Rhode Island House Bill H7628

Rhode Island 2022 Regular Session

• Introduced: 3/2/22
• Refer: 3/2/22

Caption

Maternal And Child Health Services For Children With Special Health Care Needs

Impact

The bill mandates an increase in Medicaid payment rates for early intervention and first connections programs, which have historically been underfunded since the rates were last raised in 2002. It proposes a 70% increase for early intervention services and a 123% boost for first connections programs. This funding aims to combat the fiscal challenges that have led to provider deficits, low wages, and high turnover rates among early intervention specialists. The changes directly impact the availability and quality of services essential for over 4,000 infants and toddlers in the state, ensuring that those eligible receive timely and adequate support without experiencing delays due to funding shortfalls.

Summary

House Bill 7628 addresses critical issues pertaining to maternal and child health services, specifically focusing on children with special healthcare needs in Rhode Island. The bill emphasizes the importance of early intervention programs, coordinated through the executive office of health and human services, to support families with infants and toddlers at risk for developmental delays and disabilities. This legislation recognizes the need for high-quality services to foster optimal development from an early age, aligning with educational and health research emphasizing the significance of early intervention.

Contention

Among the points of contention around HB 7628 is the bill's approach to Medicaid funding and service delivery. Proponents argue that the increases in payment rates are long overdue and necessary for sustaining the vital services provided by early intervention programs. However, there are concerns regarding the state's ability to consistently finance these increases, especially in light of budget constraints and competing priorities within the broader health and safety services landscape. Critics may also express hesitation about the ongoing commitment required from the government to underwrite these enhancements fully, questioning the sustainability of such funding in the long term.