HB 5358 Connecticut House · 2026 Regular Session

AN ACT CONCERNING THE REBASING OF RATES OF REIMBURSEMENT FOR CERTAIN RESIDENTIAL FACILITIES.

HB 5358 updates how Connecticut reimburses non-Medicaid residential care facilities (private facilities and regional education centers licensed for residential care but not certified for Medicaid's intellectual disability program). It changes the calculation method for reimbursement rates by allowing actual debt service (principal, interest, and repair reserves) on facility loans instead of fixed property costs, provided terms are reasonable. The bill also reinstates historical rate stability rules, limiting annual increases to 2% for certain fiscal years and requiring rates to reflect actual operating costs. This directly affects facilities receiving state payments for residential care services, ensuring reimbursement aligns with their actual financial obligations.

Issues: ✓ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Feb 2026

Committee Review

Floor Vote

Governor

Introduced Feb 26, 2026 Last action Apr 20, 2026

Maddy AI version diff · 1 comparison

What changed between versions

Raised Bill → HS Joint Favorable Substitute · 3 edits

MINOR

The bill was amended to reflect its status as a favorable substitute rather than the original raised version, updating the document title and page counts. Substantively, the text clarifies that multiple subsections are repealed (changing 'is' to 'are') and adds specific provisions allowing rates to remain in effect into 2012 if capital improvements are made for resident health or safety.

Scope change

The bill's scope remains focused on state rates for private facilities, but the applicability of rate adjustments was extended to include the fiscal year ending June 30, 2012, under specific conditions.

TECHNICAL

Updated document headers and page counts to reflect the bill's progression from 'Raised Bill' to 'Substitute Bill'.

Corrected a grammatical error in the repeal section, changing 'subsection... is repealed' to 'subsections... are repealed' to accurately reflect multiple deletions.

TIMELINE

Added language allowing rates established for the period ending June 30, 2011, to remain in effect until June 30, 2012, provided that necessary capital improvements for resident health or safety were made during that time.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 17, 2026

Lower · Passed

Joint Favorable

lower

Apr 14, 2026

Lower · Passed

REF. BY HOUSE TO COMMITTEE ON Appropriations

lower

Mar 19, 2026

Lower · Passed

Joint Favorable Substitute

lower

Feb 26, 2026

Committee

REF. TO JOINT COMM. ON Human Services

lower

2 primary · 0 co-sponsors