2018 -- H 7481

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LC004321

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2018

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A N   A C T

RELATING TO HUMAN SERVICES - MEDICAL ASSISTANCE - LONG-TERM CARE

SERVICE AND FINANCE REFORM

     Introduced By: Representatives McNamara, Ruggiero, Solomon, Vella-Wilkinson, and
Carson

     Date Introduced: February 07, 2018

     Referred To: House Finance

     It is enacted by the General Assembly as follows:

     SECTION 1. Section 40-8.9-6 of the General Laws in Chapter 40-8.9 entitled "Medical

Assistance - Long-Term Care Service and Finance Reform" is hereby amended to read as

follows:

     40-8.9-6. Reporting. Recognizing long-term reform performance - Reporting.

     (a) Annual performance reports showing progress in long-term-care system reform and

rebalancing shall be submitted by April 1st of each year by the executive office of health and

human services to the joint legislative committee on health care oversight as well as the finance

committees of both the senate and the house of representatives and the long-term care

coordinating council shall include:

     (1) the The number of Medicaid-eligible persons aged sixty-five (65) years and over and

adults with disabilities served in nursing facilities;

     (2) the The number of Medicaid-eligible persons aged sixty-five (65) years and over and

adults with disabilities transitioned from nursing homes to Medicaid supported home-and

community-based care;

     (3) the The number of persons aged sixty-five (65) years and over and adults with

disabilities served in Medicaid and division of elderly affairs home and community care, to

include home care, adult day services, assisted living, the Personal Choice program, the Program

of All-Inclusive Care of the Elderly (PACE) and shared living;

     (4) the The dollar amounts and percent of expenditures spent on nursing facility care and

home- and community-based care for those aged sixty-five (65) years and over and adults with

disabilities and the average cost of care for nursing facility care and home and community-based

care;

     (5) The amount of savings attributed to the value of the reduction in nursing home days

including hospice nursing home days paid for by Medicaid in accordance with § 40-8.9-4 and

how the savings, if any, are allocated in the current fiscal year and in the proposed budget for the

ensuing fiscal year to promote and strengthen community-based alternatives; and

     (6) and estimates Estimates of the continued investments necessary to provide stability to

the existing system and establish the infrastructure and programs required to achieve systemwide

reform and the targeted goal of spending fifty percent (50%) of Medicaid long-term care dollars

on nursing facility care and fifty percent (50%) on home- and community-based services.

     (b) Beginning in 2019, to measure and show progress in achieving the state's goals for

long-term services and supports reform, the executive office of health and human services shall

develop and make public on its website a long-term services and supports performance scorecard

based on the measures detailed in subsections (a)(1) through (a)(5) of this section showing data

for the most recent four (4) year period.

     SECTION 2. This act shall take effect upon passage.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO HUMAN SERVICES - MEDICAL ASSISTANCE - LONG-TERM CARE

SERVICE AND FINANCE REFORM

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     This act would establish a public scorecard system to show how long-term care reform is

meeting its goals of rebalancing the way services are delivered and moneys are spent on various

service types.

     This act would take effect upon passage.

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