Requires that the department of human services and the department of behavioral healthcare, developmental disabilities and hospitals provide forecasted costs reflecting the recommended rate review on a monthly basis.
Impact
The implementation of S2553 is anticipated to enhance the state's ability to manage healthcare expenditures by ensuring that financial estimates are accurate and timely. By institutionalizing regular assessments, the bill aims to improve the responsiveness of state allocations to the actual needs of public assistance programs. Furthermore, it may aid in developing a deeper understanding of the resources required to support vulnerable populations, thereby enhancing service delivery in the sectors of healthcare and human services.
Summary
S2553 focuses on improving the accuracy and stability of financial planning and budgeting for medical assistance and public assistance programs in Rhode Island. The bill mandates that the Department of Human Services and the Department of Behavioral Healthcare, Developmental Disabilities, and Hospitals provide forecasted costs reflecting recommended rate reviews on a monthly basis. Additionally, it encourages accountability through monthly reporting of anticipated expenditures and actual caseloads, contributing to a more informed budgeting process for the state.
Contention
While S2553 aims to streamline budget forecasting and enhance transparency, there may be contention regarding the feasibility of accurately predicting fiscal needs in a complex healthcare landscape. Stakeholders, including various service providers and community organizations, may express concerns about the adequacy of funding levels if forecasts do not align with actual service demands. As such, the effective execution of the bill will hinge on cooperation among state agencies and responsiveness to the fluctuating needs of service users.
Determination Of Need For New Healthcare Equipment And New Institutional Health Services -- Licensing Of Healthcare Facilities -- The Hospital Conversions Act
Requires that the department of human services and the department of behavioral healthcare, developmental disabilities and hospitals provide forecasted costs reflecting the recommended rate review on a monthly basis.
Prohibits an insurer from imposing a requirement of prior authorization for any admission, item, service, treatment, test, exam, study, procedure, or any generic or brand name prescription drug ordered by a primary care provider.
Includes the definition of "primary care services" and requires that all biennial reports shall include a review and recommendation of rates for primary care services on and after September 1, 2025.