2022 -- H 7803

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LC003676

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2022

____________

A N   A C T

RELATING TO HUMAN SERVICES -- PROGRAM OF ALL-INCLUSIVE CARE FOR THE

ELDERLY

     Introduced By: Representatives Casey, Kazarian, Azzinaro, Phillips, Amore, Carson,
Kennedy, and Craven

     Date Introduced: March 03, 2022

     Referred To: House Health & Human Services

     It is enacted by the General Assembly as follows:

     SECTION 1. Section 40-8.8-7 of the General Laws in Chapter 40-8.8 entitled "Program of

All-Inclusive Care for the Elderly" is hereby amended to read as follows:

     40-8.8-7. Regulations and commencement of program.

     (a) The department of human services shall submit the Medicaid state plan amendment and

promulgate any rules or regulations necessary to implement the provisions of this chapter,

contingent upon, and immediately following, federal approval of any program of all-inclusive care

of the elderly.

     (b) Contingent upon completion of the Medicaid state plan amendment process, and the

appropriation of necessary funding to implement the program, the program of all-inclusive care for

the elderly shall commence on July 1, 2005.

     (c) Each hospital licensed in this state under chapter 17 of title 23, must accept as payment

in full for providing professional component, technical component or globally billed services to a

person enrolled in a program of all-inclusive care for the elderly, no more than one hundred percent

(100%) of what Medicare would pay such hospital for providing the same services.

     (d) A hospital-owned or controlled professional practice or affiliate thereof must accept as

payment in full for providing professional services to a person enrolled in a program of all-inclusive

care for the elderly, no more than one hundred percent (100%) of what Medicare would pay the

relevant professional for providing the same services.

     (e) For purposes of section (d):

     (1) A "hospital-owned or controlled professional practice" means a practitioner's

(physician, dentist, or other healthcare provider) office or group of practitioners' offices (whether

organized as a non-profit corporation, professional service corporation, partnership, organization,

or association) that is directly or indirectly owned or controlled by a hospital licensed under chapter

17 of title 23, or is directly or indirectly owned or controlled by an affiliate of such a hospital; and

     (2) An "affiliate" means an entity that is controlled by, in control of, or in common control

with, another entity.

     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 -- PROGRAM OF ALL-INCLUSIVE CARE FOR THE

ELDERLY

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     This act would ensure that all hospitals and hospital-owned professional practices accept

payment for all-inclusive elderly care which is no more than one hundred (100%) of what Medicare

would pay for the same services.

     This act would take effect upon passage.

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