2026 -- S 2340 SUBSTITUTE A

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2026

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A N   A C T

RELATING TO MAKING REVISED APPROPRIATIONS IN SUPPORT OF FY 2026

RELATING TO ROGER WILLIAMS MEDICAL CENTER AND OUR LADY OF FATIMA

HOSPITAL AND AUTHORIZING THE STATE OF RHODE ISLAND TO PROVIDE

FINANCING SUPPORT TO ASSIST THE SALE OF THE HOSPITALS TO CHARTERCARE

HEALTH OF RHODE ISLAND, INC.

     Introduced By: Senators DiPalma, Lawson, Ciccone, and Tikoian

     Date Introduced: January 29, 2026

     Referred To: Senate Finance

     (Governor/Attorney General)

It is enacted by the General Assembly as follows:

     ARTICLE 1: RELATING TO AUTHORIZING THE STATE OF RHODE ISLAND TO

     PROVIDE FINANCING SUPPORT TO ASSIST THE SALE OF ROGER WILLIAMS

     MEDICAL CENTER AND OUR LADY OF FATIMA HOSPITAL TO CHARTERCARE

     HEALTH OF RHODE ISLAND, INC.

ARTICLE 1

RELATING TO AUTHORIZING THE STATE OF RHODE ISLAND TO PROVIDE

FINANCING SUPPORT TO ASSIST THE SALE OF ROGER WILLIAMS MEDICAL

CENTER AND OUR LADY OF FATIMA HOSPITAL TO CHARTERCARE HEALTH

OF RHODE ISLAND, INC.

     SECTION 1. CharterCARE Health of Rhode Island, Inc. Debt Service Reserve Fund.

     WHEREAS, The General Assembly has historically adopted laws and provided various

levels of support for the benefit of hospitals and healthcare facilities in the state for the health,

safety and welfare of the Rhode Island people; and

     WHEREAS, Certain community hospitals act as the sole source of immediate access to

hospital care for residents of the areas they serve and are essential to the maintenance of public

health and safety; and

     WHEREAS, The diversity of services provided by these essential community hospitals are

necessary for the overall health and safety of the community, but the costs of such services result

in financial distress for the hospitals that must serve large uninsured or governmentally insured

populations;

     WHEREAS, Because of the important medical services provided by such hospitals,

restoring and ensuring the continued financial viability of these essential community hospitals is

necessary for the public health and safety; and

     WHEREAS, Roger Williams Medical Center located in Providence, Rhode Island and Our

Lady of Fatima Hospital, located in North Providence, Rhode Island (the “Hospitals”) are distressed

essential community hospitals, currently under the supervision of the United States Bankruptcy

Court for the Northern District of Texas Dallas Division Case No 25-80002 (SGJ) and are currently

in the process of being sold to CharterCARE Health of Rhode Island, Inc. pursuant to an order of

the Bankruptcy Court and state approvals pursuant to the Hospital Conversions Act Rhode Island

General Laws § 23-17.14-1 et seq. and the Licensing of Healthcare Facilities Act Rhode Island

General Laws § 23-17-1 et seq.; and

     WHEREAS, In fiscal year 2024, Roger Williams Medical Center provided care for nearly

31,500 emergency room patients, 55,000 inpatient cases and 84,000 outpatient visits,

demonstrating that the financial viability of Roger Williams Medical Center is vital to the public

health and safety of the community it serves; and

     WHEREAS, In fiscal year 2024, Our Lady of Fatima Hospital provided care for nearly

25,500 emergency room patients, 4,857 inpatient cases and 124,000 outpatient visits,

demonstrating that the financial viability of Our Lady of Fatima Hospital is vital to the public health

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and safety of the community it serves; and

     WHEREAS, Ensuring the financial viability of the Hospitals is expected to preserve two

thousand seven hundred (2,700) jobs and benefit the State of Rhode Island; and

     WHEREAS, To preserve the viability of the Hospitals, it is necessary to provide financing

support to assist the sale of the Hospitals to CharterCARE Health of Rhode Island, Inc.; and

     WHEREAS, CharterCARE Health of Rhode Island, Inc., itself or acting through its

affiliate or a special purpose entity created for such purpose, as borrower, intends to finance the

acquisition of the Hospitals and all or a portion of the related costs through the issuance of limited

obligations of the Rhode Island Health and Educational Building Corporation (the “Corporation”)

under its hospital revenue bond program; and

     WHEREAS, Due to market conditions and to enhance the creditworthiness of the

borrower, it is critical to the sale of the bonds that the state provide no greater than eighteen million

dollars ($18,000,000) to fund a debt service reserve fund as credit support for the bonds; and

     WHEREAS, The state from time to time may fund the debt service reserve fund from

available monies as set forth in Section 3 herein.

     NOW THEREFORE, It is enacted and resolved by the General Assembly as follows:

     RESOLVED, That this General Assembly hereby approves the creation of a debt service

reserve fund for the bonds in a principal amount funded by the state not to exceed $18,000,000 in

accordance with Section 3 hereof; and be it further

     RESOLVED, That the state shall have no obligation to replenish the debt service reserve

fund, however, nothing contained herein shall prohibit the state by act of the General Assembly

from doing so in the event the debt service reserve fund is drawn upon; and be it further

     RESOLVED, That any funds remaining in the debt service reserve fund upon payment in

full of the bonds shall revert to the supplemental state budget reserve account established pursuant

to Rhode Island General Laws § 35-3-20.2; and be it further

     RESOLVED, That bonds issued by the Corporation will be special obligations of the

Corporation payable from funds received by the Corporation under the bond documents and other

revenues received by the Corporation, in any combination or priority as may be designated in the

proceedings of the Corporation authorizing the issuance of such debt; and be it further

     RESOLVED, That the bonds will not constitute indebtedness of the state or any of its

subdivisions or a debt for which the full faith and credit of the state or any of its subdivisions is

pledged; and be it further

     RESOLVED, That the state’s authority to incur the obligations set forth herein is

contingent upon the sale and issuance of the bonds to provide funds for the purchase of the

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Hospitals and all or a portion of the costs associated therewith. The authority hereunder shall

become effective upon the sale of the bonds and shall remain in effect as long the bonds remain

outstanding.

     RESOLVED, That this joint resolution shall take effect upon passage.

     SECTION 2. Section 35-3-20.2 of the General Laws in Chapter 35-3 entitled "State

Budget" is hereby amended to read as follows:

     35-3-20.2. Supplemental state budget reserve account.

     (a) There is hereby created within the general fund a supplemental state budget reserve

account, which shall be administered by the state controller and which shall be used solely for the

purpose of providing such sums as may be appropriated to fund any unanticipated general revenue

deficit caused by a general revenue shortfall.

     (b) At any time after the third quarter of a fiscal year that it is indicated that total resources

which are defined to be the aggregate of estimated general revenue, general revenue receivables,

and available free surplus in the general fund will be less than the estimates upon which current

appropriations were based, the general assembly may make appropriations from the supplemental

state budget reserve account for the difference between the estimated total resources and the

original estimates upon which enacted appropriations were based, but only in the amount of the

difference based upon the revenues projected at the latest state revenue estimating conference

pursuant to chapter 16 of this title as reported by the chairperson of that conference.

     (c) Whenever a transfer has been made pursuant to subsection (b), that transfer shall be

considered as estimated general revenues for the purposes of determining the amount to be

transferred to the Rhode Island capital plan fund for the purposes of § 35-3-20.1(b).

     (d) The supplemental state budget reserve account shall consist of: (1) Such sums as the

state may from time to time directly transfer to the account as authorized in law; and (2) Any

amounts transferred pursuant to § 35-6-1(e).

     (e) Notwithstanding the provisions of this section or any other law to the contrary, for the

fiscal year ending June 30, 2026, the state controller shall transfer the sum of eighteen million

dollars ($18,000,000) from the supplemental state budget reserve account to general revenue.

     SECTION 3. Section 1 of Article 1 of Chapter 278 of the Public Laws of 2025 is hereby

amended as follows:

     Increase general revenue by $18,000,000 by adding a new line item within the general

program of the department of administration by inserting the following text after the line “Library

Construction Aid 2,115,628”:

     Hospital Financing Support Debt Service Reserve $18,000,000

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     Provided that, in order to provide credit enhancement to the proposed Hospital Financing

Revenue Bonds (CharterCARE Health of Rhode Island, Inc. Issue) to be issued by the Rhode Island

Health and Educational Building Corporation, $18,000,000 be allocated to the Rhode Island Health

and Educational Building Corporation to be used to fund a debt service reserve fund for the bonds.

     Increase the department of administration grand total as follows:

     Grand Total - Administration 430,628,941 448,628,941

     Increase statewide totals general revenues as follows:

     Statewide Totals

     General Revenues 5,809,363,121 5,827,363,121

     Increase statewide grand total as follows:

     Statewide Grand Total 14,336,378,593 14,354,378,593

     SECTION 4. Except as otherwise provided herein, this act shall take effect upon the sale

of the proposed Hospital Financing Revenue Bonds (CharterCARE Health of Rhode Island, Inc.

Issue) to be issued by the Rhode Island Health and Educational Building Corporation, and further

provided that if the bond issue does not close by May 8, 2026 this act shall not take effect.

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