reglab/housing_qa huggingface dataset:
RI Gen L § 40-8.4-18 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-18 - Public health access beneficiary employer report.

§ 40-8.4-18. Public health access beneficiary employer report.The department of human services shall annually prepare a public-health-access-beneficiary employer report. A "public-health-access-program beneficiary" means any person who receives medical benefits from RIte Care, RIte Share, or Medicaid. Any applicant for public health-benefits through RIte-Care, RIte Share, and/or Medicaid shall identify the employer, or the employers, of the proposed beneficiary of the healthcare benefits. The report shall provide the following information for each employer of fifty (50) or more public-health-access beneficiaries:(1) The name and address of the employer;(2) The number of public-health-access-program beneficiaries who are employees of the employer;(3) The number of public-health-access-program beneficiaries who are spouses or dependents of employees of the employer;(4) Whether the employer offers health benefits to its employees;(5) Whether the employer participates in the RIte Share program; and(6) The cost to the state of Rhode Island for providing public-health-access benefits to their employees and enrolled dependents.In determining whether the fifty-employee threshold is met, the department of human services shall include all public-health-access-program beneficiaries employed by the employer and its subsidiaries throughout the state. The report shall not include the names of any individual public-health-access-program beneficiaries and shall be subject to privacy standards pursuant to Pub. L. No. 104-91, and the Health Insurance Portability and Accountability Act of 1996. The report shall be submitted annually on the third Tuesday in January to the joint committee on health care oversight, the house finance committee, and the senate finance committee.History of Section.P.L. 2006, ch. 327, § 1; P.L. 2006, ch. 445, § 1; P.L. 2007, ch. 378, § 1; P.L. 2007, ch. 459, § 1.
RI Gen L § 40-8.4-19 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-19 - Managed healthcare delivery systems for families.

§ 40-8.4-19. Managed healthcare delivery systems for families.(a) Notwithstanding any other provision of state law, the delivery and financing of the healthcare services provided under this chapter shall be provided through a system of managed care. "Managed care" is defined as systems that: integrate an efficient financing mechanism with quality service delivery; provide a "medical home" to ensure appropriate care and deter unnecessary services; and place emphasis on preventive and primary care.(b) Enrollment in managed care health delivery systems is mandatory for individuals eligible for medical assistance under this chapter. This includes children in substitute care, children receiving medical assistance through an adoption subsidy, and children eligible for medical assistance based on their disability. Beneficiaries with third-party medical coverage or insurance may be exempt from mandatory managed care in accordance with rules and regulations promulgated by the department of human services for such purposes.(c) Individuals who can afford to contribute shall share in the cost. The department of human services is authorized and directed to apply for and obtain any necessary waivers and/or state plan amendments from the Secretary of the United States Department of Health and Human Services, including, but not limited to, a waiver of the appropriate sections of Title XIX, 42 U.S.C. § 1396 et seq., to require that beneficiaries eligible under this chapter or chapter 12.3 of title 42, with incomes equal to or greater than one hundred fifty percent (150%) of the federal poverty level, pay a share of the costs of health coverage based on the ability to pay. The department of human services shall implement this cost-sharing obligation by regulation, and shall consider co-payments, premium shares, or other reasonable means to do so in accordance with approved provisions of appropriate waivers and/or state plan amendments approved by the Secretary of the United States Department of Health and Human Services.History of Section.P.L. 2008, ch. 100, art. 17, § 4; P.L. 2009, ch. 68, art. 22, § 2; P.L. 2009, ch. 69, § 2.
RI Gen L § 40-8.4-20 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-20 - Full year coverage for contraception.

§ 40-8.4-20. Full year coverage for contraception.No later than July 1, 2019, the executive office of health and human services (EOHHS) shall apply for the appropriate federal approval to provide Medicaid beneficiaries up to three hundred sixty-five (365) days of prescription contraception dispensed as a single prescription.History of Section.P.L. 2018, ch. 230, § 9; P.L. 2018, ch. 234, § 9.
RI Gen L § 40-8.5-1 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.5 - Health Care for Elderly and Disabled Residents Act|Section 40-8.5-1 - Categorically needy medical assistance coverage.

§ 40-8.5-1. Categorically needy medical assistance coverage.The department of human services is hereby authorized and directed to amend its Title XIX state plan to provide for categorically needy medical assistance coverage as permitted pursuant to Title XIX of the Social Security Act, 42 U.S.C. § 1396 et seq., as amended, to individuals who are sixty-five (65) years or older or are disabled, as determined under § 1614(a)(3) of the Social Security Act, 42 U.S.C. § 1382c(a)(3), as amended, whose income does not exceed one hundred percent (100%) of the federal poverty level (as revised annually) applicable to the individual's family size, and whose resources do not exceed four thousand dollars ($4,000) per individual, or six thousand dollars ($6,000) per couple. The department shall provide medical assistance coverage to such elderly or disabled persons in the same amount, duration, and scope as provided to other categorically needy persons under the state's Title XIX state plan.History of Section.P.L. 2000, ch. 104, § 1; P.L. 2000, ch. 165, § 1; P.L. 2005, ch. 351, § 1; P.L. 2005, ch. 394, § 1; P.L. 2006, ch. 263, § 2; P.L. 2006, ch. 286, § 2; P.L. 2007, ch. 424, § 1; P.L. 2008, ch. 100, art. 17, § 5; P.L. 2009, ch. 310, § 16.
RI Gen L § 40-8.6-1 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.6 - Special Program for Care of Severely Disabled Elderly Residents Who Need Nursing Facility Services|Section 40-8.6-1 - Special pilot program for care of severely disabled elderly residents who need nursing facility services.

§ 40-8.6-1. Special pilot program for care of severely disabled elderly residents who need nursing facility services.(a) Purpose. Contingent on appropriation, there is hereby established a special pilot program to be administered by the department of human services to provide payment for nursing facility services and the following ancillary services: pharmacy, physician, laboratory, dental, and vision services for certain low-income elderly Rhode Island residents who are ineligible for federal and state medical assistance coverage.(b) Eligibility. To be eligible for payment from the program the individual must be:(1) Age sixty-five (65) or older;(2) Legally present in the United States and a resident of the state of Rhode Island;(3) Determined to meet all eligibility requirements of the federal Medical Assistance Program (Title XIX of the Social Security Act, 42 U.S.C. § 1396 et seq.) but for the citizenship or alienage criteria;(4) Determined to be ineligible for § 40-8-1 provisions of state-funded medical assistance for aliens; and(5) Certified by the department of human services to be in need of nursing facility services.(c) Continuation of coverage. Eligibility shall be reviewed periodically and renewed as long as the individual continues to meet the criteria.(d) Payment to nursing facility. The department shall make payments to the nursing facility in which an eligible individual is residing in the same amount as the payment for nursing facility services under the medical assistance program.History of Section.P.L. 2003, ch. 376, art. 21, § 1; P.L. 2004, ch. 535, § 1; P.L. 2004, ch. 564, § 1.
RI Gen L § 40-8.6-2 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.6 - Special Program for Care of Severely Disabled Elderly Residents Who Need Nursing Facility Services|Section 40-8.6-2 - Appropriation.

§ 40-8.6-2. Appropriation.The department may establish rules and regulations regarding which nursing facility or facilities may provide services as part of this pilot program, waiting list procedures, and any other administrative functions that are necessary for the conduct of this program.History of Section.P.L. 2003, ch. 376, art. 21, § 1; P.L. 2004, ch. 535, § 1; P.L. 2004, ch. 564, § 1.
RI Gen L § 40-8.6-3 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.6 - Special Program for Care of Severely Disabled Elderly Residents Who Need Nursing Facility Services|Section 40-8.6-3 - Report.

§ 40-8.6-3. Report.The department shall issue an annual report to the long-term care coordinating council, the general assembly, the senate fiscal advisor, and the house fiscal advisor on the status of this program on or before April 15 of each year. The report shall include at least the number of people served and total expenditures to date.History of Section.P.L. 2003, ch. 376, art. 21, § 1; P.L. 2004, ch. 535, § 1; P.L. 2004, ch. 564, § 1.
RI Gen L § 40-8.7-1 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.7 - Healthcare Assistance for Working People With Disabilities|Section 40-8.7-1 - Short title.

§ 40-8.7-1. Short title.This chapter shall be known and may be cited as "The Sherlock Act."History of Section.P.L. 2004, ch. 343, § 1; P.L. 2004, ch. 354, § 1.
RI Gen L § 40-8.7-2 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.7 - Healthcare Assistance for Working People With Disabilities|Section 40-8.7-2 - Medicaid buy-in program.

§ 40-8.7-2. Medicaid buy-in program.The department of human services is hereby authorized to establish a Medicaid buy-in program pursuant to the "Balanced Budget Act of 1997," 42 U.S.C. § 1396a(a)(10)(A)(ii)(XIII).History of Section.P.L. 2004, ch. 343, § 1; P.L. 2004, ch. 354, § 1.
RI Gen L § 40-8.7-3 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.7 - Healthcare Assistance for Working People With Disabilities|Section 40-8.7-3 - Purpose.

§ 40-8.7-3. Purpose.The purpose of the Medicaid buy-in program is to:(1) Enable individuals with disabilities to enter and reenter the work force as soon as possible;(2) Provide health care and employment support services to individuals with disabilities that will enable those individuals to reduce their dependency on cash benefit programs; and(3) Allow individuals with disabilities the option to purchase Medicaid coverage that is necessary to enable such individuals to obtain and/or maintain employment.History of Section.P.L. 2004, ch. 343, § 1; P.L. 2004, ch. 354, § 1; P.L. 2011, ch. 241, § 1; P.L. 2011, ch. 253, § 1.
RI Gen L § 40-8.7-4 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.7 - Healthcare Assistance for Working People With Disabilities|Section 40-8.7-4 - Definitions.

§ 40-8.7-4. Definitions.As used in this chapter, the term:(1) "Employed" means the individual with disabilities is engaged in a work effort that meets substantial and reasonable threshold criteria for hours of work, wages, or other measures, as defined by the department of human services and as permitted by federal law.(2) "Employment support services" means activities needed to sustain paid work including: benefits counseling; supervision; job coaching; vocational evaluation; case management; job development; customized employment; job training; transportation; training; tools; equipment; and technology, subject to Centers for Medicare and Medicaid Services approval.(3) "Individual with a disability" means a person who has been designated, but without regard to his or her ability to engage in substantial gainful activity, as specified in the Social Security Act, 42 U.S.C. § 423(d)(4), as a totally and permanently disabled individual by the Social Security Administration or the Rhode Island Medicaid program, pursuant to an application for benefits under Title II, Title XVI, or Title XIX of the Social Security Act, regardless of current receipt of cash benefits under the Social Security Act.History of Section.P.L. 2004, ch. 343, § 1; P.L. 2004, ch. 354, § 1; P.L. 2011, ch. 241, § 1; P.L. 2011, ch. 253, § 1.
RI Gen L § 40-8.7-5 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.7 - Healthcare Assistance for Working People With Disabilities|Section 40-8.7-5 - Authorization for Medicaid buy-in program and personal care services.

§ 40-8.7-5. Authorization for Medicaid buy-in program and personal care services.(a) The department of human services is hereby authorized and directed to amend its Title XIX state plan to initiate a Medicaid buy-in program for employed individuals with disabilities.(b) The department of human services is hereby authorized and directed to amend its Title XIX state plan to initiate community choice first for personal care services, including through a home health agency and/or self-directed plan.(c) The department of human services is hereby authorized and directed to review and/or amend its Title XIX state plan to initiate the full scope of services authorized under § 1915(i) of the Social Security Act [42 U.S.C. § 1396n], for Medicaid buy-in participants who are eligible upon clinical assessment, subject to Centers for Medicare and Medicaid Services approval.History of Section.P.L. 2004, ch. 343, § 1; P.L. 2004, ch. 354, § 1; P.L. 2011, ch. 241, § 1; P.L. 2011, ch. 253, § 1.
RI Gen L § 40-8.7-6 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.7 - Healthcare Assistance for Working People With Disabilities|Section 40-8.7-6 - Eligibility.

§ 40-8.7-6. Eligibility.(a) To be eligible for benefits under the Medicaid buy-in program:(1) The person shall be an individual with disabilities as defined in § 40-8.7-4, but without regard to his or her ability to engage in substantial gainful activity, as specified in the Social Security Act, 42 U.S.C. § 423(d)(4);(2) The person shall be employed as defined in § 40-8.7-4;(3) The person's net accountable income shall not exceed two hundred fifty percent (250%) of the federal poverty level, taking into account the SSI program disregards and impairment-related work expenses as defined in 42 U.S.C. § 1396a(r)(2);(4) A maximum of ten thousand dollars ($10,000) of available resources for an individual and twenty thousand dollars ($20,000) for a couple shall be disregarded as shall any additional resources held in a retirement account, in a medical savings account, or any other account, related to enhancing the independence of the individual and approved under rules to be adopted by the department; and(5) The person shall be a current medical assistance recipient under § 40-8.5-1 [CNIL] or § 40-8-3(5)(v) [MNIL]; or shall meet income, assets, (except as modified by subsection (a)(4) of this section) and eligibility requirements for the medical assistance program under § 40-8.5-1 [CNIL] or § 40-8-3(5)(v) [MNIL], as such requirements are modified and extended by this chapter.(b) Appeals Process. The director or designee shall review each application filed in accordance with regulations, and shall make a determination of whether the application will be approved and the extent of the benefits to be made available to the applicant, and shall, within thirty (30) days after the filing, notify the applicant, in writing, of the determination. If the application is rejected, the applicant shall be notified the reason for the denial. The director may at any time reconsider any determination. Any applicant for or recipient of benefits aggrieved because of a decision, or delay in making a decision, shall be entitled to an appeal and shall be afforded reasonable notice and opportunity for a fair hearing conducted by the director, pursuant to chapter 8 of this title.History of Section.P.L. 2004, ch. 343, § 1; P.L. 2004, ch. 354, § 1; P.L. 2011, ch. 241, § 1; P.L. 2011, ch. 253, § 1.
RI Gen L § 40-8.7-7 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.7 - Healthcare Assistance for Working People With Disabilities|Section 40-8.7-7 - Premiums.

§ 40-8.7-7. Premiums.(a) The department of human services is authorized and directed to promulgate such rules to establish the monthly premium payments for employed individuals with disabilities who opt to participate directly in the Medicaid buy-in program. To participate in the Medicaid buy-in program, the employed individual with disabilities shall be required to make payment for coverage in accordance with a monthly payment or payment formula to be established by the department that shall count a portion of the individual's or couple's earned income on a sliding-scale basis, in accordance with rules to be established by the department.(b) The department is further authorized and directed to promulgate such rules to encourage businesses to hire individuals with disabilities, and to allow employed individuals with disabilities who have access to employer-based health insurance and who are determined eligible by the department pursuant to this chapter to coordinate health insurance coverage options.(c) The department of human services, in consultation with the health insurance commissioner, employer and disability advocacy organizations, shall, by June 30, 2012, investigate, develop, and promulgate rules that may:(1) Require enrollment in the employer-based health insurance plan as a condition of participation in the Medicaid buy-in program under this chapter, provided that enrollment in the employer-based health insurance plan is cost-effective and its benefits are comparable to the benefits provided by the Medicaid program. Enrollment of the individual and/or the family in the employer-based health insurance plan without regard to any enrollment season restrictions, subject to Centers for Medicare and Medicaid Services approval; or(2) Provide opportunities for employers to buy into the Medicaid Buy-in program, at the employer's expense, where the employer's premium contribution shall be no greater than the employer's premiums in the existing employer-based health insurance or before September 30, 2012.History of Section.P.L. 2004, ch. 343, § 1; P.L. 2004, ch. 354, § 1; P.L. 2005, ch. 351, § 2; P.L. 2005, ch. 394, § 2; P.L. 2011, ch. 241, § 1; P.L. 2011, ch. 253, § 1.
RI Gen L § 40-8.7-8 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.7 - Healthcare Assistance for Working People With Disabilities|Section 40-8.7-8 - Work-related protections.

§ 40-8.7-8. Work-related protections.(a) Medicaid buy-in participants shall continue on the Medicaid buy-in program for up to four (4) months after loss of employment due to a medical condition. If the loss of employment is not due to a medical condition, the individual may continue to be eligible for up to four (4) months, but must pay a monthly premium equal to their monthly-unearned income in excess of the medically needy income limit.(b) Medicaid buy-in participants who return to other Medicaid eligibility categories shall have their accrued savings in a retirement account and/or a medical savings account excluded from countable assets.(c) The department shall promulgate rules or regulations necessary to institute the work-related protections of this section.History of Section.P.L. 2004, ch. 343, § 1; P.L. 2004, ch. 354, § 1.
RI Gen L § 40-8.8-1 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.8 - Program of All-Inclusive Care for the Elderly|Section 40-8.8-1 - Short title.

§ 40-8.8-1. Short title.This chapter shall be known and may be cited as the "Program of All-Inclusive Care for the Elderly."History of Section.P.L. 2005, ch. 110, § 1; P.L. 2005, ch. 114, § 1.
RI Gen L § 40-8.8-2 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.8 - Program of All-Inclusive Care for the Elderly|Section 40-8.8-2 - Program of all-inclusive care for the elderly.

§ 40-8.8-2. Program of all-inclusive care for the elderly.The department of human services is hereby authorized to elect a program of all-inclusive care for the elderly as an optional Medicaid benefit, pursuant to § 1905(a)(26) of the Social Security Act [42 U.S.C. § 1396d(a)(26)], as added by § 4802(a)(1) of the Balanced Budget Act of 1997.History of Section.P.L. 2005, ch. 110, § 1; P.L. 2005, ch. 114, § 1.
RI Gen L § 40-8.8-3 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.8 - Program of All-Inclusive Care for the Elderly|Section 40-8.8-3 - Purpose.

§ 40-8.8-3. Purpose.The purpose of the program of all-inclusive care for the elderly is to offer an alternative to nursing home care for frail elders. The program of all-inclusive care for the elderly is a pre-paid, capitated program of managed care service delivery for beneficiaries who meet special eligibility requirements, including being eligible for nursing home placement, and who elect to enroll. The model of care includes as core services the provision of adult day health care and multidisciplinary team case management, through which access to and allocation of all health services are coordinated.History of Section.P.L. 2005, ch. 110, § 1; P.L. 2005, ch. 114, § 1.
RI Gen L § 40-8.8-4 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.8 - Program of All-Inclusive Care for the Elderly|Section 40-8.8-4 - Definition.

§ 40-8.8-4. Definition.As used in this chapter, the term "Program of all-inclusive care for the elderly" shall mean a program of services coordinated for the eligible population by an organization approved by the United States Department of Health and Human Services for these purposes. The program of services include at minimum the following benefit package: multidisciplinary assessment and treatment planning; primary care services including physician and nursing services; social work services; restorative therapies; personal care and supportive services; nutritional counseling; recreational therapy; transportation; meals; medical specialty services; laboratory tests; drugs and biologicals; prosthetics and durable medical equipment; acute inpatient care, ambulance and emergency care; and nursing facility care.History of Section.P.L. 2005, ch. 110, § 1; P.L. 2005, ch. 114, § 1.
RI Gen L § 40-8.8-5 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.8 - Program of All-Inclusive Care for the Elderly|Section 40-8.8-5 - Authorization for program of all-inclusive care for the elderly.

§ 40-8.8-5. Authorization for program of all-inclusive care for the elderly.The department of human services is hereby authorized and directed to amend its Title XIX state plan to initiate a program of all-inclusive care for the elderly.History of Section.P.L. 2005, ch. 110, § 1; P.L. 2005, ch. 114, § 1.