Provides the executive office of health and human services would submit to the US Department of Health and Human Services a state plan to set rates for chiropractic services.
Impact
The implications of H7033 on state laws include significant alterations to how long-term care is financed and delivered across Rhode Island. By mandating a reallocation of Medicaid funds toward home- and community-based services, the bill aims not only to improve the quality of life for older adults and disabled individuals but also to alleviate pressure on institutional care facilities. Furthermore, the introduction of specific reimbursement rates for chiropractic services indicates an effort to standardize and improve the quality of care under Medicaid, promoting holistic approaches to health within the state's Medicaid framework.
Summary
House Bill H7033 seeks to reform long-term care services and financing within the state of Rhode Island. Primarily, it aims to allocate a minimum of 50% of Medicaid long-term care funding for persons aged 65 and older to home- and community-based care. Additionally, the bill proposes to establish criteria for eligibility, develop new payment methodologies for direct-care workers, and increase Medicaid reimbursement rates for chiropractic services. This restructuring of funds emphasizes individual choice and self-determination, allowing those with severe disabilities to have better access to personalized care options within their communities.
Contention
There may be notable points of contention surrounding H7033, particularly regarding funding. Stakeholders might express concerns about the feasibility of reallocating a substantial portion of Medicaid funding while ensuring the financial viability of existing services. Potential opposition could arise from those advocating for traditional institutional care models, as the bill emphasizes autonomy and home-based settings, which could challenge their funding structures or operational models. Stakeholders will likely engage in discussions on whether the proposed 50% allocation is realistic and sustainable amidst evolving healthcare demands.
Establishes Medicaid fee-for-service reimbursement rates set by the general assembly as the rate floor for Medicaid managed care by home care, home nursing care and hospice providers licensed by the DOH and continue the EEOHH.
Establishes Medicaid fee-for-service reimbursement rates set by the general assembly as the rate floor for Medicaid managed care by home care, home nursing care and hospice providers licensed by the DOH and continue the EEOHH.
Raises the per diem rate by thirteen percent (13%) for Medicaid reimbursement for Tier C services provide by assisted living residence beginning January 1, 2026.
Authorizes an increase in resource eligibility limits for persons with long-term-care needs who reside at home and requires semi-annual reports from Medicaid certified assisted living facilities and adult day service providers to the EOHHS.
Authorizes an increase in resource eligibility limits for persons with long-term-care needs who reside at home and requires semi-annual reports from Medicaid certified assisted living facilities and adult day service providers to the EOHHS.
Provides the executive office of health and human services would submit to the US Department of Health and Human Services a state plan to set rates for chiropractic services.
Prohibits contractors and subcontractors from paying employees the cash equivalent of any applicable healthcare benefit in lieu of actually purchasing the healthcare benefit unless the employee is covered under a different healthcare plan.