Rhode Island 2025 Regular Session

Rhode Island House Bill H5461 Compare Versions

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

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5	5	2025 -- H 5461
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7	7	LC001590
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9	9	S T A T E O F R H O D E I S L A N D
10	10	IN GENERAL ASSEMBLY
11	11	JANUARY SESSION, A.D. 2025
12	12	____________
13	13
14	14	A N A C T
15	15	RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE HEALTHCARE SERVICES
16	16	FUNDING PLAN ACT
17	17	Introduced By: Representatives Shallcross Smith, Fogarty, Casimiro, Tanzi, Ackerman,
18	18	Kislak, Cotter, DeSimone, Morales, and Noret
19	19	Date Introduced: February 12, 2025
20	20	Referred To: House Finance
21	21
22	22
23	23	It is enacted by the General Assembly as follows:
24	24	SECTION 1. Section 42-7.4-3 of the General Laws in Chapter 42-7.4 entitled "The 1
25	25	Healthcare Services Funding Plan Act" is hereby amended to read as follows: 2
26	26	42-7.4-3. Imposition of healthcare services funding contribution. [As enacted in 2014.] 3
27	27	(a) Each insurer is required to pay the healthcare services funding contribution for each 4
28	28	contribution enrollee of the insurer at the time the contribution is calculated and paid, at the rate set 5
29	29	forth in this section. 6
30	30	(1) Beginning January 1, 2016 July 1, 2025, the secretary shall set the healthcare services 7
31	31	funding contribution each fiscal year in an amount equal to: (i) The child immunization funding 8
32	32	requirement described in § 23-1-46; plus (ii) The adult immunization funding requirement 9
33	33	described in § 23-1-46; plus (iii) The children’s health services funding requirement described in § 10
34	34	42-12-29; plus (iv) The psychiatry resource network funding requirement described in § 23-1-46.2 11
35	35	and all as divided by; (iv)(v) The number of contribution enrollees of all insurers. 12
36	36	(2) The contribution set forth herein shall be in addition to any other fees or assessments 13
37	37	upon the insurer allowable by law. 14
38	38	(b) The contribution shall be paid by the insurer; provided, however, a person providing 15
39	39	health benefits coverage on a self-insurance basis that uses the services of a third-party 16
40	40	administrator shall not be required to make a contribution for a contribution enrollee where the 17
41	41	contribution on that enrollee has been or will be made by the third-party administrator. 18
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44	44	LC001590 - Page 2 of 7
45	45	(c) The secretary shall create a process to facilitate the transition to the healthcare services 1
46	46	funding contribution method that: (i) assures adequate funding beginning July 1, 2016, (ii) reflects 2
47	47	that funding via the healthcare services funding contribution method initially will be for only a 3
48	48	portion of the state’s fiscal year, and (iii) avoids duplicate liability for any insurer that made a 4
49	49	payment under the premium assessment method in effect prior to January 1, 2016, for a period for 5
50	50	which it would also be liable for a contribution under the healthcare services funding contribution 6
51	51	method as described in this chapter. 7
52	52	SECTION 2. Chapter 23-1 of the General Laws entitled "Department of Health" is hereby 8
53	53	amended by adding thereto the following section: 9
54	54	23-1-46.2. Psychiatry resource network account. 10
55	55	(a) There is created within the general fund a restricted receipt account to be known as the 11
56	56	"PRN account." All money in the account shall be utilized by the department of health to effectuate 12
57	57	coverage for the following services: Existing Rhode Island lines including the PediPRN and 13
58	58	MomsPRN information lines together with any additional information line, referral service, or 14
59	59	hotline which is available to providers or residents in the state, and which is funded pursuant to 15
60	60	regulation adopted by the director of the department of health. Amounts collected pursuant to § 42-16
61	61	7.4-3(a)(1)(iv) shall be collected by the department of health and deposited in the "PRN account." 17
62	62	The funds shall be used solely for the purposes of the "PRN account," and no other. 18
63	63	(b) Each year's psychiatry resource network funding requirement in § 42-7.4-3(a)(1)(iv) 19
64	64	shall be the amount projected by the department of health in subsection (a) of this section and 20
65	65	approved by the PRN advisory committee. 21
66	66	(c) The department of health shall establish a PRN advisory committee, as determined by 22
67	67	the director of the department of health, that may include representatives from the department of 23
68	68	health; the office of the health insurance commissioner; the executive office of health and human 24
69	69	services; the department of behavioral healthcare, developmental disabilities, and hospitals; 25
70	70	insurers; and other representatives as indicated. 26
71	71	(d) The department of health shall submit to the general assembly an annual report on the 27
72	72	program and costs related to the program, on or before February 1 of each year. The department 28
73	73	shall make available to each insurer required to make a contribution pursuant to § 42-7.4-3, upon 29
74	74	its request, detailed information regarding the programs described in subsection (a) of this section 30
75	75	and the costs related to those programs 31
76	76	(e) The "PRN account" shall be exempt from the indirect costs recovery provisions of § 32
77	77	35-4-27. 33
78	78	SECTION 3. Section 35-4-27 of the General Laws in Chapter 35-4 entitled "State Funds" 34
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80	80
81	81	LC001590 - Page 3 of 7
82	82	is hereby amended to read as follows: 1
83	83	35-4-27. Indirect cost recoveries on restricted receipt accounts. [Effective January 1, 2
84	84	2025.] 3
85	85	Indirect cost recoveries of ten percent (10%) of cash receipts shall be transferred from all 4
86	86	restricted receipt accounts, to be recorded as general revenues in the general fund. However, there 5
87	87	shall be no transfer from cash receipts with restrictions received exclusively: (1) From contributions 6
88	88	from nonprofit charitable organizations; (2) From the assessment of indirect cost-recovery rates on 7
89	89	federal grant funds; or (3) Through transfers from state agencies to the department of administration 8
90	90	for the payment of debt service. These indirect cost recoveries shall be applied to all accounts, 9
91	91	unless prohibited by federal law or regulation, court order, or court settlement. The following 10
92	92	restricted receipt accounts shall not be subject to the provisions of this section: 11
93	93	Executive Office of Health and Human Services 12
94	94	Organ Transplant Fund 13
95	95	HIV Care Grant Drug Rebates 14
96	96	Health System Transformation Project 15
97	97	Rhode Island Statewide Opioid Abatement Account 16
98	98	HCBS Support-ARPA 17
99	99	HCBS Admin Support-ARPA 18
100	100	Department of Human Services 19
101	101	Veterans’ home — Restricted account 20
102	102	Veterans’ home — Resident benefits 21
103	103	Pharmaceutical Rebates Account 22
104	104	Demand Side Management Grants 23
105	105	Veteran’s Cemetery Memorial Fund 24
106	106	Donations — New Veterans’ Home Construction 25
107	107	Commodity Supplemental Food Program-Claims 26
108	108	Department of Health 27
109	109	Pandemic medications and equipment account 28
110	110	Miscellaneous Donations/Grants from Non-Profits 29
111	111	State Loan Repayment Match 30
112	112	Healthcare Information Technology 31
113	113	Healthcare services funding accounts for the psychiatry resource network (PRN) 32
114	114	Department of Behavioral Healthcare, Developmental Disabilities and Hospitals 33
115	115	Eleanor Slater non-Medicaid third-party payor account 34
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117	117
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119	119	Hospital Medicare Part D Receipts 1
120	120	RICLAS Group Home Operations 2
121	121	Group Home Facility Improvement Fund 3
122	122	Commission on the Deaf and Hard of Hearing 4
123	123	Emergency and public communication access account 5
124	124	Department of Environmental Management 6
125	125	National heritage revolving fund 7
126	126	Environmental response fund II 8
127	127	Underground storage tanks registration fees 9
128	128	De Coppet Estate Fund 10
129	129	Rhode Island Historical Preservation and Heritage Commission 11
130	130	Historic preservation revolving loan fund 12
131	131	Historic Preservation loan fund — Interest revenue 13
132	132	Department of Public Safety 14
133	133	E-911 Uniform Emergency Telephone System 15
134	134	Forfeited property — Retained 16
135	135	Forfeitures — Federal 17
136	136	Forfeited property — Gambling 18
137	137	Donation — Polygraph and Law Enforcement Training 19
138	138	Rhode Island State Firefighter’s League Training Account 20
139	139	Fire Academy Training Fees Account 21
140	140	Attorney General 22
141	141	Forfeiture of property 23
142	142	Federal forfeitures 24
143	143	Attorney General multi-state account 25
144	144	Forfeited property — Gambling 26
145	145	Department of Administration 27
146	146	OER Reconciliation Funding 28
147	147	Health Insurance Market Integrity Fund 29
148	148	RI Health Benefits Exchange 30
149	149	Information Technology restricted receipt account 31
150	150	Restore and replacement — Insurance coverage 32
151	151	Convention Center Authority rental payments 33
152	152	Investment Receipts — TANS 34
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154	154
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156	156	OPEB System Restricted Receipt Account 1
157	157	Car Rental Tax/Surcharge-Warwick Share 2
158	158	Grants Management Administration 3
159	159	RGGI-Executive Climate Change Coordinating Council Projects 4
160	160	Electric Vehicle Charging Stations Operating and Maintenance Account 5
161	161	Department of Housing 6
162	162	Housing Resources and Homelessness Restricted Receipt Account 7
163	163	Housing Production Fund 8
164	164	Low-Income Housing Tax Credit Fund 9
165	165	Department of Revenue 10
166	166	DMV Modernization Project 11
167	167	Jobs Tax Credit Redemption Fund 12
168	168	Legislature 13
169	169	Audit of federal assisted programs 14
170	170	Department of Children, Youth and Families 15
171	171	Children’s Trust Accounts — SSI 16
172	172	Military Staff 17
173	173	RI Military Family Relief Fund 18
174	174	RI National Guard Counterdrug Program 19
175	175	Treasury 20
176	176	Admin. Expenses — State Retirement System 21
177	177	Retirement — Treasury Investment Options 22
178	178	Defined Contribution — Administration - RR 23
179	179	Violent Crimes Compensation — Refunds 24
180	180	Treasury Research Fellowship 25
181	181	Business Regulation 26
182	182	Banking Division Reimbursement Account 27
183	183	Office of the Health Insurance Commissioner Reimbursement Account 28
184	184	Securities Division Reimbursement Account 29
185	185	Commercial Licensing and Racing and Athletics Division Reimbursement Account 30
186	186	Insurance Division Reimbursement Account 31
187	187	Historic Preservation Tax Credit Account 32
188	188	Marijuana Trust Fund 33
189	189	Social Equity Assistance Fund 34
190	190
191	191
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193	193	Judiciary 1
194	194	Arbitration Fund Restricted Receipt Account 2
195	195	Third-Party Grants 3
196	196	RI Judiciary Technology Surcharge Account 4
197	197	Department of Elementary and Secondary Education 5
198	198	Statewide Student Transportation Services Account 6
199	199	School for the Deaf Fee-for-Service Account 7
200	200	School for the Deaf — School Breakfast and Lunch Program 8
201	201	Davies Career and Technical School Local Education Aid Account 9
202	202	Davies — National School Breakfast & Lunch Program 10
203	203	School Construction Services 11
204	204	Office of the Postsecondary Commissioner 12
205	205	Higher Education and Industry Center 13
206	206	IGT STEM Scholarships 14
207	207	Department of Labor and Training 15
208	208	Job Development Fund 16
209	209	Contractor Training Restricted Receipt Account 17
210	210	Rhode Island Council on the Arts 18
211	211	Governors’ Portrait Donation Fund 19
212	212	Statewide records management system account 20
213	213	SECTION 4. This act shall take effect on July 1, 2025. 21
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215	215	LC001590
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219	219	LC001590 - Page 7 of 7
220	220	EXPLANATION
221	221	BY THE LEGISLATIVE COUNCIL
222	222	OF
223	223	A N A C T
224	224	RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE HEALTHCARE SERVICES
225	225	FUNDING PLAN ACT
226	226	***
227	227	This act would amend Rhode Island’s existing healthcare services funding plan act by 1
228	228	adding an account relating to a new psychiatry resource network to fund Rhode Island’s present 2
229	229	PediPRN and MomsPRN, as well as similar programs which may be added by regulation in the 3
230	230	future. It would also add an assessment to those previously authorized by the healthcare services 4
231	231	funding plan act for purposes of funding this new account. 5
232	232	This act would take effect on July 1, 2025. 6
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234	234	LC001590
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