reglab/housing_qa huggingface dataset:
RI Gen L § 42-66.1-11 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.1 - Security for Housing for the Elderly Act|Section 42-66.1-11 - Penalty - Procedure - Designated account.

§ 42-66.1-11. Penalty — Procedure — Designated account.(a) Any housing complex for the elderly that fails to meet the requirements as outlined in the preceding sections by October 1, 1994, may be assessed an administrative penalty up to one thousand dollars ($1,000) plus interest, which accrues from the date upon which the administrative penalty becomes final by the director of the department of elderly affairs.(b) Whenever the director seeks to assess an administrative penalty on an elderly housing complex, the facility shall have a right to an adjudicatory hearing under chapter 35 of this title.(c) The director shall cause to be served upon the housing complex, either by service, in hand, or by certified mail, return receipt requested, a written notice of its intent to assess an administrative penalty which shall include a concise statement of the alleged failure to comply with the requirements of the security regulations for which the administrative penalty is sought to be assessed, the amount which the director seeks to assess, a statement of the housing complex's right to a hearing on the proposed assessment, and the manner of payment if the housing complex elects to pay the penalty and waive hearing.(d) In any adjudicatory hearing authorized pursuant to chapter 35 of this title, the director shall, by a preponderance of the evidence, prove non-compliance with the requirements of the regulations. Should a complex waive its right to an adjudicatory hearing by failing to respond, in writing, to the director within ten (10) days from the receipt of the notice of the penalty, the proposed administrative penalty shall be final at the end of the ten (10) day period.(e) If an administrative penalty is assessed at the conclusion of an adjudicatory hearing, the administrative penalty shall be final upon the expiration of thirty (30) days if no action for judicial review of the decision is commenced pursuant to chapter 35 of this title.(f) The director is authorized to promulgate rules and regulations necessary to carry out the provisions of this chapter.History of Section.P.L. 1994, ch. 122, § 1.
RI Gen L § 42-66.2-1 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2 - Pharmaceutical Assistance to the Elderly Act|Section 42-66.2-1 - Short title.

§ 42-66.2-1. Short title.This chapter shall be known and cited as the "Pharmaceutical Assistance to the Elderly Act".History of Section.P.L. 1985, ch. 343, § 1; P.L. 1987, ch. 429, § 2; P.L. 1987, ch. 519, § 1.
RI Gen L § 42-66.2-2 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2 - Pharmaceutical Assistance to the Elderly Act|Section 42-66.2-2 - Program established.

§ 42-66.2-2. Program established.There is established a program for pharmaceutical assistance to the elderly. The intent of the program is to be the payer of last resort and is limited to eligible persons and eligible drugs.History of Section.P.L. 1985, ch. 343, § 1; P.L. 1987, ch. 429, § 2; P.L. 1987, ch. 519, § 1; P.L. 1989, ch. 527, § 1; P.L. 2011, ch. 151, art. 23, § 4.
RI Gen L § 42-66.2-4 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2 - Pharmaceutical Assistance to the Elderly Act|Section 42-66.2-4 - Amount of payment.

§ 42-66.2-4. Amount of payment.(a) The state shall reimburse the consumer up to the percentage rate of the maximum allowable amount per prescription as set forth in § 42-66.2-5 as of the date of purchase of the drug, in accordance with the income eligibility and co-payment shares set forth in § 42-66.2-5. The rebates generated pursuant to § 42-66.2-10 shall be used to offset the state's payment.(b) Reimbursement payment will be made to consumers no less than quarterly.(c) The director is authorized and directed to promulgate rules relating to the process by which consumers submit claims for reimbursement including what documentation must be provided by the consumer.History of Section.P.L. 1985, ch. 343, § 1; P.L. 1992, ch. 133, art. 52, § 1; P.L. 2000, ch. 55, art. 30, § 2; P.L. 2000, ch. 143, § 2; P.L. 2000, ch. 195, § 1; P.L. 2000, ch. 253, § 2; P.L. 2002, ch. 65, art. 37, § 1; P.L. 2005, ch. 117, art. 22, § 1; P.L. 2011, ch. 151, art. 23, § 4.
RI Gen L § 42-66.2-4.1 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2 - Pharmaceutical Assistance to the Elderly Act|Section 42-66.2-4.1 - Catastrophic illness coverage.

§ 42-66.2-4.1. Catastrophic illness coverage.The state shall pay one hundred percent (100%) of the prescription drug costs for eligible drugs as defined in § 42-66.2-3(5) for any consumer, as defined in § 42-66.2-3(1), who is eligible to receive pharmaceutical drug coverage benefits under § 42-66.2-5(a)(1)(i) or (a)(2)(i) and who has expended at least one thousand five hundred dollars ($1,500) in total co-payments within a state fiscal year. The initial one thousand five hundred dollars ($1,500) paid by the consumer shall not be reimbursed by the state. The state shall make payments under this section only until the end of the fiscal year.History of Section.P.L. 2001, ch. 77, art. 26, § 2; P.L. 2001, ch. 138, § 1; P.L. 2005, ch. 410, § 23.
RI Gen L § 42-66.2-6 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2 - Pharmaceutical Assistance to the Elderly Act|Section 42-66.2-6 - Responsibilities of office of healthy aging.

§ 42-66.2-6. Responsibilities of office of healthy aging.(a) Determination of eligibility. The department shall adopt regulations relating to the determination of eligibility of prospective consumers and the determination and elimination of program abuse. The department has the power to declare ineligible any consumer who abuses or misuses the established prescription plan. The department has the power to investigate cases of suspected provider or consumer fraud.(b) Program criteria. The program includes the following criteria:(1) Senior citizens participating in the program are required to maintain records of each transaction as specified by the director in accordance with subsection 42-66.2-4(c);(2) Prescription benefits for any single prescription may be dispensed in the amounts authorized by the physician, and agreed to by the consumer, up to a maximum of a one hundred (100) day supply or two hundred (200) doses, whichever is less and/or a one hundred (100) day supply or one quart of liquid, whichever is less; provided, however, that disposable insulin syringes are dispersed in a quantity of one hundred (100);(3) Experimental drugs are excluded from the program;(4) A system of mail order delivery for prescriptions is allowed under this program; and(5) Eligible and additional drugs must be dispensed within one year of the original prescription order.(c) The director shall provide a mechanism, within the department, to handle all public inquiries concerning the program.(d) The director shall establish a process, in accordance with the Administrative Procedures Act, chapter 35 of this title, to provide an appeals hearing on the determination of eligibility.(e) The director shall forward to the contractor a list of all eligible consumers.(f) Expenditures for multiple sclerosis drugs shall not exceed thirty thousand dollars ($30,000).(g) Generic drug substitution is mandatory when there is an available generic drug equivalent.History of Section.P.L. 1985, ch. 343, § 1; P.L. 1986, ch. 361, § 1; P.L. 1992, ch. 133, art. 52, § 1; P.L. 2000, ch. 101, § 1; P.L. 2002, ch. 65, art. 37, § 1; P.L. 2004, ch. 595, art. 41, § 1; P.L. 2006, ch. 246, art. 9, § 1; P.L. 2008, ch. 100, art. 8, § 2; P.L. 2011, ch. 151, art. 23, § 4.
RI Gen L § 42-66.2-7 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2 - Pharmaceutical Assistance to the Elderly Act|Section 42-66.2-7 - Contract.

§ 42-66.2-7. Contract.(a) The director is authorized to enter into a contract with the contractor for the effective administrative support of this program.(b) A competitive bid and contract award shall occur in accordance with the state Medicaid authority's competitive bid process and cycle.History of Section.P.L. 1985, ch. 343, § 1; P.L. 1987, ch. 519, § 1; P.L. 2008, ch. 100, art. 8, § 2; P.L. 2011, ch. 151, art. 23, § 4.
RI Gen L § 42-66.2-8 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2 - Pharmaceutical Assistance to the Elderly Act|Section 42-66.2-8 - Penalties.

§ 42-66.2-8. Penalties.(a) Criminal penalties. Any person who submits a false or fraudulent claim under this chapter, or who aids or abets another in the submission of a false or fraudulent claim, or who is eligible under a private, state, or federal program for prescription assistance and who claims or receives duplicative benefits hereunder or who otherwise violates any provisions of this chapter is deemed guilty of a misdemeanor and is subject to imprisonment for a term of not more than one year or a fine of not less than five hundred dollars ($500), or both.(b) Any provider or consumer found guilty of intentionally violating the provisions of this chapter shall be subject to immediate termination from this program for a period of no less than one year.(c) Repayment of gain. Any provider or consumer who is found guilty under this chapter is subject to repay three (3) times the value of the material gain he or she received.History of Section.P.L. 1985, ch. 343, § 1.
RI Gen L § 42-66.2-9 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2 - Pharmaceutical Assistance to the Elderly Act|Section 42-66.2-9 - Annual report.

§ 42-66.2-9. Annual report.(a) The director shall submit an annual report to the governor, the budget officer, the chairperson of the house finance committee, the chairperson of the senate finance committee, and the chairperson of the board of pharmacy as established by § 5-19.1-4. The report shall contain the number of consumers eligible for the program, the number of consumers utilizing the program, the number of appeals, an outline of problems encountered in the administration of the program and suggested solutions to the problems, and any recommendations to enhance the program.(b) The contractor shall submit an annual report to the governor, the budget officer, the chairperson of the house finance committee, the chairperson of the senate finance committee, and the board of pharmacy as established by § 5-19.1-4. The report shall contain financial and utilization statistics as to drug use by therapeutic category, actuarial projections, an outline of problems encountered in the administration of the program, and suggested solutions to the problems and any recommendations to enhance the program.(c) [Deleted by P.L. 2008, ch. 100, art. 8, § 2].History of Section.P.L. 1985, ch. 343, § 1; P.L. 1989, ch. 527, § 1; P.L. 2004, ch. 6, § 21; P.L. 2008, ch. 100, art. 8, § 2.
RI Gen L § 42-66.2-11 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2 - Pharmaceutical Assistance to the Elderly Act|Section 42-66.2-11 - Repealed.

§ 42-66.2-11. Repealed.
RI Gen L § 42-66.2.1-1 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2.1 - Rhode Island Best RX Prescription Drug Discount Program for the Uninsured|Section 42-66.2.1-1 - Short title.

§ 42-66.2.1-1. Short title.This act shall be called the "Rhode Island Best Rx Discount Program for the Uninsured."History of Section.P.L. 2004, ch. 341, § 1; P.L. 2004, ch. 357, § 1; P.L. 2007, ch. 499, § 2; P.L. 2007, ch. 516, § 2.
RI Gen L § 42-66.2.1-2 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2.1 - Rhode Island Best RX Prescription Drug Discount Program for the Uninsured|Section 42-66.2.1-2 - Discount drug program.

§ 42-66.2.1-2. Discount drug program.The departments of human services and elderly affairs shall develop a prescription drug discount program for the uninsured to be implemented on or before March 15, 2005, and the office of healthy aging shall issue a request for proposal to entities for the management of the discount program. Once the bid has been awarded to a contractor, the contract may be modified as necessary and appropriate to achieve the purpose of the program at any time, with the agreement of all parties.History of Section.P.L. 2004, ch. 341, § 1; P.L. 2004, ch. 357, § 1; P.L. 2007, ch. 499, § 2; P.L. 2007, ch. 516, § 2.
RI Gen L § 42-66.2.1-3 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2.1 - Rhode Island Best RX Prescription Drug Discount Program for the Uninsured|Section 42-66.2.1-3 - Program eligibility.

§ 42-66.2.1-3. Program eligibility.(a) Persons who are residents of this state and:(i) are over the age of sixty (60) and are ineligible for Medicare Part D; or(ii) receive Social Security Disability Insurance benefits; or(iii) subject to subsection (b), are uninsured for prescription drugs and have an annual family income at or below three hundred percent (300%) of the federal poverty level, shall be eligible for the prescription drug discount program offered under the provisions of this chapter.(b) Persons eligible shall not include an individual who is eligible, or has been eligible for the four (4) months prior to the application for the drug discount program offered under the provisions of this chapter, for outpatient prescription drug coverage under a health benefits program, other than a worker's compensation program, paid for in whole or in part by an employer, Medicaid, Medicare, or another state or federal health plan or pharmaceutical assistance program that uses state or federal funds to pay part or all of the individual's prescription drug costs. This provision shall not apply to individuals who become uninsured due to a layoff or sponsored health plan bankruptcy.(c) An individual or a household member acting on behalf of an individual may establish eligibility by self-certification of the criteria established in subsections (a) and (b), and prospective enrollees shall be informed of the penalties for making false statements on a government application. The contractor shall facilitate distribution of information needed to make self-certification application and may provide for enrollment using telephone, Internet and such other means as are likely to reach prospective enrollees, including use of volunteers and community based outreach.History of Section.P.L. 2004, ch. 341, § 1; P.L. 2004, ch. 357, § 1; P.L. 2007, ch. 499, § 2; P.L. 2007, ch. 516, § 2.
RI Gen L § 42-66.2.1-4 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2.1 - Rhode Island Best RX Prescription Drug Discount Program for the Uninsured|Section 42-66.2.1-4 - Repealed.

§ 42-66.2.1-4. Repealed.
RI Gen L § 42-66.2.1-4.1 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2.1 - Rhode Island Best RX Prescription Drug Discount Program for the Uninsured|Section 42-66.2.1-4.1 - Discount agreements.

§ 42-66.2.1-4.1. Discount agreements.(a) The contractor shall be authorized to negotiate and enter into agreements with manufacturers and pharmacies to provide discounts on prescription drugs. In general, the contractor shall seek discounts from pharmacies and manufacturers that are comparable to those available under health plans that provide pharmacy benefits to employees of state and local government entities.(b) The departments of human services and elderly affairs, in consultation with the contractor, shall establish maximum prices to be charged an enrollee, and the contractor shall establish and publicize special value prices where it has established a significant discount on a generic drug or where a drug's manufacturer has agreed to subsidize discounts by making quarterly rebate payments. The contractor shall establish any arrangements for compensating pharmacies where the prices payable by enrollees have been reduced using manufacturer rebates, and for collecting administrative fees paid by enrollees to pharmacies. The contractor shall establish arrangements for facilitating application by Best Rx enrollees to patient assistance programs offered by participating manufacturers.(c) Pharmacy dispensing fees shall be uniformly established in advance at an amount that shall not exceed two dollars and fifty cents ($2.50) per prescription, and shall be paid directly to the pharmacy by the program beneficiaries.History of Section.P.L. 2007, ch. 499, § 3; P.L. 2007, ch. 516, § 3.
RI Gen L § 42-66.2.1-5 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2.1 - Rhode Island Best RX Prescription Drug Discount Program for the Uninsured|Section 42-66.2.1-5 - Reporting requirements.

§ 42-66.2.1-5. Reporting requirements.The departments of human services and elderly affairs shall regularly publish information on the number of enrollees, and the number of prescriptions filled under the program, and ensure timely availability to the public of the drug prices payable by enrollees and the percentage savings off the usual and customary charge reflected by such prices.History of Section.P.L. 2004, ch. 341, § 1; P.L. 2004, ch. 357, § 1; P.L. 2007, ch. 499, § 2; P.L. 2007, ch. 516, § 2.
RI Gen L § 42-66.2.1-6 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2.1 - Rhode Island Best RX Prescription Drug Discount Program for the Uninsured|Section 42-66.2.1-6 - Administrative fees.

§ 42-66.2.1-6. Administrative fees.The departments of human services and elderly affairs shall ensure that administrative fees imposed by means of subsection (a) or (b), are sufficient to cover all expenses related to the management of the discount program, and shall periodically revise any arrangements under this section in order to maximize enrollment and to minimize the price paid by enrollees for prescriptions.(a) Per prescription administrative fees paid by the enrollee shall be established as follows: (i) for the first twenty thousand (20,000) prescriptions filled for program beneficiaries, two dollars ($2.00) per prescription; (ii) for the next twenty thousand (20,000) prescriptions filled for program beneficiaries, one dollar and fifty cents ($1.50) per prescription; (iii) for the next twenty thousand (20,000) prescriptions filled for program beneficiaries, one dollar ($1.00) per prescription; (iv) after the initial sixty thousand (60,000) prescriptions are filled, the Rhode Island Best Rx Program Advisory commission, established in § 42-66.2.1-7, shall advise the departments regarding an appropriate per prescription administrative fee, which shall not exceed one dollar ($1.00) per prescription.(b) Any authority for the contractor to retain a share of manufacturer rebates to defray administrative expenses shall be subject to a quarterly review and revision based on reconciliation of aggregate rebates received and administrative costs in excess of fees established under subsection (a).(c) The departments of human services and elderly affairs shall seek to minimize the diversion of rebates to pay administrative costs, and shall phase out all such use of rebates as soon as feasible, in order to ensure that rebates are passed through to enrollees for whom a drug is prescribed.(d) Department of human services — Powers.  The department of human services is authorized to promulgate rules and regulations for the administration of this chapter and to further its purposes.History of Section.P.L. 2007, ch. 499, § 3; P.L. 2007, ch. 516, § 3.
RI Gen L § 42-66.2.1-7 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.2.1 - Rhode Island Best RX Prescription Drug Discount Program for the Uninsured|Section 42-66.2.1-7 - Advisory commission.

§ 42-66.2.1-7. Advisory commission.(a) There is hereby established the Rhode Island Best Rx Program Advisory Commission. The Commission shall be responsible for the marketing, education and promotion of the Rhode Island Best Rx Discount Program for the Uninsured and shall set administrative fees as required under § 42-66.2.1-6 and otherwise advise the General Assembly on the operation of the Rhode Island Best Rx Discount Program for the Uninsured.(b) The advisory commission shall have the following composition: (i) a representative of organized labor appointed by the president of the Rhode Island AFL-CIO; (ii) a representative of the Alliance for Retired Americans appointed by the executive director; (iii) a representative of the American Association of Retired Persons appointed by the executive director; (iv) a representative of retail pharmacists licensed and operating in the state of Rhode Island, as appointed by the Rhode Island Pharmacists Association; (v) three (3) representatives of the research-based pharmaceutical manufacturers; (vi) the speaker of the house or his or her designee; (vii) the president of the senate or his or her designee; (viii) the Director of the Department of Human Services, or his or her designee; and (ix) the Director of the Office of Healthy Aging, or his or her designee.(c) The speaker of the house or his or her designee, and the president of the senate or his or her designee, shall co-chair the advisory commission, and the commission shall meet at the call of the chair, but no less frequently than once per year.(d) Commission members in subsections (i) through (iv) herein shall be appointed as above and shall serve such terms as may be designated by their respective constituencies and shall receive no compensation for their service.(e) The director or designated representative of the department of human services and the office of healthy aging shall be non-voting ex-officio members of the advisory commission.(f) A quorum for consideration of business is no fewer than five (5) voting members present. Recommendations and action of the council shall be adopted by a two-thirds (⅔) majority, and no minority action shall be authorized.History of Section.P.L. 2007, ch. 499, § 3; P.L. 2007, ch. 516, § 3.
RI Gen L § 42-66.3-2 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.3 - Home and Community Care Services to the Elderly|Section 42-66.3-2 - Home and community care services to the elderly - Purpose.

§ 42-66.3-2. Home and community care services to the elderly — Purpose.There is created a home and community care services to the elderly program which shall provide levels of reimbursement for necessary covered services when the provision of these services will: (1) promote independent living; and (2) allow the client to remain at home. It is the intent of this program to prevent or delay institutionalization. It is not necessary to be eligible for institutionalization to receive services under this program.History of Section.P.L. 1988, ch. 451, § 2; P.L. 1995, ch. 118, § 2.
RI Gen L § 42-66.3-3 (2021)
2021 Rhode Island General Laws|Title 42 - State Affairs and Government|Chapter 42-66.3 - Home and Community Care Services to the Elderly|Section 42-66.3-3 - Services available.

§ 42-66.3-3. Services available.Home and community care services shall consist of:(1) Medicaid waiver services for Medicaid eligible clients; or(2) For the state funded co-payment program, care coordination, a combination of homemaker/personal care services and other support services deemed necessary by the director.History of Section.P.L. 1988, ch. 451, § 2; P.L. 1995, ch. 118, § 2; P.L. 2003, ch. 140, § 1; P.L. 2003, ch. 147, § 1; P.L. 2008, ch. 100, art. 17, § 13.