reglab/housing_qa huggingface dataset:
RI Gen L § 40-8.3-8 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.3 - Uncompensated Care|Section 40-8.3-8 - Outpatient adjustment payments for fiscal year 2011.

§ 40-8.3-8. Outpatient adjustment payments for fiscal year 2011.Effective July 1, 2010, the department of human services is hereby authorized and directed to amend its regulations 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 2011 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 each hospital's fiscal year ending during 2009;(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 2009;(3) Multiply the sum of all Medicaid payments as determined in subsection (a)(2) by 82.95 percent 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 2011;(4) Pay each hospital on or before July 20, 2010, October 20, 2010, January 20, 2011, and April 20, 2011, one-quarter 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. 2010, ch. 23, art. 15, § 2.
RI Gen L § 40-8.3-9 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.3 - Uncompensated Care|Section 40-8.3-9 - Outpatient adjustment payments for fiscal year 2012.

§ 40-8.3-9. Outpatient adjustment payments for fiscal year 2012.Effective July 1, 2011, the executive office of health and human services is hereby authorized and directed to amend its regulations 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 2012 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 each hospital's fiscal year ending during 2010;(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 2010;(3) Multiply the sum of all Medicaid payments as determined in subsection (a)(2) by 72.57 percent 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 2012;(4) Pay each hospital on or before July 20, 2011, October 20, 2011, January 20, 2012, and April 20, 2012, one-quarter 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. 2011, ch. 151, art. 18, § 2.
RI Gen L § 40-8.4-1 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-1 - Title.

§ 40-8.4-1. Title.This chapter is hereby entitled "The Health Care for Families Act."History of Section.P.L. 1998, ch. 31, art. 33, § 1.
RI Gen L § 40-8.4-2 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-2 - Purpose.

§ 40-8.4-2. Purpose.It is the intent of the general assembly to continue to meet the goal established in 1993 pursuant to § 42-12.3-2 to ensure access to comprehensive health care by providing or creating access to health insurance to all Rhode Islanders who are uninsured. Over the course of several years, health insurance through the RIte Care program has been extended to pregnant women and children living in families whose income is less than two hundred fifty percent (250%) of the federal poverty level. Many of the parents of these children are uninsured and without the means to purchase health insurance. Federal funds are available to help pay for health insurance for low-income families through the medical assistance program under § 1931 of Title XIX of the Social Security Act, 42 U.S.C. § 1396u-1, which de-links medical assistance from cash assistance and allows for expanded income and resource methodologies. It is the intent of the general assembly, therefore, to implement § 1931 of Title XIX of the Social Security Act and, in addition, to provide expanded access to health insurance for eligible families. Federal funds for some children and pregnant women may also be available under Title XXI of the Social Security Act, 42 U.S.C. § 1397aa et seq., and it is further the intent of the general assembly to access these funds as appropriate and as authorized in accordance with the legal authority provided by the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), and Title XXI of the Social Security Act, 42 U.S.C. § 1397aa et seq.History of Section.P.L. 1998, ch. 31, art. 33, § 1; P.L. 2009, ch. 68, art. 23, § 4; P.L. 2020, ch. 79, art. 1, § 31.
RI Gen L § 40-8.4-3 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-3 - Definitions.

§ 40-8.4-3. Definitions.(a) "Family" means a minor child or children and the parent(s) or relative as defined in § 40-5.1-3 [repealed], with whom they reside, including two-parent families in which one parent is working more than one hundred (100) hours per month.(b) "Minor child" means a child under the age of eighteen (18) or who is eighteen (18) and a full-time student in a secondary school or in the equivalent level of vocational or technical training.History of Section.P.L. 1998, ch. 31, art. 33, § 1; P.L. 2006, ch. 216, § 20.
RI Gen L § 40-8.4-4 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-4 - Eligibility.

§ 40-8.4-4. Eligibility.(a) Medical assistance for families. There is hereby established a category of medical assistance eligibility pursuant to § 1931 of Title XIX of the Social Security Act, 42 U.S.C. § 1396u-1, for families whose income and resources are no greater than the standards in effect in the aid to families with dependent children program on July 16, 1996, or such increased standards as the department may determine. The executive office of health and human services is directed to amend the medical assistance Title XIX state plan and to submit to the United States Department of Health and Human Services an amendment to the RIte Care waiver project to provide for medical assistance coverage to families under this chapter in the same amount, scope, and duration as coverage provided to comparable groups under the waiver. The department is further authorized and directed to submit amendments and/or requests for waivers to the Title XXI state plan as may be necessary to maximize federal contribution for provision of medical assistance coverage provided pursuant to this chapter, including providing medical coverage as a "qualified state" in accordance with Title XXI of the Social Security Act, 42 U.S.C. § 1397aa et seq. Implementation of expanded coverage under this chapter shall not be delayed pending federal review of any Title XXI amendment or waiver.(b) Income. The secretary of the executive office of health and human services is authorized and directed to amend the medical assistance Title XIX state plan or RIte Care waiver to provide medical assistance coverage through expanded income disregards or other methodology for parents or relative caretakers whose income levels are below one hundred thirty-three percent (133%) of the federal poverty level.History of Section.P.L. 1998, ch. 31, art. 33, § 1; P.L. 2000, ch. 200, § 3; P.L. 2000, ch. 229, § 3; P.L. 2002, ch. 65, art. 32, § 1; P.L. 2005, ch. 117, art. 12, § 2; P.L. 2006, ch. 246, art. 25, § 1; P.L. 2008, ch. 100, art. 10, § 1; P.L. 2009, ch. 68, art. 23, §§ 4, 13; P.L. 2013, ch. 144, art. 19, § 4.
RI Gen L § 40-8.4-5 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-5 - Managed care.

§ 40-8.4-5. Managed care.The delivery and financing of the healthcare services provided under this chapter shall be provided through a system of managed care. A managed care system integrates an efficient financing mechanism with quality service delivery; provides a "medical home" to ensure appropriate care and deter unnecessary and inappropriate care; and places emphasis on preventive and primary health care.History of Section.P.L. 1998, ch. 31, art. 33, § 1.
RI Gen L § 40-8.4-6 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-6 - Administration.

§ 40-8.4-6. Administration.The department of human services shall ensure that eligibility and enrollment are determined and provided in a timely, efficient, and user-friendly manner, including mail-in applications. The department may enter into any necessary cooperative agreements with the department of health and/or other state agencies to achieve the purposes of this section. Children and families applying for cash assistance through the family independence program, § 40-5.1-1 et seq. [repealed], shall not be required to complete a separate application for medical assistance under this chapter.By December 1, 2006, the department shall provide to the chair of the senate health and human services committee, the chair of the house health, education and welfare committee, and to the chairs of the house and senate finance committees a report describing a process for renewing eligibility for the RIte care program by using an "ex-parte" process whereby the department uses information provided to the department from the recipients' cash assistance, food stamp, and/or childcare assistance records and from other reliable sources that are readily available to the department. The report shall include at a minimum: how the ex-parte renewal process will work; the date by which the process could be implemented; the number and types of cases to which the ex-parte renewal process is anticipated to be applied; the costs and anticipated savings of implementing the process; and how the department will assure the accuracy of the eligibility determination when the ex-parte process is used. The department shall consult with, and as appropriate include, members of the RIte care consumer advisory council in preparing this report.History of Section.P.L. 1998, ch. 31, art. 33, § 1; P.L. 2006, ch. 603, § 1; P.L. 2006, ch. 615, § 1.
RI Gen L § 40-8.4-7 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-7 - Buy-In.

§ 40-8.4-7. Buy-In.The department of human services shall investigate and develop opportunities for individuals and/or employers to buy into, at the individual's and/or employer's expense, one or more programs the department may establish under this chapter or chapter 12.3 of title 42 to address un-insurance among Rhode Islanders, and shall provide a report on these efforts to the permanent joint committee on health care oversight established pursuant to § 40-8.4-14 on or before February 15 of each year.History of Section.P.L. 1998, ch. 31, art. 33, § 1; P.L. 1999, ch. 413, § 2; P.L. 2000, ch. 200, § 3; P.L. 2000, ch. 229, § 3.
RI Gen L § 40-8.4-8 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-8 - Appropriations - Authorization to pay for health care.

§ 40-8.4-8. Appropriations — Authorization to pay for health care.The general assembly shall annually appropriate to the department of human services the sums as it may deem necessary to carry out the purposes of this chapter. Authorization to pay for healthcare services specified in this chapter shall be made by representatives of the department of human services, and the state controller is hereby authorized and directed to draw his or her orders upon the general treasurer for the payment of the sum or sums or so much thereof as may be required from time to time, upon the receipt by him or her of properly authenticated vouchers; provided, however, that the department of human services may enter into cooperative agreements for the transfer of funds to effectuate the purposes set forth in this chapter.History of Section.P.L. 1998, ch. 31, art. 33, § 1.
RI Gen L § 40-8.4-9 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-9 - Assignment of medical support rights.

§ 40-8.4-9. Assignment of medical support rights.Any person who is determined eligible for healthcare assistance under this chapter is hereby deemed to have made an assignment of rights to medical support in accordance with § 40-6-9(b), and the provisions of § 40-6-9(b) and (d) are incorporated by reference and shall apply to such person.History of Section.P.L. 1998, ch. 31, art. 33, § 1.
RI Gen L § 40-8.4-10 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-10 - Regulations.

§ 40-8.4-10. Regulations.(a) The department of human services is authorized to promulgate any regulations necessary to implement this chapter.(b) When promulgating any rule or regulation necessary to implement this chapter, or any rule or regulation related to RIte Care, the department shall send the notice referred to in § 42-35-3 and a true copy of the rule referred to in § 42-35-4 of the Rhode Island administrative procedures act to each of the co-chairpersons of the permanent joint committee on health care oversight established by § 40-8.4-14.History of Section.P.L. 1998, ch. 31, art. 33, § 1; P.L. 2000, ch. 200, § 3; P.L. 2000, ch. 229, § 3.
RI Gen L § 40-8.4-11 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-11 - Severability.

§ 40-8.4-11. Severability.If any provision in any section of this chapter, or the application thereof, to any person or circumstances is held invalid, its invalidity does not affect other provisions or applications of this chapter that can be given effect without the invalid provision or application, and to this end the provisions of this chapter are severable.History of Section.P.L. 1998, ch. 31, art. 33, § 1.
RI Gen L § 40-8.4-13 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-13 - Utilization of available employer-based health insurance.

§ 40-8.4-13. Utilization of available employer-based health insurance.To the extent permitted under Titles XIX and XXI of the Social Security Act, 42 U.S.C. § 1396 et seq. and 42 U.S.C. § 1397aa et seq., or by waiver from the Secretary of the United States Department of Health and Human Services, the department of human services shall adopt regulations to restrict eligibility for RIte Care under this chapter and/or chapter 12.3 of title 42, or the RIte Share program under § 40-8.4-12, for certain periods of time for certain individuals or families who have access to, or have refused or terminated employer-based health insurance and for certain periods of time for certain individuals but not including children whose employer has terminated their employer-based health insurance. The department is authorized and directed to amend the medical assistance Title XIX and XXI state plans, and/or to seek and obtain appropriate federal approvals or waivers to implement this section.History of Section.P.L. 2000, ch. 200, § 2; P.L. 2000, ch. 229, § 2.
RI Gen L § 40-8.4-15 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-15 - Advisory commission on health care.

§ 40-8.4-15. Advisory commission on health care.(a) There is hereby established an advisory commission to be known as the "advisory commission on health care" to advise the director of the department of human services on all matters relating to the RIte Care and RIte Share programs, and other matters concerning access for all Rhode Islanders to quality health care in the most affordable, economical manner. The director of the department of human services shall serve ex officio as chairperson. The director shall appoint the eighteen (18) members:(1) Three (3) of whom shall represent the healthcare providers;(2) Three (3) of whom shall represent the healthcare insurers;(3) Three (3) of whom shall represent healthcare consumers or consumer organizations;(4) Two (2) of whom shall represent organized labor;(5) One of whom shall be the health care advocate in the office of the attorney general;(6) Three (3) of whom shall represent employers; and(7) Three (3) of whom shall be other members of the public.(b) The commission may study all aspects of the provisions of the RIte Care and RIte Share programs involving purchasers of health care, including employers, consumers, and the state, health insurers, providers of health care, and healthcare facilities, and all matters related to the interaction among these groups, including methods to achieve more effective and timely resolution of disputes, better communication, speedier, more reliable and less-costly administrative processes, claims, payments, and other reimbursement matters, and the application of new processes or technologies to such issues.(c) Members of the commission shall be appointed in the month of July, each to hold office until the last day of June in the second year of his or her appointment or until his or her successor is appointed by the director.(d) The commission shall meet at least quarterly, and the initial meeting of the commission shall take place on or before September 15, 2000. The commission may meet more frequently than quarterly at the call of the chair or at the call of any three (3) members of the commission.(e) Members of the permanent joint committee on health care oversight established pursuant to § 40-8.4-14 shall be notified of each meeting of the commission and shall be invited to participate.History of Section.P.L. 2000, ch. 200, § 2; P.L. 2000, ch. 229, § 2.
RI Gen L § 40-8.4-16 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-16 - Pilot program for the uninsured - Legislative findings.

§ 40-8.4-16. Pilot program for the uninsured — Legislative findings.The general assembly hereby finds and declares that:(1) Although Rhode Island has one of the highest rates of health insurance coverage in the nation, gaps in coverage remain and the rate of coverage dropped significantly during the past year; and(2) From 2001-2002, the state's uninsured rate for working-age adults went from eight percent (8%) to eleven percent (11%), one of eighteen (18) states in the country with a significant increase; and(3) Significant health-insurance-premium rate increases over the past two (2) years, especially for small businesses and the self-insured, are contributing to an increase in the rate of the uninsured; and(4) The largest segment of uninsured Rhode Island residents are adults with low incomes, many of whom are employed; and(5) Individuals without health coverage often resort to expensive emergency-room care that ultimately drives up the overall cost of care for everyone and adds to the state's uncompensated care burden; and(6) Rhode Island residents' use of the emergency room services is greater than that of the nation; and(7) The Institute of Medicine defines primary care as the provision of integrated, accessible healthcare services by clinicians who are accountable for addressing a large majority of personal healthcare needs, developing a sustained partnership with patients, and practicing in the context of family and community; and(8) Access to primary health care should be available to every resident of the state regardless of income and whether or not they have access to health insurance.History of Section.P.L. 2004, ch. 587, § 1.
RI Gen L § 40-8.4-17 (2021)
2021 Rhode Island General Laws|Title 40 - Human Services|Chapter 40-8.4 - Health Care for Families|Section 40-8.4-17 - Pilot primary care program established.

§ 40-8.4-17. Pilot primary care program established.(a) To increase primary-care access for those state residents who do not have access to health insurance coverage, or who are unable to afford health insurance coverage, the director of the state department of human services, in collaboration with the director of the department of health, shall develop a plan for a pilot primary-care program for uninsured residents of the state. The pilot program may include enrollee premiums and co-insurance payments that are income-based with premiums and/or co-insurance subsidized by the state. The pilot program may also include catastrophic or reinsurance coverage provided under the auspices of the state. In designing the pilot program, the director may consider a variety of service-delivery and financing models, including capitation payments to private physicians, a buy-in program under RIte Care, and coverage arrangements purchased from qualified community health centers. In developing the pilot program, the director may seek available federal grant monies, including Medicaid, and private foundation grants.(b) The director shall submit the plan for the pilot primary-care program to the governor, the speaker of the house, the president of the senate, the majority leaders of the house and senate, and the chairpersons of the house and senate finance committees by January 15, 2005. The plan shall include: eligibility criteria for participation in the pilot program; the scope of services to be offered; the geographic area and population to be served; and cost estimates to implement the program.History of Section.P.L. 2004, ch. 587, § 2; P.L. 2006, ch. 216, § 20.