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.
Amends Article 9 of the state budget and various provisions relative to hospital licensing fees, would redefine base year for purposes of calculating disproportionate share payments for fiscal years.
Amends Article 9 of the state budget and various provisions relative to hospital licensing fees, would redefine base year for purposes of calculating disproportionate share payments for fiscal years.
Requires hospitals to screen uninsured patients for public assistance and creates a pilot program for out of hospital service upon expiration of similar federal program.
Determination Of Need For New Healthcare Equipment And New Institutional Health Services -- Licensing Of Healthcare Facilities -- The Hospital Conversions Act
Amends the capital gains tax rates and holding period from 5 years to 1 year. Imposes a non-owner occupied tax on homes assessed at more than $1,000,000.
Amends the capital gains tax rates and holding period from 5 years to 1 year. Imposes a non-owner occupied tax on homes assessed at more than $1,000,000.