Rhode Island House Bill H5774

Rhode Island 2025 Regular Session

• Introduced: 2/26/25
• Refer: 2/26/25

Caption

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.

Impact

This reform is expected to significantly alter the landscape of long-term care within the state. By prioritizing home and community-based services, the bill seeks to reduce the reliance on institutional settings, thereby facilitating a more person-centered approach to care. The plan includes provisions for tracking funding distribution and maintaining the integrity of current services, while enhancing the financial viability of care providers. It also encourages investments in specialized services tailored to individual needs, aligning with national trends toward deinstitutionalization.

Summary

House Bill 5774 focuses on amending existing regulations surrounding Medicaid and long-term care services in Rhode Island. It establishes a mandate for the executive office of health and human services to apply for necessary waivers and amendments to enhance the allocation of Medicaid funding. The bill aims for at least 50% of Medicaid long-term care funding to be distributed for home- and community-based care, particularly benefitting individuals aged 65 and over as well as those with disabilities. This shift is poised to promote a more integrated and supportive service model emphasizing community living over institutionalization.

Contention

Debate over HB 5774 includes discussions on the adequacy of funding and the capacity of community services to meet increased demands. Supporters argue that the bill will lead to more individualized care and choice for beneficiaries, allowing them to live with dignity in their communities. Conversely, critics raise concerns about potential underfunding and the ability of home care systems to absorb additional complexities, especially in areas such as behavioral health. The bill's impacts on the existing provider ecosystem and workforce shortages in home care settings remain contested points among stakeholders.