| Chapter 435 |
| 2022 -- H 7803 Enacted 06/30/2022 |
| 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 |
| 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 the 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 subsection (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 nonprofit 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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| LC003676 |
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