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| 5 | 5 | | 2023 -- H 5787 |
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| 6 | 6 | | ======== |
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| 7 | 7 | | LC000073 |
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| 8 | 8 | | ======== |
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| 9 | 9 | | S TATE OF RHODE IS LAND |
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| 10 | 10 | | IN GENERAL ASSEMBLY |
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| 11 | 11 | | JANUARY SESSION, A.D. 2023 |
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| 12 | 12 | | ____________ |
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| 13 | 13 | | |
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| 14 | 14 | | A N A C T |
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| 15 | 15 | | RELATING TO STATE AFFAIRS AND GOVERNMENT |
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| 16 | 16 | | Introduced By: Representative Joseph M. McNamara |
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| 17 | 17 | | Date Introduced: February 22, 2023 |
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| 18 | 18 | | Referred To: House Finance |
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| 19 | 19 | | |
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| 20 | 20 | | |
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| 21 | 21 | | It is enacted by the General Assembly as follows: |
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| 22 | 22 | | SECTION 1. Section 42-12.3-8 of the General Laws in Chapter 42-12.3 entitled "Health 1 |
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| 23 | 23 | | Care for Children and Pregnant Women" is hereby amended to read as follows: 2 |
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| 24 | 24 | | 42-12.3-8. Enhanced services for children. 3 |
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| 25 | 25 | | (a) The department of human services shall develop a panel of enhanced services to be 4 |
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| 26 | 26 | | available as appropriate to RIte Track and medical assistance recipients under the age of eighteen 5 |
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| 27 | 27 | | (18) twenty-six (26), who are considered at risk, as defined by department of human services 6 |
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| 28 | 28 | | regulations. These services shall include, but not be limited to: care coordination, home visitation, 7 |
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| 29 | 29 | | nutrition counseling, parenting skills education. These services may be performed through a fee for 8 |
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| 30 | 30 | | service, contractual arrangement, or capitated rate as determined by the department of human 9 |
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| 31 | 31 | | services. The provision of enhanced services is subject to available appropriations; in the event that 10 |
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| 32 | 32 | | appropriations are not adequate for the provision of these services, the department has the authority 11 |
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| 33 | 33 | | to limit the amount, scope, and duration of these enhanced services, and to limit eligibility for 12 |
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| 34 | 34 | | enhanced services to children under the age of eight (8). Nothing in this section shall prohibit the 13 |
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| 35 | 35 | | department of human services from providing enhanced services to a medical assistance recipient, 14 |
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| 36 | 36 | | within existing appropriations. 15 |
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| 37 | 37 | | (b) Except as provided in subsection (c) below, the department of human services shall also 16 |
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| 38 | 38 | | provide pediatric palliative care services to eligible children under the age of nineteen (19) twenty-17 |
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| 39 | 39 | | six (26) years who have a terminal illness, provided that such services qualify for federal financial 18 |
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| 40 | 40 | | participation. These services shall be designed to achieve an improved quality of life and to meet 19 |
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| 41 | 41 | | |
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| 42 | 42 | | |
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| 43 | 43 | | LC000073 - Page 2 of 3 |
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| 44 | 44 | | the physical and emotional needs experienced by the patient during the course of the terminal illness 1 |
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| 45 | 45 | | and death. The services offered shall be determined by the department and may include, but are not 2 |
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| 46 | 46 | | limited to, consultations for pain and symptom management, case management and assessment, 3 |
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| 47 | 47 | | social services, counseling, volunteer support services, and respite services. The services shall be 4 |
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| 48 | 48 | | provided by licensed health care facilities that meet the criteria established by regulations 5 |
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| 49 | 49 | | promulgated by the department. The department is further authorized to establish limits on the 6 |
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| 50 | 50 | | services provided under this section. 7 |
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| 51 | 51 | | (c) The department shall be the payor of last resort with respect to services provided under 8 |
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| 52 | 52 | | subsection (b) above. With respect to children under the age of nineteen (19) twenty-six (26) years 9 |
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| 53 | 53 | | who are covered by an individual or family health insurance plan or program that provides payment 10 |
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| 54 | 54 | | in whole or in part for the type of pediatric palliative health care services listed in subsection (b) 11 |
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| 55 | 55 | | above, the department shall coordinate benefits with these primary payors, and provided further 12 |
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| 56 | 56 | | that payments by the department shall be in accordance with the department’s fee schedules. 13 |
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| 57 | 57 | | SECTION 2. This act shall take effect upon passage. 14 |
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| 58 | 58 | | ======== |
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| 59 | 59 | | LC000073 |
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| 60 | 60 | | ======== |
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| 61 | 61 | | |
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| 62 | 62 | | |
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| 63 | 63 | | LC000073 - Page 3 of 3 |
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| 64 | 64 | | EXPLANATION |
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| 65 | 65 | | BY THE LEGISLATIVE COUNCIL |
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| 66 | 66 | | OF |
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| 67 | 67 | | A N A C T |
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| 68 | 68 | | RELATING TO STATE AFFAIRS AND GOVERNMENT |
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| 69 | 69 | | *** |
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| 70 | 70 | | This act would raise the maximum age of eligibility for pediatric palliative services from 1 |
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| 71 | 71 | | eighteen (18) to twenty-six (26) and would raise the age of eligibility for enhances services from 2 |
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| 72 | 72 | | age eight (8) to age twenty-six (26). 3 |
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| 73 | 73 | | This act would take effect upon passage. 4 |
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| 74 | 74 | | ======== |
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| 75 | 75 | | LC000073 |
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| 76 | 76 | | ======== |
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