S2558

	2022 -- S 2558
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	LC004656
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	STATE OF RHODE ISLAND
	IN GENERAL ASSEMBLY
	JANUARY SESSION, A.D. 2022
	____________
	A N A C T
	RELATING TO MAKING APPROPRIATIONS IN SUPPORT OF FY 2022

	Introduced By: Senators Pearson, and DiPalma
	Date Introduced: March 04, 2022
	Referred To: Senate Finance
	It is enacted by the General Assembly as follows:
1	SECTION 1. Chapter 162, under the heading of "Office of Health and Human Services" in
2	Article 1, Section 1, of the Public Laws of 2021, entitled "AN ACT MAKING APPROPRIATIONS
3	FOR THE SUPPORT OF THE STATE FOR THE FISCAL YEAR ENDING JUNE 30, 2022" is
4	hereby amended to read as follows:
5	Office of Health and Human Services
6	Central Management
7	General Revenues 44,961,144
8	Federal Funds 121,027,873
9	Restricted Receipts 22,897,651
10	Total – Central Management 188,886,668
11	Medical Assistance
12	General Revenues
13	Managed Care 344,346,294
14	Hospitals 94,772,895
15	Of the general revenue funding, $2.0 million shall be provided for Graduate Medical
16	Education programs of which $1.0 million is for hospitals designated as a Level I Trauma Center
17	and $1.0 million is for hospitals providing Neonatal Intensive Care Unit level of care.
18	Nursing Facilities 147,255,515
19	Home and Community Based Services 43,405,421

1	Other Services 128,944,587
2	Pharmacy 69,142,220
3	Rhody Health 188,362,579
4	Other Programs 39,000,000
5	Federal Funds
6	Managed Care 509,180,803
7	Hospitals 120,363,721
8	Nursing Facilities 201,490,261
9	Home and Community Based Services 59,310,041
10	Other Services 751,902,189
11	Pharmacy 57,780
12	Rhody Health 255,260,108
13	Other Programs 36,288,580 66,124,901.
14	Provided that this amount shall be financed by the American Rescue Plan enhanced FMAP
15	on home and community based services pursuant to the Rhode Island Spending Plan for the
16	Implementation of the American Rescue Plan Act of 2021, Section 9817, as submitted and
17	approved by the Centers for Medicare and Medicaid Services (CMS).
18	Restricted Receipts 17,792,796 49,254,506.
19	Provided this amount, 31,461,710, shall be financed by the American Rescue Plan
20	enhanced FMAP on home and community based services pursuant to the Rhode Island Spending
21	Plan for the Implementation of the American Rescue Plan Act of 2021, Section 9817, as submitted
22	and approved by the Centers for Medicare and Medicaid Services (CMS).
23	Total – Medical Assistance 3,006,875,790
24	Grand Total – Office of Health and Human Services 3,195,762,458
25	SECTION 2. Section 35-4-27 of the General Laws in Chapter 35-4 entitled "State Funds"
26	is hereby amended to read as follows:
27	35-4-27. Indirect cost recoveries on restricted receipt accounts.
28	Indirect cost recoveries of ten percent (10%) of cash receipts shall be transferred from all
29	restricted-receipt accounts, to be recorded as general revenues in the general fund. However, there
30	shall be no transfer from cash receipts with restrictions received exclusively: (1) From contributions
31	from nonprofit charitable organizations; (2) From the assessment of indirect cost-recovery rates on
32	federal grant funds; or (3) Through transfers from state agencies to the department of administration
33	for the payment of debt service. These indirect cost recoveries shall be applied to all accounts,
34	unless prohibited by federal law or regulation, court order, or court settlement. The following
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1	restricted receipt accounts shall not be subject to the provisions of this section:
2	Executive Office of Health and Human Services
3	Organ Transplant Fund
4	HIV Care Grant Drug Rebates
5	Health System Transformation Project
6	Department of Human Services
7	Veterans' home -- Restricted account
8	HCBS Enhanced FMAP
9	Veterans' home -- Resident benefits
10	Pharmaceutical Rebates Account
11	Demand Side Management Grants
12	Veteran's Cemetery Memorial Fund
13	Donations -- New Veterans' Home Construction
14	Department of Health
15	Pandemic medications and equipment account
16	Miscellaneous Donations/Grants from Non-Profits
17	State Loan Repayment Match
18	Healthcare Information Technology
19	Department of Behavioral Healthcare, Developmental Disabilities and Hospitals
20	Eleanor Slater non-Medicaid third-party payor account
21	Hospital Medicare Part D Receipts
22	RICLAS Group Home Operations
23	Commission on the Deaf and Hard of Hearing
24	Emergency and public communication access account
25	Department of Environmental Management
26	National heritage revolving fund
27	Environmental response fund II
28	Underground storage tanks registration fees
29	De Coppet Estate Fund
30	Rhode Island Historical Preservation and Heritage Commission
31	Historic preservation revolving loan fund
32	Historic Preservation loan fund -- Interest revenue
33	Department of Public Safety
34	E-911 Uniform Emergency Telephone System
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1	Forfeited property -- Retained
2	Forfeitures -- Federal
3	Forfeited property -- Gambling
4	Donation -- Polygraph and Law Enforcement Training
5	Rhode Island State Firefighter's League Training Account
6	Fire Academy Training Fees Account
7	Attorney General
8	Forfeiture of property
9	Federal forfeitures
10	Attorney General multi-state account
11	Forfeited property -- Gambling
12	Department of Administration
13	OER Reconciliation Funding
14	Health Insurance Market Integrity Fund
15	RI Health Benefits Exchange
16	Information Technology Investment Fund
17	Restore and replacement -- Insurance coverage
18	Convention Center Authority rental payments
19	Investment Receipts -- TANS
20	OPEB System Restricted Receipt Account
21	Car Rental Tax/Surcharge-Warwick Share
22	Grants Management Administration
23	Executive Office of Commerce
24	Housing Resources Commission Restricted Account
25	Housing Production Fund
26	Department of Revenue
27	DMV Modernization Project
28	Jobs Tax Credit Redemption Fund
29	Legislature
30	Audit of federal assisted programs
31	Department of Children, Youth and Families
32	Children's Trust Accounts -- SSI
33	Military Staff
34	RI Military Family Relief Fund
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1	RI National Guard Counterdrug Program
2	Treasury
3	Admin. Expenses -- State Retirement System
4	Retirement -- Treasury Investment Options
5	Defined Contribution -- Administration - RR
6	Violent Crimes Compensation -- Refunds
7	Treasury Research Fellowship
8	Business Regulation
9	Banking Division Reimbursement Account
10	Office of the Health Insurance Commissioner Reimbursement Account
11	Securities Division Reimbursement Account
12	Commercial Licensing and Racing and Athletics Division Reimbursement Account
13	Insurance Division Reimbursement Account
14	Historic Preservation Tax Credit Account
15	Judiciary
16	Arbitration Fund Restricted Receipt Account
17	Third-Party Grants
18	RI Judiciary Technology Surcharge Account
19	Department of Elementary and Secondary Education
20	Statewide Student Transportation Services Account
21	School for the Deaf Fee-for-Service Account
22	School for the Deaf -- School Breakfast and Lunch Program
23	Davies Career and Technical School Local Education Aid Account
24	Davies -- National School Breakfast & Lunch Program
25	School Construction Services
26	Office of the Postsecondary Commissioner
27	Higher Education and Industry Center
28	Department of Labor and Training
29	Job Development Fund
30	Rhode Island Council on the Arts
31	Governors' Portrait Donation Fund
32	Statewide records management system account
33	SECTION 3. Section 42-7.2-10 of the General Laws in Chapter 42-7.2 entitled "Office of
34	Health and Human Services" is hereby amended to read as follows:
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1	42-7.2-10. Appropriations and disbursements.
2	(a) The general assembly shall annually appropriate such sums as it may deem necessary
3	for the purpose of carrying out the provisions of this chapter. The state controller is hereby
4	authorized and directed to draw his or her orders upon the general treasurer for the payment of such
5	sum or sums, or so much thereof as may from time to time be required, upon receipt by him or her
6	of proper vouchers approved by the secretary of the executive office of health and human services,
7	or his or her designee.
8	(b) For the purpose of recording federal financial participation associated with qualifying
9	healthcare workforce development activities at the state's public institutions of higher education,
10	and pursuant to the Rhode Island designated state health programs (DSHP), as approved by the
11	Centers for Medicare & Medicaid Services (CMC) October 20, 2016, in the 11-W-00242/1
12	amendment to Rhode Island's section 1115 Demonstration Waiver, there is hereby established a
13	restricted-receipt account entitled "Health System Transformation Project" in the general fund of
14	the state and included in the budget of the office of health and human services.
15	(c) For the purposes of recording federal financial participation associated with the
16	American Rescue Plan enhanced FMAP for all state expenditures on home and community based
17	services and pursuant to the Rhode Island Spending Plan for the Implementation of the American
18	Rescue Plan Act of 2021, Section 9817, as submitted and approved by the Centers for Medicare
19	and Medicaid Services (CMS), there is hereby established a restricted-receipt account entitled
20	“HCBS Enhanced FMAP” in the general fund of the state and included in the budget of the office
21	of health and human services.
22	SECTION 4. This act shall take effect upon passage.
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	EXPLANATION
	BY THE LEGISLATIVE COUNCIL
	OF
	A N A C T
	RELATING TO MAKING APPROPRIATIONS IN SUPPORT OF FY 2022
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1	This act would increase the budget amounts of the office of health and human services for
2	Other Programs and Restricted Receipts. This act would also establish a restricted-receipt account
3	entitled "HCBS Enhanced FMAP".
4	This act would take effect upon passage.
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