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HB 5199

AN ACT CONCERNING REDUCED MEDICAID REIMBURSEMENTS FOR MULTIPLE HOME HEALTH VISITS TO THE SAME HOUSING FACILITY.

2026 Regular Session Introduced by Rebecca Martinez and 2 co-sponsors

Connecticut bill reduces Medicaid reimbursement for home health agencies making multiple visits to same facility daily, aiming to cut costs but risking provider viability and care quality.

REF. TO JOINT COMM. ON Human Services
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Bill Summary · HB 5199

Legislative bill overview

HB 5199 would reduce Medicaid reimbursement rates for home health agencies when they make multiple visits to the same residential facility on the same day. The bill aims to address what sponsors may view as inefficient billing practices or duplicative service provision in home health care delivery.

Why is this important

Home health care is a significant Medicaid expense, and reimbursement structures directly affect both program costs and provider viability. This policy could incentivize more efficient scheduling and consolidation of services, potentially reducing overall Medicaid spending—but it also risks discouraging necessary care coordination or penalizing providers serving concentrated populations like assisted living facilities.

Potential points of contention

  • Provider financial impact: Home health agencies operating in facilities with multiple Medicaid beneficiaries could see substantial revenue reductions, potentially affecting service quality, staffing, or willingness to serve low-income populations
  • Care quality concerns: Providers may rush visits or delay needed services to avoid multiple-visit penalties, potentially compromising medical outcomes for vulnerable populations
  • Definitional ambiguity: The bill's effectiveness depends heavily on how "multiple visits" and "same housing facility" are defined—unclear language could create administrative disputes or unintended consequences
  • Equity considerations: Facilities concentrated with low-income residents could be disproportionately affected compared to those serving privately-insured populations

Compiled from official sources — confirm details with the bill’s official record.

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