Rhode Island 2026 Regular Session

Rhode Island House Bill H7127

Introduced
1/15/26  

Caption

MAKING APPROPRIATIONS FOR THE SUPPORT OF THE STATE FOR THE FISCAL YEAR ENDING JUNE 30, 2027

Impact

The bill's provisions for Medicaid reimbursement rates aim to assist hospitals in maintaining financial stability while complying with federal health guidelines. The tiered hospital licensing fee system is designed to facilitate funding allocation that considers hospitals' varying levels of care provision and financial burdens due to uninsured or Medicaid patients. This has significant implications for hospital operations, where funding directly influences the capacity for patient care and services provided to low-income populations. Also, the appropriation of funds earmarked for healthcare highlights the state’s prioritization of medical assistance programs amidst budget constraints.

Summary

House Bill H7127 aims to make appropriations for the support of the state for the fiscal year ending June 30, 2027. The bill includes various provisions dealing with healthcare costs, specifically addressing Medicaid reimbursement rates for hospitals, including both inpatient and outpatient services. It sets out guidelines for hospital licensing fees that will be tiered based on hospitals’ patient-services revenue. Furthermore, the bill establishes a framework for the health insurance commissioner to set healthcare cost growth targets and ensure alignment with state revenue projections, potentially impacting healthcare delivery and costs in Rhode Island.

Contention

However, there are points of contention surrounding the proposed tax credits and fees. Opponents may argue that the new fees on hospitals could disproportionately impact smaller or rural healthcare providers, potentially leading to reduced services in less populated areas. Additionally, the framework established for healthcare cost growth targets could draw criticism if seen as a limitation on healthcare providers' pricing power or if it results in lower reimbursement rates that could affect patient care quality. As such, the discussions around H7127 may reflect broader debates about healthcare funding, accessibility, and the financial sustainability of healthcare providers in Rhode Island.

Companion Bills

No companion bills found.

Previously Filed As

RI H5076

MAKING APPROPRIATIONS FOR THE SUPPORT OF THE STATE FOR THE FISCAL YEAR ENDING JUNE 30, 2026

RI H5075

MAKING REVISED APPROPRIATIONS IN SUPPORT OF FY

RI H6095

Imposes a hospital licensing fee for fiscal year 2026 against net patient-services revenue of every non-government owned hospital for the hospital’s first fiscal year ending on or after January 1, 2024.

RI S0848

Imposes a hospital licensing fee for fiscal year 2026 against net patient-services revenue of every non-government owned hospital for the hospital’s first fiscal year ending on or after January 1, 2024.

RI H6191

JOINT RESOLUTION MAKING AN APPROPRIATION OF $10,000,000 TO THE RHODE ISLAND FOUNDATION TO SUPPORT PUBLIC EDUCATION (Authorizes the appropriation of the sum of ten million dollars ($10,000,000) to the Rhode Island Foundation, to generate funds to support public education.)

RI H5400

Requires that the state's share to public libraries be fixed at twenty-five percent (25%) of the amount appropriated by the city or town in their budgets for fiscal year 2026.

RI S0453

Requires that the state's share to public libraries be fixed at twenty-five percent (25%) of the amount appropriated by the city or town in their budgets for fiscal year 2026.

RI H5986

Reduces the appropriation to Medicaid managed care in fiscal year 2025-2026 in order to increase the rates for Medicaid nursing facilities.

RI H5526

Appropriates the sum of five hundred thousand dollars ($500,000) to fund the Thundermist family medicine residency program during fiscal year 2026 and every fiscal year thereafter.

RI S0339

Appropriates the sum of five hundred thousand dollars ($500,000) to fund the Thundermist family medicine residency program during fiscal year 2026 and every fiscal year thereafter.

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