WeVote

Bill

Bill

HB 6836

AN ACT CONCERNING THE DEPARTMENT OF SOCIAL SERVICES' RECOMMENDATIONS REGARDING THE IMPLEMENTATION OF THE STATES ADVANCING ALL-PAYER HEALTH EQUITY APPROACHES AND DEVELOPMENT FEDERAL INNOVATION MODEL HOSPITAL GLOBAL PAYMENT METHODOLOGY.

2025 Regular Session Introduced by Travis Simms

Direct DSS to develop and implement statewide all-payer health equity strategies and a hospital global payment model aligned with federal Innovation Model goals.

FILE NO. 26
0
WeVote Research Nonpartisan
Bill Summary · HB 6836

Summary — HB 6836 (File No. 26)

Title: AN ACT CONCERNING THE DEPARTMENT OF SOCIAL SERVICES' RECOMMENDATIONS REGARDING THE IMPLEMENTATION OF THE STATE'S ADVANCING ALL‑PAYER HEALTH EQUITY APPROACHES AND DEVELOPMENT FEDERAL INNOVATION MODEL HOSPITAL GLOBAL PAYMENT METHODOLOGY
Introduced: January 29, 2025 — Public hearing held February 3, 2025

Note: The full bill text was not provided. The summary below is based on the bill title and legislative actions and therefore describes the bill’s likely purpose, typical provisions such legislation contains, and the expected impacts.

Purpose

HB 6836 directs the Connecticut Department of Social Services (DSS) to put forward and/or implement recommendations related to two linked objectives:
- Advancing all‑payer health equity approaches across payers (Medicaid, Medicare alignment where applicable, and commercial insurers); and
- Developing and implementing a hospital global (or global budget) payment methodology consistent with federal Innovation Model initiatives.

The intent is to align payment reform with health‑equity goals and to design hospital payment methods that promote equitable outcomes and possibly reduce avoidable utilization and costs.

Key (Likely) Provisions

Because the full text is not available, these provisions reflect common elements in bills with this title/intent:
- Requirement that DSS produce recommendations and/or an implementation plan for statewide “all‑payer” strategies that incorporate health‑equity metrics and interventions.
- Development of a hospital global payment methodology (global budgets or bundled/global hospital payments) that can operate within or seek federal Innovation Model waivers or funding.
- Data collection and reporting requirements to measure equity (race, ethnicity, language, socioeconomic indicators), utilization, quality, and cost impacts.
- Stakeholder engagement: mandates for consultation with hospitals, insurers, community health providers, consumer advocates, and possibly the Office of Health Strategy.
- Timeline and interim deliverables: deadlines for reports to the legislature and phased implementation steps.
- Provisions addressing Medicaid reimbursement changes and alignment with Medicare/Commercial payers to encourage statewide participation.

Who Would Be Affected

  • Department of Social Services (lead agency) — planning, oversight, reporting.
  • Hospitals and health systems — payment model changes, reporting obligations.
  • Medicaid members and providers — changes in payment flows and care coordination.
  • Commercial insurers and Medicare (to the extent alignment is pursued).
  • Community-based providers and populations experiencing health inequities.

Potential Impact

  • May shift hospital financing toward population‑based/global budgets promoting care coordination and preventive services.
  • Intended to incorporate equity measures, potentially improving care for underserved groups.
  • Fiscal impacts depend on design; could change Medicaid spending patterns and require investment in data systems and care management infrastructure.
  • Success depends on federal approval where Innovation Model alignment/waivers are required.

Legislative Status & Next Steps

  • Introduced: 2025-01-29; Referred to the Joint Committee on Public Health.
  • Public hearing: 2025-02-03.
  • Filed with LCO: 2025-02-19; Joint favorable report 2025-02-19.
  • Referred to OLR & OFA for analysis 02/26/25.
  • Reported out of LCO and favorably reported; Tabled for House calendar (House Calendar No. 36; File No. 26) on 2025-02-27.

To review the exact statutory changes, fiscal estimates, or the DSS recommendations the bill would enact, consult the bill text and accompanying fiscal/analysis reports on the Connecticut General Assembly website (File No. 26 / HB 6836).

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

Sign in to ask a question.