Rhode Island House Bill H6095

Rhode Island 2025 Regular Session

• Introduced: 3/14/25
• Refer: 3/14/25

Caption

Imposes a hospital licensing fee for fiscal year 2026 against net patient-services revenue of every non-government owned hospital for the hospital’s first fiscal year ending on or after January 1, 2024.

Impact

The proposed licensing fee is set to impact state laws concerning healthcare funding and hospital reimbursement models. Hospitals will now be required to categorize themselves into different tiers, each subjected to a distinct percentage of their revenue for licensing fees. This regulatory shift aims to enhance financial stability among hospitals while ensuring that the state maintains an adequate flow of revenue derived from healthcare services. The tiered system is particularly designed to aid those hospitals facing higher costs due to low patient volumes or significant Medicaid patient percentages.

Summary

House Bill 6095 focuses on the amendment of regulations regarding hospital licensing fees within the state of Rhode Island. Specifically, it establishes a hospital licensing fee for non-government owned facilities, effective for the state fiscal year of 2026. This fee is calculated as a percentage of the net patient-services revenue, which varies by tier classification based on the hospital’s patient service and financial situation, thus providing a structured approach to hospital financing. The bill affirms a tiered system aimed at alleviating financial pressures on different types of healthcare providers based on their revenue streams and service capacities.

Contention

Despite the structured financial intent behind the bill, several points of contention may arise. Critics might argue that the tiered fee system still poses a significant financial burden on smaller and rural hospitals, which disproportionately serve low-income communities. The bill's stipulation regarding the approval of federal waivers for tax uniformity adds another layer of complexity that could affect implementation and compliance. There may also be concerns about how effectively the revenue generated will be allocated towards improving healthcare services and patient care, particularly in underserved areas.