Rhode Island 2023 Regular Session

Rhode Island House Bill H5648

Introduced
2/15/23  

Caption

Joint Resolution To Amend The Medicaid Section 1115 Demonstration Waiver Requests And Renewals (this Joint Resolution Would Approve An Amendment To The Medicaid Section 1115 Demonstration Waiver Requests And Renewals.)

Impact

The proposed amendment's primary focus is to reduce the number of days that behaviorally complex patients spend in acute care facilities. By facilitating enhanced levels of behavioral healthcare in nursing facilities, this approach aims to improve the overall quality of care and potentially lower state healthcare costs related to acute care services. The bill is seen as a response to the increasing need for streamlined behavioral healthcare solutions that align with the state's broader Medicaid reform goals.

Summary

House Bill 5648 is a joint resolution aimed at amending the Medicaid Section 1115 demonstration waiver requests and renewals in Rhode Island. The resolution is introduced to provide a system of care that is more cost-effective and sustainable, especially for complex patients suffering from behavioral health conditions. It proposes a specific pilot program that introduces a behavioral health per diem add-on rate of $175. This program targets up to 100 complex Medicaid patients within nursing facilities who demonstrate a history of frequent visits to acute care settings due to their behavioral health challenges.

Contention

While the bill received general support aimed at improving behavioral health services, potential areas of contention could arise from the funding and implementation of the pilot program. Critics may raise concerns regarding the adequacy of the proposed per diem rate and whether it sufficiently covers the costs associated with providing comprehensive care to this particular patient demographic. Additionally, the success and sustainability of the pilot program will likely be examined in the context of existing healthcare budgets and resources allocated for Medicaid services.

Companion Bills

No companion bills found.

Previously Filed As

RI H8205

JOINT RESOLUTION TO AMEND THE MEDICAID SECTION 1115 DEMONSTRATION WAIVER REQUESTS AND RENEWALS (Amends the Medicaid section 1115 demonstration waiver requests and renewals.)

RI H5792

JOINT RESOLUTION TO AMEND THE MEDICAID SECTION 1115 DEMONSTRATION WAIVER REQUESTS AND RENEWALS -- RHODE ISLAND MEDICAID REFORM ACT OF 2008 (Joint resolution to approve an amendment to the Medicaid section 1115 demonstration waiver requests and renewals.)

RI S0412

JOINT RESOLUTION TO AMEND THE MEDICAID SECTION 1115 DEMONSTRATION WAIVER REQUESTS AND RENEWALS -- RHODE ISLAND MEDICAID REFORM ACT OF 2008 (Joint resolution to approve an amendment to the Medicaid section 1115 demonstration waiver requests and renewals.)

RI S3056

JOINT RESOLUTION TO AMEND THE MEDICAID SECTION 1115 DEMONSTRATION WAIVER REQUESTS AND RENEWALS (Allows EOHHS to implement waiver amendments, state plan amendments, and changes to department rules and regulations to make certain updates to the behavioral health per-diem add on program for particularly complex patients.)

RI HB1270

To Establish A Prescribed Pediatric Extended Care Pilot Program Through A Section 1115 Medicaid Demonstration Waiver; And To Declare An Emergency.

RI HB936

Medicaid Improvement and State Flexibility Act of 2025This bill authorizes states to approve their own experimental, pilot, or demonstration project under Medicaid if the project provides certain benefits involving electronic benefits transfer (EBT) cards. (Currently, the Centers for Medicare & Medicaid Services approves Medicaid demonstration projects; such projects are also known as Section 1115 Demonstrations.)Specifically, the project must provide enrollees who elect to participate with an EBT card to purchase primary care services; enrollees must receive any remaining balance at the end of the year in the form of a cash payment and must also obtain catastrophic health insurance.

RI SB151

Requiring the secretary of health and environment to request a waiver from the United States centers for medicare and medicaid services to end participation in certain expenditure authorities under the KanCare demonstration.

RI HB751

Community Health, Department of; submit a Section 1115 waiver request to the United States Department of Health and Human Services for Medicare and Medicaid Services; authorize

RI SB0246

Environmental protection: hazardous waste; environmental protection; landfills; disposal fees; increase, and limit certain disposal wells and TENORM disposal. Amends secs. 11102, 11103, 11104, 11108, 11109, 11110, 11125, 11132, 11514b, 11525a, 62501 & 62509 of 1994 PA 451 (MCL 324.11102 et seq.); adds secs. 11122, 62508b & 62509d & repeals secs. 11111 & 11112 of 1994 PA 451 (MCL 324.11111 & 324.11112).

RI HB4393

Environmental protection: hazardous waste; environmental protection; landfills; disposal fees; increase, and limit certain disposal wells and TENORM disposal. Amends secs. 11102, 11103, 11104, 11108, 11109, 11110, 11125, 11132, 11514b, 11525a, 62501 & 62509 of 1994 PA 451 (MCL 324.11102 et seq.); adds secs. 11122, 62508b & 62509d & repeals secs. 11111 & 11112 of 1994 PA 451 (MCL 324.11111 & 324.11112).

Similar Bills

No similar bills found.