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Rhode Island Senate Bill S0530

Rhode Island 2023 Regular Session

Rhode Island Senate Bill S0530 Compare Versions

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99 S TATE OF RHODE IS LAND
1010 IN GENERAL ASSEMBLY
1111 JANUARY SESSION, A.D. 2023
1212 ____________
1313
1414 A N A C T
1515 RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE HEALTHCARE SERVICES
1616 FUNDING PLAN ACT
1717 Introduced By: Senators Goodwin, and DiMario
1818 Date Introduced: March 07, 2023
1919 Referred To: Senate Finance
2020
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2222 It is enacted by the General Assembly as follows:
2323 SECTION 1. Section 42-7.4-3 of the General Laws in Chapter 42-7.4 entitled "The 1
2424 Healthcare Services Funding Plan Act" is hereby amended to read as follows: 2
2525 42-7.4-3. Imposition of healthcare services funding contribution. 3
2626 (a) Each insurer is required to pay the healthcare services funding contribution for each 4
2727 contribution enrollee of the insurer at the time the contribution is calculated and paid, at the rate set 5
2828 forth in this section. 6
2929 (1) Beginning January 1, 2016 July 1, 2023, the secretary shall set the healthcare services 7
3030 funding contribution each fiscal year in an amount equal to: (i) The child immunization funding 8
3131 requirement described in § 23-1-46; plus (ii) The adult immunization funding requirement 9
3232 described in § 23-1-46; plus (iii) The children’s health services funding requirement described in § 10
3333 42-12-29; plus (iv) The psychiatry resource network funding requirement described in § 23-1-46.1 11
3434 and all as divided by (iv)(v) The number of contribution enrollees of all insurers. 12
3535 (2) The contribution set forth herein shall be in addition to any other fees or assessments 13
3636 upon the insurer allowable by law. 14
3737 (b) The contribution shall be paid by the insurer; provided, however, a person providing 15
3838 health benefits coverage on a self-insurance basis that uses the services of a third-party 16
3939 administrator shall not be required to make a contribution for a contribution enrollee where the 17
4040 contribution on that enrollee has been or will be made by the third-party administrator. 18
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4444 (c) The secretary shall create a process to facilitate the transition to the healthcare services 1
4545 funding contribution method that: (i) assures adequate funding beginning July 1, 2016, (ii) reflects 2
4646 that funding via the healthcare services funding contribution method initially will be for only a 3
4747 portion of the state’s fiscal year, and (iii) avoids duplicate liability for any insurer that made a 4
4848 payment under the premium assessment method in effect prior to January 1, 2016, for a period for 5
4949 which it would also be liable for a contribution under the healthcare services funding contribution 6
5050 method as described in this chapter. 7
5151 SECTION 2. Chapter 23-1 of the General Laws entitled "Department of Health" is hereby 8
5252 amended by adding thereto the following section: 9
5353 23-1-46.1. Psychiatry resource network account (Effective July 1, 2023). 10
5454 (a) There is created within the general fund a restricted receipt account to be known as the 11
5555 "PRN account." All money in the account shall be utilized by the department of health to effectuate 12
5656 coverage for the following services: Existing Rhode Island lines including the PediPRN and 13
5757 MomsPRN information lines together with any additional information line, referral service, or 14
5858 hotline which is available to providers or residents in the state, and which is funded pursuant to 15
5959 regulation adopted by the director of the department of health. Amounts collected pursuant to § 42-16
6060 7.4-3(a)(1)(iv) shall be deposited in the "PRN account." The funds shall be used solely for the 17
6161 purposes of the "PRN account," and no other. 18
6262 (b) Each year's psychiatry resource network funding requirement in § 42-7.4-3(a)(1)(iv) 19
6363 shall be the amount: 20
6464 (1) Projected by the department of health for the services in subsection (a) of this section; 21
6565 plus 22
6666 (2) A ten percent (10%) contingency for unexpected expenses; and after 23
6767 (3) Deduction for any projected carryover of excess funds from prior assessments. 24
6868 (c) The department of health shall submit to the general assembly an annual report on the 25
6969 program and costs related to the program, on or before February 1 of each year. The department 26
7070 shall make available to each insurer required to make a contribution pursuant to § 42-7.4-3, upon 27
7171 its request, detailed information regarding the programs described in subsection (a) of this section 28
7272 and the costs related to those programs. 29
7373 (d) The "PRN account" shall be exempt from the indirect costs recovery provisions of § 30
7474 35-4-27. 31
75-SECTION 3. Section 35-4-27 of the General Laws in Chapter 35-4 entitled "State Funds" 32
76-is hereby amended to read as follows: 33
77-35-4-27. Indirect cost recoveries on restricted receipt accounts. 34
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81-Indirect cost recoveries of ten percent (10%) of cash receipts shall be transferred from all 1
82-restricted-receipt accounts, to be recorded as general revenues in the general fund. However, there 2
83-shall be no transfer from cash receipts with restrictions received exclusively: (1) From contributions 3
84-from nonprofit charitable organizations; (2) From the assessment of indirect cost-recovery rates on 4
85-federal grant funds; or (3) Through transfers from state agencies to the department of administration 5
86-for the payment of debt service. These indirect cost recoveries shall be applied to all accounts, 6
87-unless prohibited by federal law or regulation, court order, or court settlement. The following 7
88-restricted receipt accounts shall not be subject to the provisions of this section: 8
89-Executive Office of Health and Human Services 9
90-Organ Transplant Fund 10
91-HIV Care Grant Drug Rebates 11
92-Health System Transformation Project 12
93-Rhode Island Statewide Opioid Abatement Account 13
94-HCBS Support-ARPA 14
95-HCBS Admin Support-ARPA 15
96-Department of Human Services 16
97-Veterans’ home — Restricted account 17
98-Veterans’ home — Resident benefits 18
99-Pharmaceutical Rebates Account 19
100-Demand Side Management Grants 20
101-Veteran’s Cemetery Memorial Fund 21
102-Donations — New Veterans’ Home Construction 22
103-Department of Health 23
104-Pandemic medications and equipment account 24
105-Miscellaneous Donations/Grants from Non-Profits 25
106-State Loan Repayment Match 26
107-Healthcare Information Technology 27
108-Healthcare services funding accounts for the psychiatry resource network (PRN) 28
109-Department of Behavioral Healthcare, Developmental Disabilities and Hospitals 29
110-Eleanor Slater non-Medicaid third-party payor account 30
111-Hospital Medicare Part D Receipts 31
112-RICLAS Group Home Operations 32
113-Commission on the Deaf and Hard of Hearing 33
114-Emergency and public communication access account 34
115-
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118-Department of Environmental Management 1
119-National heritage revolving fund 2
120-Environmental response fund II 3
121-Underground storage tanks registration fees 4
122-De Coppet Estate Fund 5
123-Rhode Island Historical Preservation and Heritage Commission 6
124-Historic preservation revolving loan fund 7
125-Historic Preservation loan fund — Interest revenue 8
126-Department of Public Safety 9
127-E-911 Uniform Emergency Telephone System 10
128-Forfeited property — Retained 11
129-Forfeitures — Federal 12
130-Forfeited property — Gambling 13
131-Donation — Polygraph and Law Enforcement Training 14
132-Rhode Island State Firefighter’s League Training Account 15
133-Fire Academy Training Fees Account 16
134-Attorney General 17
135-Forfeiture of property 18
136-Federal forfeitures 19
137-Attorney General multi-state account 20
138-Forfeited property — Gambling 21
139-Department of Administration 22
140-OER Reconciliation Funding 23
141-Health Insurance Market Integrity Fund 24
142-RI Health Benefits Exchange 25
143-Information Technology Investment Fund 26
144-Restore and replacement — Insurance coverage 27
145-Convention Center Authority rental payments 28
146-Investment Receipts — TANS 29
147-OPEB System Restricted Receipt Account 30
148-Car Rental Tax/Surcharge-Warwick Share 31
149-Grants Management Administration 32
150-Executive Office of Commerce 33
151-Housing Resources Commission Restricted Account 34
152-
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155-Housing Production Fund 1
156-Department of Revenue 2
157-DMV Modernization Project 3
158-Jobs Tax Credit Redemption Fund 4
159-Legislature 5
160-Audit of federal assisted programs 6
161-Department of Children, Youth and Families 7
162-Children’s Trust Accounts — SSI 8
163-Military Staff 9
164-RI Military Family Relief Fund 10
165-RI National Guard Counterdrug Program 11
166-Treasury 12
167-Admin. Expenses — State Retirement System 13
168-Retirement — Treasury Investment Options 14
169-Defined Contribution — Administration - RR 15
170-Violent Crimes Compensation — Refunds 16
171-Treasury Research Fellowship 17
172-Business Regulation 18
173-Banking Division Reimbursement Account 19
174-Office of the Health Insurance Commissioner Reimbursement Account 20
175-Securities Division Reimbursement Account 21
176-Commercial Licensing and Racing and Athletics Division Reimbursement Account 22
177-Insurance Division Reimbursement Account 23
178-Historic Preservation Tax Credit Account 24
179-Marijuana Trust Fund 25
180-Social Equity Assistance Fund 26
181-Judiciary 27
182-Arbitration Fund Restricted Receipt Account 28
183-Third-Party Grants 29
184-RI Judiciary Technology Surcharge Account 30
185-Department of Elementary and Secondary Education 31
186-Statewide Student Transportation Services Account 32
187-School for the Deaf Fee-for-Service Account 33
188-School for the Deaf — School Breakfast and Lunch Program 34
189-
190-
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192-Davies Career and Technical School Local Education Aid Account 1
193-Davies — National School Breakfast & Lunch Program 2
194-School Construction Services 3
195-Office of the Postsecondary Commissioner 4
196-Higher Education and Industry Center 5
197-IGT STEM Scholarships 6
198-Department of Labor and Training 7
199-Job Development Fund 8
200-Rhode Island Council on the Arts 9
201-Governors’ Portrait Donation Fund 10
202-Statewide records management system account 11
203-SECTION 4. This act shall take effect on July 1, 2023. 12
75+SECTION 3. This act shall take effect on July 1, 2023. 32
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21082 EXPLANATION
21183 BY THE LEGISLATIVE COUNCIL
21284 OF
21385 A N A C T
21486 RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE HEALTHCARE SERVICES
21587 FUNDING PLAN ACT
21688 ***
21789 This act would amend Rhode Island's existing healthcare services funding plan act by 1
21890 adding an account relating to a new psychiatry resource network to fund Rhode Island's present 2
21991 PediPRN and MomsPRN, as well as similar programs which may be added by regulation in the 3
22092 future. It also adds an assessment to those previously authorized by the healthcare services funding 4
22193 plan act for purposes of funding this new account. 5
22294 This act would take effect on July 1, 2023. 6
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