Rhode Island 2023 Regular Session

Rhode Island House Bill H5648 Compare Versions

Only one version of the bill is available at this time.

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5	5	2023 -- H 5648
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7	7	LC001746
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9	9	S TATE OF RHODE IS LAND
10	10	IN GENERAL ASSEMBLY
11	11	JANUARY SESSION, A.D. 2023
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14	14	J O I N T R E S O L U T I O N
15	15	TO AMEND THE MEDICAI D SECTION 1115 DEMONSTRATION WAIVER REQUES TS
16	16	AND RENEWALS
17	17	Introduced By: Representatives Baginski, Solomon, Casimiro, Donovan, Bennett,
18	18	Potter, Cruz, and Boylan
19	19	Date Introduced: February 15, 2023
20	20	Referred To: House Finance
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23	23	WHEREAS, The General Assembly enacted Chapter 12.4 of Title 42 entitled “The 1
24	24	Rhode Island Medicaid Reform Act of 2008”; and 2
25	25	WHEREAS, A legislative enactment is required pursuant to Rhode Island General Laws 3
26	26	§ 42-12.4-1, et seq.; and 4
27	27	WHEREAS, Rhode Island General Laws § 42-7.2-5(3)(i) provides that the Secretary of 5
28	28	the Executive Office of Health and Human Services is responsible for the review and 6
29	29	coordination of any Medicaid section 1115 demonstration waiver requests and renewals as well 7
30	30	as any initiatives and proposals requiring amendments to the Medicaid state plan or category II or 8
31	31	III changes as described in the demonstration, “with potential to affect the scope, amount, or 9
32	32	duration of publicly-funded health care services, provider payments or reimbursements, or access 10
33	33	to or the availability of benefits and services provided by Rhode Island general and public laws”; 11
34	34	now therefore be it 12
35	35	RESOLVED, That, in pursuit of a more cost-effective consumer choice system of care 13
36	36	that is fiscally sound and sustainable and that reduces the number of days behaviorally complex 14
37	37	patients spend in acute care facilities, the legislature approves the following pilot proposal to 15
38	38	amend the demonstration: 16
39	39	(1) Implement a behavioral health per diem add-on rate of one hundred seventy-five 17
40	40	dollars ($175) for up to one hundred (100) complex patients with behavioral conditions who 18
41	41	reside in a nursing facility, have a history of frequent utilization of acute care facilities, and are 19
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45	45	Medicaid recipients with medically-based mental health or behavioral disorders demonstrating 1
46	46	significant behaviors as shown in a minimum of thirty (30) days of clinical behavioral 2
47	47	documentation of behavioral health conditions, and the nursing facility is Medicaid certified to 3
48	48	provide or facilitate enhanced levels of behavioral healthcare; and be it further 4
49	49	RESOLVED, That the Secretary of State be and hereby is authorized and directed to 5
50	50	transmit duly certified copies of this resolution to the Governor of the State of Rhode Island, the 6
51	51	Rhode Island Department of Health, and to the Rhode Island Executive Office of Health and 7
52	52	Human Services. 8
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59	59	EXPLANATION
60	60	BY THE LEGISLATIVE COUNCIL
61	61	OF
62	62	J O I N T R E S O L U T I O N
63	63	TO AMEND THE MEDICAI D SECTION 1115 DEMONSTRATION WAIVER REQUESTS
64	64	AND RENEWALS
65	65	***
66	66	This joint resolution would approve an amendment to the Medicaid section 1115 1
67	67	demonstration waiver requests and renewals. 2
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