Bill
A 9121
DOH must contract a qualified entity to study LTSS financing options and perform an actuarial analysis to guide future LTSS policy and funding.
Title: Directs the department of health to contract with a qualified entity for a feasibility study and actuarial analysis of long-term services and supports financing and services options
Status: REFERRED TO HEALTH (Introduced September 26, 2025)
Sponsor Information:
- Primary: Anna Kelles
- Cosponsors: Phil Steck, Jen Lunsford
- Related: S 8473 (companion bill)
Legislative Actions:
- 2025-09-26: REFERRED TO HEALTH (listed twice in the record)
Overview
Bill A 9121 would require the Department of Health (DOH) to contract with a qualified entity to perform two analyses focused on long-term services and supports (LTSS): 1) a feasibility study of financing options, and 2) an actuarial analysis of LTSS financing and services options. The aim is to evaluate how LTSS could be financed and delivered, informing policy and program design.
Purpose and Intent
- Assess viable financing mechanisms for LTSS and related service models.
- Provide data-driven analysis on the cost, sustainability, and risk associated with LTSS financing options.
- Inform future policy decisions regarding long-term care services and supports.
Key Provisions
- DOH must contract with a qualified entity to conduct:
- A feasibility study of financing options for LTSS (how to fund and sustain LTSS programs and services).
- An actuarial analysis of LTSS financing and service options (cost projections, funding adequacy, risk assessment, and long-term viability).
- The bill specifies the external analysis should be conducted by an entity with recognized expertise (a “qualified entity”), though detailed criteria are not provided in the summary text.
- Deliverables are expected in the form of a feasibility study and actuarial analysis, which would presumably be used to guide potential policy actions.
What Is Affected
- Department of Health (DOH): Responsible for contracting the study and analysis.
- LTSS Stakeholders: Individuals relying on long-term services and supports, providers, and potentially the broader health-care financing ecosystem, given the focus on financing options.
- State policy/budget planning: Findings could influence future LTSS policy and funding decisions.
Procedural and Timeline Aspects
- Status: In committee (Referred to Health). No floor action or timeline is provided in the summary.
- Introduced on September 26, 2025.
- The companion bill in the Senate is S 8473 (listed as the Senate companion).
Potential Impact and Considerations
- The bill seeks to generate independent, expert analysis to inform LTSS financing decisions.
- Outcomes depend on the contracted entity’s findings; potential policy changes could follow based on feasibility and actuarial results.
- The measure does not specify funding sources for the contract or a timetable for completing the analyses.
Next Steps
- The Health committee would review and potentially hold hearings, request amendments, or advance the bill.
- The companion Senate bill (S 8473) may be considered in parallel for alignment or to pursue parallel passage.
Compiled from official sources — confirm details with the bill’s official record.
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