2026 -- S 3020

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LC005203

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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 HUMAN SERVICES -- MEDICAL ASSISTANCE -- LONG-TERM CARE

SERVICE AND FINANCE REFORM -- ASSISTED LIVING COMMUNITY MEDICAID

RATES

     

     Introduced By: Senators Dimitri, Thompson, and Famiglietti

     Date Introduced: March 05, 2026

     Referred To: Senate Finance

     It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 40-8.9 of the General Laws entitled "Medical Assistance — Long-

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Term Care Service and Finance Reform" is hereby amended by adding thereto the following

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section:

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     40-8.9-10. Assisted living community Medicaid rates -- Annual cost-of-living

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adjustment.

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     (a) Beginning July 1, 2026, and annually thereafter, the executive office of health and

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human services (EOHHS) shall apply an automatic cost-of-living adjustment (“COLA”) to the

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Medicaid reimbursement rates paid for assisted living services provided pursuant to this chapter.

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     (b) The annual COLA shall be equal to the percentage increase, if any, in the Consumer

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Price Index for All Urban Consumers (CPI-U), Northeast Region for the most recently completed

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calendar year, as published by the United States Bureau of Labor Statistics.

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     (c) The COLA adjustment shall be applied uniformly across all Medicaid-assisted living

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rate tiers including, but not limited to, acuity-based or service-level rate categories.

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     (d) The COLA required under this section shall be applied automatically and shall not be

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subject to annual appropriation approval, rate rebasing, or discretionary adjustment by the

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executive branch, except as otherwise expressly provided by law.

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     (e) Nothing in this section shall be construed to prohibit the general assembly from

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authorizing additional rate increases or rate restructuring beyond the COLA provided in this

 

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section.

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     (f) The EOHHS shall promulgate any rules and regulations necessary to implement this

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section, including alignment with federal Medicaid requirements and state plan amendments, if

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required.

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     SECTION 2. This act shall take effect upon passage and shall apply to Medicaid assisted

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living rates effective July 1, 2026.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO HUMAN SERVICES -- MEDICAL ASSISTANCE -- LONG-TERM CARE

SERVICE AND FINANCE REFORM -- ASSISTED LIVING COMMUNITY MEDICAID

RATES

***

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     This act would require the executive office of health and human services (EOHHS) to apply

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an automatic cost-of-living adjustment (“COLA”) to the Medicaid reimbursement rates paid for

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assisted living services provided pursuant to this chapter.

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     This act would take effect upon passage and would apply to Medicaid assisted living rates

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effective July 1, 2026.

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LC005203

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