If passed, H8095 will extend eligibility for payment to family caregivers, thus providing a financial resource to those caring for individuals with developmental disabilities. The legislation codifies increased flexibility in how services can be delivered, ensuring that the executive office of health and human services (EOHHS) can utilize federal financial participation effectively. This change is anticipated to increase the availability of necessary services while also integrating federal Medicaid funding with state-level support systems.
Summary
House Bill H8095 aims to amend the Rhode Island General Laws relating to behavioral healthcare, developmental disabilities, and hospitals by allowing family caregivers and legally responsible individuals to receive compensation for providing home and community-based services (HCBS) to developmentally disabled adults and children with special needs. This legislation is a response to the needs that emerged during the COVID-19 pandemic, aiming to support families who serve as primary caregivers by formalizing the ability to pay them for essential services they provide.
Contention
Discussion around H8095 has noted both support and concern. Proponents argue that enabling family members to receive payment for caregiving will reduce financial strain and improve care provision for vulnerable populations. Critics, however, raise potential concerns about the quality and consistency of care provided by family members, suggesting that professional oversight and support must be maintained even as compensation structures evolve. The legislation's implementation will likely require careful oversight to ensure that services meet quality standards and adequately serve those in need.
Provides that shared living for older adults and adults with disabilities allow individuals to receive care from family caregivers, related or unrelated regardless of whether they are performing other activities, such as power of attorney for individual.
Authorizes the executive office of health and human services to establish a program providing coverage for nutritional assistance and medically tailored meals for certain beneficiaries where there is a clinical need.
Amends Article 9 of the state budget and various provisions relative to hospital licensing fees, would redefine base year for purposes of calculating disproportionate share payments for fiscal years.
Amends Article 9 of the state budget and various provisions relative to hospital licensing fees, would redefine base year for purposes of calculating disproportionate share payments for fiscal years.
Requires the secretary of the executive office of health and human services to monitor and mandate changes to the price-setting practices of pharmacy benefit managers to prohibit the spread pricing payment model.
Requires the secretary of the executive office of health and human services to monitor and mandate changes to the price-setting practices of pharmacy benefit managers to prohibit the spread pricing payment model.
Sets controls on Medicaid prescription drug costs by imposing transparency and accountability requirements on managed care organizations (MCOs) and their pharmacy benefit managers (PBMs).
Sets controls on Medicaid prescription drug costs by imposing transparency and accountability requirements on managed care organizations (MCOs) and their pharmacy benefit managers (PBMs).
Requesting The Department Of Human Services To File A Request With The Centers For Medicare And Medicaid Services To Amend The State's Existing Section 1115 Demonstration Program To Implement A Housing And Health Opportunities Demonstration Program To Enable Direct Housing Costs For Medicaid Recipients To Be Covered By The Federal Financial Participation For Medicaid.
Requesting The Department Of Human Services To File A Request With The Centers For Medicare And Medicaid Services To Amend The State's Existing Section 1115 Demonstration Program To Implement A Housing And Health Opportunities Demonstration Program To Enable Direct Housing Costs For Medicaid Recipients To Be Covered By The Federal Financial Participation For Medicaid.