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Bill

S 4711

Directs the commissioner of health to authorize additional reimbursement to providers of health and dental care primarily serving individuals with intellectual and developmental disabilities for certain services

2025 Regular Session Introduced by Pat Fahy

Summary of S 4711: Additional Reimbursement for Providers Serving Individuals with Intellectual and Developmental Disabilities OverviewThis bill directs the Commissioner of Health

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Bill Summary · S 4711

Summary of S 4711: Additional Reimbursement for Providers Serving Individuals with Intellectual and Developmental Disabilities

Overview

This bill directs the Commissioner of Health to authorize additional reimbursement to providers of health and dental care who primarily serve individuals with intellectual and developmental disabilities (I/DD) for certain services. The goal is to ensure these providers receive adequate funding to continue offering high-quality care to this vulnerable population.

Key Provisions

  • Requires the Commissioner of Health to establish a process for providers to apply for the additional reimbursement.
  • Specifies that eligible providers must have at least 50% of their patient population consisting of individuals with I/DD.
  • Outlines the types of services that would qualify for the increased reimbursement, including:
    • Primary and specialty medical care
    • Dental services
    • Behavioral health treatment
    • Care coordination
  • Directs the Commissioner to set the reimbursement rates at levels that are sufficient to cover the actual costs of providing care, including any added expenses related to serving the I/DD population.
  • Appropriates $25 million annually to fund the increased reimbursements.

Impact

  • This bill is intended to help ensure the continued availability of specialized health and dental services for individuals with intellectual and developmental disabilities.
  • By providing higher reimbursement rates, it aims to make it financially viable for providers to maintain their practices and programs focused on the I/DD community.
  • Supporters argue this will improve access to care and health outcomes for people with I/DD, who often face significant barriers to finding appropriate providers.
  • The funding would come from the state's general fund, representing a new investment in supporting the healthcare needs of this population.

Timeline

  • The bill was introduced in the Senate on October 20, 2025.
  • It has been reported out of committee and committed to the Finance Committee for further consideration.
  • If passed, the increased reimbursement program would take effect starting in the next fiscal year.

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

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