savings

Minimal

Minimal

Note: GF=General Fund

Municipal Impact: None

Explanation

This bill could result in a Medicaid savings to the state associated with reduced payments for Qualified Medicare Beneficiaries (QMBs) .

Currently, the state Medicaid program pays premiums, co-payments and deductibles for all QMBs who do not have supplemental policies. Should a Medicaid client, who currently pays no out of pocket expenses for the QMB program, choose to pay for a new Medicare supplemental policy, the state could realize co-payment and deductible savings. However, it is anticipated that there would be few such clients who would choose to increase their out of pocket expenditures.

Medicaid currently pays $157 million in Medicare costs for 100, 000 QMBs, or an average of $1, 570 per person, per year.

The annualized ongoing fiscal impact identified above would continue into the future subject to inflation.

The preceding Fiscal Impact statement is prepared for the benefit of the members of the General Assembly, solely for the purposes of information, summarization and explanation and does not represent the intent of the General Assembly or either chamber thereof for any purpose. In general, fiscal impacts are based upon a variety of informational sources, including the analyst's professional knowledge. Whenever applicable, agency data is consulted as part of the analysis, however final products do not necessarily reflect an assessment from any specific department.