reglab/housing_qa huggingface dataset:
RI Gen L § 40-8.2-8 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-8 - Acts of officers, directors, representatives, or agents acting within the scope of their authority.

§ 40-8.2-8. Acts of officers, directors, representatives, or agents acting within the scope of their authority.(a) A corporation, association, firm, partnership, or limited partnership is liable for the acts of its officers, directors, representatives, or agents acting within the scope of their authority. Proof of the acts of any officer, director, representative, or agent shall be received as prima facie proof of the acts of the corporation, association, firm, partnership, or limited partnership itself.(b) When a corporation, association, firm, partnership, or limited partnership violates this chapter, the violation shall be deemed to be that of the individual directors, members, officers, managers, employees, or agents of the corporation, association, firm, partnership, or limited partnership who knowingly authorized, ordered, aided, abetted, or advised in the acts or omissions constituting, in whole or in part, the violation, whether the individuals acted on their own behalf and for their own benefit, or for the corporation, association, firm, partnership, or limited partnership and in their representative capacity. The individuals, in their capacity as individuals, are subject to the provisions of this chapter and may be joined, if subject to personal jurisdiction, as additional parties defendant in the proceedings against the corporation, association, partnership, or limited partnership.History of Section.P.L. 1982, ch. 424, § 1.
RI Gen L § 40-8.2-9 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-9 - Damages for overcharges.

§ 40-8.2-9. Damages for overcharges.When the cost of the services provided to the patient is being paid under the Rhode Island Medicaid program, any person who knowingly and willfully:(1) Charges a patient, or anyone acting on behalf of a patient, money or other consideration at a rate in excess of the rates established by the state of Rhode Island; or(2) Charges, solicits, accepts, or receives, in addition to any amount otherwise required to be paid under the Rhode Island Medicaid program, any gift, money, or donation as a precondition of the admission of a patient to a hospital, skilled nursing facility, or intermediate-care facility, or of the continued stay in a facility, shall be liable in a civil action to the patient or person acting on his or her behalf for an amount equal to three (3) times the amount of the charge.History of Section.P.L. 1982, ch. 424, § 1.
RI Gen L § 40-8.2-10 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-10 - Other civil remedies and criminal penalties.

§ 40-8.2-10. Other civil remedies and criminal penalties.The penalties and remedies under this statute are not exclusive and shall not preclude the use of any other civil remedy or the application of any other criminal penalty deemed appropriate by the attorney general in accordance with federal law or regulations governing Title XIX or Title XXI or the general or public laws of this state.History of Section.P.L. 1982, ch. 424, § 1; P.L. 2015, ch. 141, art. 5, § 12.
RI Gen L § 40-8.2-11 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-11 - Barring or suspending participation in program.

§ 40-8.2-11. Barring or suspending participation in program.Whenever a provider is sentenced or placed on probation for an offense under this chapter, the trial judge may, in his or her discretion, order that the provider be permanently barred from further participation in the program; that the provider's participation in the program be suspended for a definite period of time not exceeding two (2) years; or that the provider conform to applicable federal regulations. For the purposes of this section, the office of program integrity may submit a recommendation to the trial judge as to whether the provider should be suspended or barred from the program. Nothing contained herein shall be construed to prevent the executive office of health and human services from imposing its own administrative sanctions.History of Section.P.L. 1982, ch. 424, § 1; P.L. 2015, ch. 141, art. 5, § 12.
RI Gen L § 40-8.2-12 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-12 - Injunctive relief and civil penalties.

§ 40-8.2-12. Injunctive relief and civil penalties.(a) The superior court of this state shall have jurisdiction to prevent and restrain violations of this chapter. In addition to granting prohibitory injunctive and other restraints for a period of time and upon terms and conditions necessary to deter a provider from, and ensure against, the committing of future violations of this chapter, the court may grant injunctive relief reasonably necessary to dissipate the ill effects of the violation. The court may issue appropriate decrees upon consent and stipulation by the parties. The court may also issue restraining orders. Under no circumstances shall the state be required to post bond in any action hereunder.(b) Attorney general — Right to injunctive relief. The attorney general may institute proceedings to prevent and restrain violations of this chapter as provided in subsection (a).(c) Other persons — Right to injunctive relief. Any person, including the United States, may institute proceedings for injunctive relief, temporary or permanent, as provided in subsection (a) against threatened loss or damage to his or her property or business by a violation of this chapter. A preliminary injunction may be issued upon a showing that the danger of irreparable loss or damage is immediate and, within the court's discretion, the execution of property bond against damages for an injunction improvidently granted. If the court issues a permanent injunction, the plaintiff shall be awarded reasonable attorney's fees, filing fees, and reasonable costs of the suit. Reasonable costs for the suit may include, but shall not be limited to, the expenses of discovery and document reproduction.(d) Civil penalty. In addition to injunctive relief authorized pursuant to subsection (a), any person who violates this chapter may be liable for a civil penalty in a suit by the attorney general of this state of not more than one thousand dollars ($1,000) for each violation.History of Section.P.L. 1982, ch. 424, § 1.
RI Gen L § 40-8.2-13 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-13 - Consent decrees.

§ 40-8.2-13. Consent decrees.The attorney general may petition the court to enter a consent decree dismissing any criminal prosecution hereunder, but the court shall review the proceeding to determine whether entry thereof is in the public interest.History of Section.P.L. 1982, ch. 424, § 1.
RI Gen L § 40-8.2-15 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-15 - Consistency with Confidentiality of Health Care Information Act.

§ 40-8.2-15. Consistency with Confidentiality of Health Care Information Act.No investigative demand pursuant to this chapter shall solicit, extend to, or compel the production, inspection, copying, or release of any record or information otherwise protected as confidential healthcare information pursuant to chapter 37.3 of title 5.History of Section.P.L. 1982, ch. 424, § 1.
RI Gen L § 40-8.2-16 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-16 - Rendering services to recipients after suspension or revocation of certification.

§ 40-8.2-16. Rendering services to recipients after suspension or revocation of certification.No provider shall charge the Rhode Island Medicaid program for any services rendered to recipients subsequent to the revocation or suspension of the provider's certification except as specified by a termination notice.History of Section.P.L. 1982, ch. 424, § 1.
RI Gen L § 40-8.2-17 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-17 - Stays and review of revocation orders.

§ 40-8.2-17. Stays and review of revocation orders.An order of the executive office of health and human services revoking a provider's certification may, in the discretion of the program, go into immediate effect or may be stayed. Review of any order may be had in accordance with the Rhode Island administrative procedures act, §§ 42-35-1 — 42-35-18. If an administrative hearing is claimed, the program may, in its discretion, stay the effect of a revocation until a hearing is held and a decision is rendered, and for a period not to exceed ten (10) days after the administrative decision is rendered.History of Section.P.L. 1982, ch. 424, § 1; P.L. 2015, ch. 141, art. 5, § 12.
RI Gen L § 40-8.2-18 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-18 - Filing and enforcement of administrative decision.

§ 40-8.2-18. Filing and enforcement of administrative decision.An administrative decision, not appealed, or which has been affirmed after judicial review under the Rhode Island administrative procedures act, §§ 42-35-1 — 42-35-18, determining any amounts due to the executive office of health and human services or to a provider, may be filed with the clerk of the superior court for Providence County and shall be enforceable as a judgment of that court.History of Section.P.L. 1982, ch. 424, § 1; P.L. 2015, ch. 141, art. 5, § 12.
RI Gen L § 40-8.2-19 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-19 - Certification as a provider - Revocation or suspension of certification.

§ 40-8.2-19. Certification as a provider — Revocation or suspension of certification.Before any provider of medical services receives payment from the Rhode Island Medicaid program, and as a condition of receipt of payment, the provider must have in effect a valid certification of eligibility from the Rhode Island executive office of health and human services. This certification of eligibility will take the form of either a separate provider agreement or language as required by federal regulations imprinted on the medical assistance billing form, which must be signed by the provider. This certification may be revoked or suspended, in accordance with administrative rules to be promulgated by the executive office, if a provider fails to meet professional licensure requirements; violates any administrative regulations of the executive office of health and human services; does not provide proper professional services; is the subject of a suspension of payments order; is convicted of Medicaid fraud; or otherwise violates any provision of this chapter.History of Section.P.L. 1982, ch. 424, § 1; P.L. 2015, ch. 141, art. 5, § 12.
RI Gen L § 40-8.2-20 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-20 - Eligibility for certification.

§ 40-8.2-20. Eligibility for certification.A certification will apply to any provider who agrees to provide services in accordance with the laws and regulations governing the Rhode Island Medicaid program and who has in effect a proper professional license when a license is a prerequisite to rendering services. Nothing contained herein shall be construed to mean that certification may not be revoked for failure to provide proper professional services, although a provider's professional license has not been revoked or suspended.History of Section.P.L. 1982, ch. 242, § 1.
RI Gen L § 40-8.2-21 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-21 - Suspension of payments to a provider.

§ 40-8.2-21. Suspension of payments to a provider.(a) The executive office of health and human services may issue a suspension of payments order if:(1) The provider does not meet certification requirements of the Rhode Island Medicaid program; or(2) The Rhode Island Medicaid program has been unable to collect (or make satisfactory arrangements for the collection of) amounts due on account of overpayments to any provider; or(3) The office of program integrity and/or the Medicaid fraud control unit of the attorney general's office has been unable to obtain, from a provider, the data and information necessary to enable it to determine the existence or amount (if any) of the overpayments made to a provider; or(4) The office of program integrity or the Medicaid fraud control unit of the attorney general's office has been denied reasonable access to information by a provider that pertains to a patient or resident of a long-term residential-care facility or to a former patient or resident of a long-term residential-care facility; or(5) The office of program integrity and/or the Medicaid fraud control unit of the attorney general's office has been denied reasonable access to data and information by the provider for the purpose of conducting activities as described in § 1903(g) of the Social Security Act, 42 U.S.C. § 1396b(g); or(6) The office of program integrity has been presented with reliable evidence that the provider has engaged in fraud or willful misrepresentation under the Medicaid program.(b) Any such order of the executive office of health and human services may cease to be effective at such time as the office of program integrity is satisfied that the provider is participating in substantial negotiations that seek to remedy the conditions that gave rise to its order of suspension of payments, or that amounts are no longer due from the provider or that a satisfactory arrangement has been made for the payment of the provider or that a satisfactory arrangement has been made for the payment by the provider of any such amounts.History of Section.P.L. 1982, ch. 424, § 1; P.L. 1989, ch. 137, § 1; P.L. 2015, ch. 141, art. 5, § 12.
RI Gen L § 40-8.2-22 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-22 - Interest on overcharges.

§ 40-8.2-22. Interest on overcharges.Any provider of services or goods contracting with the executive office of health and human services, pursuant to Title XIX or Title XXI of the Social Security Act, who, without intent to defraud, obtains payments under this chapter in excess of the amount to which the provider is entitled, thereby becomes liable for payment of the amount of the excess with payment of interest allowable by law, under § 6-26-2, as was in effect on the date payment was made to the provider. The interest period will commence on the date upon which payment was made and will extend to the date upon which repayment is made to the state of Rhode Island.History of Section.P.L. 1982, ch. 424, § 1; P.L. 2015, ch. 141, art. 5, § 12.
RI Gen L § 40-8.2-23 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.2 - Medical Assistance Fraud|Section 40-8.2-23 - Use of Medicaid funds for anti-union purposes prohibited.

§ 40-8.2-23. Use of Medicaid funds for anti-union purposes prohibited.Medicaid reimbursement for costs incurred directly related to influencing employees regarding their right to organize, to form a union, or to join a union, shall not be considered to be allowable, whether performed directly by the provider or through contracts with consultants or attorneys.History of Section.P.L. 1985, ch. 358, § 1.
RI Gen L § 40-8.3-1 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.3 - Uncompensated Care|Section 40-8.3-1 - Declaration of purpose.

§ 40-8.3-1. Declaration of purpose.The legislature hereby finds and declares that preservation of the ability of the private acute-care hospital system of the state to continue to support an increasing uncompensated care burden is of critical importance to the public health and welfare of the citizens of Rhode Island and that implementation of § 1923 of the Social Security Act, 42 U.S.C. § 1396r-4, which permits the federal government to share in the provision of payments to hospitals that provide a significant amount of uncompensated care, is an effective way for the state to assist the hospitals in continuing to provide uncompensated care.History of Section.P.L. 1996, ch. 100, art. 42, § 1.
RI Gen L § 40-8.3-4 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.3 - Uncompensated Care|Section 40-8.3-4 - Reports and audits.

§ 40-8.3-4. Reports and audits.As a condition of receipt of a payment under this chapter, each participating hospital shall submit to the department data, reports and/or independent certified audits as may be required by the department to timely comply with the requirements of Section 1923 of the federal Social Security Act, 42 U.S.C. § 1396r-4, as amended, and any implementing regulations or directives duly promulgated by the Secretary of the United States Department of Health and Human Services.History of Section.P.L. 2004, ch. 595, art. 9, § 2.
RI Gen L § 40-8.3-5 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.3 - Uncompensated Care|Section 40-8.3-5 - Hospital payments.

§ 40-8.3-5. Hospital payments.Due to the high ratio of unqualified uncompensated-care expenses to qualified uncompensated-care expenses, the department of human services is hereby authorized and directed to pay by September 1, 2010, from revenues derived from taxes imposed in accordance with § 44-17-1: (1) Acute-care hospitals in Washington County the amount of five hundred thousand dollars ($500,000) to South County Hospital, and seven hundred and fifty thousand dollars ($750,000) to The Westerly Hospital; (2) Any acute-care hospital in Kent County the amount of eight hundred thousand dollars ($800,000); and (3) Miriam Hospital the amount of one million six hundred thousand dollars ($1,600,000). The department of human services is authorized and directed to pay four million seven hundred fifty thousand dollars ($4,750,000) during state fiscal year 2011 to the following hospitals: one million seven hundred seventy-eight thousand eight hundred forty-three dollars ($1,778,843) to Kent Hospital; six hundred and forty-two thousand three hundred forty dollars ($642,340) to Saint Joseph's Hospital; one million one hundred thirty-one thousand, nine hundred twenty-nine dollars ($1,131,929) to Miriam Hospital; four hundred thirty-eight thousand and four hundred eighty-two dollars ($438,482) to South County Hospital; two hundred ninety seven thousand eight hundred and six dollars ($297,806) to Westerly Hospital; one hundred thirty-three thousand and six hundred seventy-two dollars ($133,672) to Newport Hospital; one hundred seventy thousand nine hundred and sixty-four dollars ($170,964) to Butler Hospital; and one hundred fifty-five thousand and nine hundred sixty-three dollars ($155,963) to Bradley Hospital of Rhode Island. The department of human services is authorized to pay five hundred thousand dollars ($500,000) to South County Hospital and five hundred thousand dollars ($500,000) to Westerly Hospital in state fiscal year 2012.History of Section.P.L. 2009, ch. 68, art. 19, § 2; P.L. 2010, ch. 23, art. 20, § 2; P.L. 2011, ch. 151, art. 18, § 3.
RI Gen L § 40-8.3-6 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.3 - Uncompensated Care|Section 40-8.3-6 - Outpatient adjustment payments for fiscal year 2009.

§ 40-8.3-6. Outpatient adjustment payments for fiscal year 2009.Effective July 1, 2008, the department of human services is hereby authorized and directed to amend its regulations and the Rhode Island State Plan for Medical Assistance pursuant to Title XIX of the Social Security Act for reimbursement to hospitals for outpatient service as follows:Hospitals — Outpatient adjustment payments.(a) Each hospital in the state of Rhode Island, as defined in § 23-17-38.1, shall receive an adjustment payment during state fiscal year 2009 of an amount determined as follows:(1) Determine the percent of the state's total Medicaid outpatient and emergency department services (exclusive of physician services) provided by each hospital during the hospital's fiscal year ending during 2007;(2) Determine the sum of all Medicaid payments to hospitals made for outpatient and emergency department services (exclusive of physician services) provided during each hospital's fiscal year ending during 2007;(3) Multiply the sum of all Medicaid payments as determined in subsection (a)(2) by fifty-six and five hundredths percent (56.05%) and then multiply that result by each hospital's percentage of the state's total Medicaid outpatient and emergency department services as determined in subsection (a)(1) to obtain the total outpatient adjustment for each hospital to be paid in SFY 2009;(4) Pay each hospital on its total outpatient adjustment as determined in subsection (a)(3).(b) The amounts determined in subsection (a) are in addition to Medicaid outpatient payments and emergency services payments (exclusive of physician services) paid to hospitals in accordance with current state regulation and the Rhode Island Plan for Medicaid assistance pursuant to Title XIX of the Social Security Act and are not subject to recoupment or settlement.(c) The payments are expressly conditioned upon approval by the Secretary of the United States Department of Health and Human Services, or his or her authorized representative, of any Medicaid state plan amendment necessary to secure for the state the benefit of federal financial participation in federal fiscal year 2009 for such payments, such amendment to be filed not later than July 9, 2008.History of Section.P.L. 2009, ch. 68, art. 19, § 2.
RI Gen L § 40-8.3-7 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.3 - Uncompensated Care|Section 40-8.3-7 - Outpatient adjustment payments for fiscal year 2010.

§ 40-8.3-7. Outpatient adjustment payments for fiscal year 2010.Effective July 1, 2009, the department of human services is hereby authorized and directed to amend its regulations and the Rhode Island State Plan for Medical Assistance pursuant to Title XIX of the Social Security Act for reimbursement to hospitals for outpatient services as follows:Hospitals — Outpatient adjustment payments.(a) Each hospital in the state of Rhode Island, as defined in § 23-17-38.1, shall receive a quarterly adjustment payment during state fiscal year 2010 of an amount determined as follows:(1) Determine the percent of the state's total Medicaid outpatient and emergency department services (exclusive of physician services) provided by each hospital during the hospital's fiscal year ending during 2008;(2) Determine the sum of all Medicaid payments to hospitals made for outpatient and emergency department services (exclusive of physician services) provided during each hospital's fiscal year ending during 2008;(3) Multiply the sum of all Medicaid payments as determined in subsection (a)(2) by seventy-seven and forty-one hundredths percent (77.41%) and then multiply that result by each hospital's percentage of the state's total Medicaid outpatient and emergency department services as determined in subsection (a)(1) to obtain the total outpatient adjustment for each hospital to be paid in SFY 2010;(4) Pay each hospital on or about July 20, 2009, October 20, 2009, January 20, 2010, and April 20, 2010, one-quarter (.25) of its total outpatient adjustment as determined in subsection (a)(3).(b) The amounts determined in subsection (a) are in addition to Medicaid outpatient payments and emergency services payments (exclusive of physician services) paid to hospitals in accordance with current state regulation and the Rhode Island Plan for Medicaid Assistance pursuant to Title XIX of the Social Security Act and are not subject to recoupment or settlement.History of Section.P.L. 2009, ch. 68, art. 19, § 2.