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:

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

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

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

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

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

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

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of the elderly.

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

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

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the elderly shall commence on July 1, 2005.

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

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

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

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

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

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

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

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relevant professional for providing the same services.

 

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     (e) For purposes of section (d):

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

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

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

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

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

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

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with, another entity.

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     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

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

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would pay for the same services.

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     This act would take effect upon passage.

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