Rhode Island 2026 Regular Session

Rhode Island House Bill H8174

Introduced
2/27/26  

Caption

RELATING TO HUMAN SERVICES -- MEDICAL ASSISTANCE

Impact

Once enacted, H8174 is expected to enhance access to maternal healthcare services for Medicaid beneficiaries by allowing CPMs to bill Medicaid directly for their services. This change brings midwifery services in line with other forms of maternity care that are already covered, thus addressing a significant gap in services. The bill also includes a provision that the Executive Office of Health and Human Services (EOHHS) will collect and maintain data on the utilization and expenditures related to services provided by CPMs, enhancing oversight and evaluation of these services.

Summary

House Bill H8174 aims to expand healthcare services under Rhode Island's Medicaid program by requiring coverage for services provided by licensed Certified Professional Midwives (CPMs). The bill defines a CPM as a trained professional who holds accreditation and is licensed to practice midwifery. This legislative effort reflects the growing recognition of midwifery as a legitimate and essential component of maternal healthcare, particularly for those who prefer alternative forms of support during pregnancy and childbirth.

Contention

While the bill has broad support among advocates of midwifery and women's health, there may be concerns regarding regulatory oversight and integration into the existing healthcare system. Critics may argue about the quality of care provided by CPMs compared to traditional hospital settings, as well as the implications for physician oversight. However, the bill specifically states that no requirements for physician supervision or referrals shall be imposed unless equivalent requirements are in place for other service providers. This element could lead to discussions about safety standards and the balance between access and quality of care.

Companion Bills

No companion bills found.

Previously Filed As

RI S0975

Provides medical assistance coverage for medical services provided qualifying eligible recipients for community based care.

RI H6254

Authorizes office of health and human services (EOHHS) to establish coverage for obesity treatments, including medication. Office of health and human services would seek a 1115(a) waiver.

RI H6308

Requires the executive office of health and human services to apply to the Centers for Medicare and Medicaid Services for a state plan amendment for reimbursement for health services in a school.

RI S1004

Requires the executive office of health and human services to apply to the Centers for Medicare and Medicaid Services for a state plan amendment for reimbursement for health services in a school.

RI S0333

Requires EOHHS to establish a 1-year pilot program for nutritional assistance and medically tailored meals, groceries and produce for peoples with diet-related diseases or food insecurity, and other interventions where there is a clinical need.

RI H5775

Requires EOHHS to establish a 1-year pilot program for nutritional assistance and medically tailored meals, groceries and produce for peoples with diet-related diseases or food insecurity, and other interventions where there is a clinical need.

RI H6373

Requires the executive office of health and human services to increase Medicaid payment rates for primary care services furnished by primary care providers to be commensurate with Medicare rates.

RI S0793

Increases individual, group, and Medicaid insurance rates of reimbursement for ambulance and wheelchair van services to be equal to reimbursement rates provided by Medicare for the same medical services.

RI H5772

Increases individual, group, and Medicaid insurance rates of reimbursement for ambulance and wheelchair van services to be equal to reimbursement rates provided by Medicare for the same medical services.

RI S0478

Establishes the scope of a certified professional midwife’s authority relating to prescribing medication to patients.

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