2022 -- S 2470 SUBSTITUTE A | |
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LC004924/SUB A | |
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STATE OF RHODE ISLAND | |
IN GENERAL ASSEMBLY | |
JANUARY SESSION, A.D. 2022 | |
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A N A C T | |
RELATING TO STATE AFFAIRS AND GOVERNMENT | |
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Introduced By: Senators Felag, Miller, Coyne, DiPalma, and Lombardo | |
Date Introduced: March 01, 2022 | |
Referred To: Senate Health & Human Services | |
It is enacted by the General Assembly as follows: | |
1 | SECTION 1. Section 42-12.3-8 of the General Laws in Chapter 42-12.3 entitled "Health |
2 | Care for Children and Pregnant Women" is hereby amended to read as follows: |
3 | 42-12.3-8. Enhanced services for children. |
4 | (a) The department executive office of health and human services (the "office") shall |
5 | develop a panel of enhanced services to be available as appropriate to RIte Track and medical |
6 | assistance recipients under the age of eighteen (18) twenty-six (26), who are considered at risk, as |
7 | defined by department executive office of health and human services regulations. These services |
8 | shall include, but not be limited to: care coordination, home visitation, nutrition counseling, |
9 | parenting skills education. These services may be performed through a fee for service, contractual |
10 | arrangement, or capitated rate as determined by the department executive office of health and |
11 | human services. The provision of enhanced services is subject to available appropriations; in the |
12 | event that appropriations are not adequate for the provision of these services, the department office |
13 | has the authority to limit the amount, scope, and duration of these enhanced services, and to limit |
14 | eligibility for enhanced services to children under the age of eight (8). Nothing in this section shall |
15 | prohibit the department executive office of health and human services from providing enhanced |
16 | services to a medical assistance recipient, within existing appropriations. |
17 | (b) Except as provided in subsection (c) below, the department executive office of health |
18 | and human services shall also provide pediatric palliative care services to eligible children under |
19 | the age of nineteen (19) twenty-six (26) years who have a terminal illness, provided that such |
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1 | services qualify for federal financial participation. These services shall be designed to achieve an |
2 | improved quality of life and to meet the physical and emotional needs experienced by the patient |
3 | during the course of the terminal illness and death. The services offered shall be determined by the |
4 | department office and may include, but are not limited to, consultations for pain and symptom |
5 | management, case management and assessment, social services, counseling, volunteer support |
6 | services, and respite services. The services shall be provided by licensed health care facilities that |
7 | meet the criteria established by regulations promulgated by the department office. The department |
8 | office is further authorized to establish limits on the services provided under this section. |
9 | (c) The department office shall be the payor of last resort with respect to services provided |
10 | under subsection (b) above. With respect to children under the age of nineteen (19) twenty-six (26) |
11 | years who are covered by an individual or family health insurance plan or program that provides |
12 | payment in whole or in part for the type of pediatric palliative health care services listed in |
13 | subsection (b) above, the department office shall coordinate benefits with these primary payors, |
14 | and provided further that payments by the department office shall be in accordance with the |
15 | department's office's fee schedules. |
16 | SECTION 2. This act shall take effect upon passage. |
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LC004924/SUB A | |
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EXPLANATION | |
BY THE LEGISLATIVE COUNCIL | |
OF | |
A N A C T | |
RELATING TO STATE AFFAIRS AND GOVERNMENT | |
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1 | This act would raise the maximum age of eligibility for pediatric palliative services from |
2 | eighteen (18) to twenty-six (26) and would raise the eligibility for enhanced services from age eight |
3 | (8) to age twenty-six (26). |
4 | This act would take effect upon passage. |
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LC004924/SUB A | |
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