Rhode Island 2026 Regular Session

Rhode Island House Bill H8175

Introduced
2/27/26  

Caption

Requires Medicaid to cover services by licensed certified lactation counselors and EOHHS to oversee and implement the program and track related costs and use. It also ensures reimbursement consistent with similar providers.

Impact

The enactment of H8175 will signify a transformative step for maternal and child health services within the state, enabling licensed certified lactation counselors to be recognized as essential health care providers. This will not only enhance support for new families but will also contribute to healthier outcomes for infants through better lactation practices. By integrating these services into Medicaid, the bill seeks to address the gap in access to lactation care for low-income families.

Summary

House Bill 8175 aims to expand Medicaid coverage to include services provided by licensed certified lactation counselors. This initiative emphasizes the importance of lactation support for new parents and children under the age of twelve months, ensuring that such services are accessible under the state's Medicaid program. The bill mandates that the Executive Office of Health and Human Services (EOHHS) is responsible for implementing these services and maintaining oversight on associated costs and usage.

Contention

While the bill is largely supported within the context of improving maternal and child health, there may be concerns regarding the practical implementation of these licensed services, especially in terms of reimbursement procedures and regulations. Critics may question how alignment with Medicaid reimbursement structures will affect the availability of such services and whether the program can effectively monitor utilization without unnecessary bureaucratic hurdles. Additionally, the requirement for EOHHS to develop supporting rules and regulations may raise discussions on regulatory burdens among health care providers.

Companion Bills

No companion bills found.

Previously Filed As

RI H5861

Requires health insurance policies to cover licensed certified lactation counselor services for childbearing families. It also prohibits requiring supervision or duplicate payments for services and mandates annual reporting.

RI S0690

Requires health insurance policies to cover licensed certified lactation counselor services for childbearing families. It also prohibits requiring supervision or duplicate payments for services and mandates annual reporting.

RI S0874

Provides that licensed independent clinical social workers be able to enroll and bill Medicaid directly for covered services provided to adults with Medicaid fee-for-service coverage.

RI H5990

Extends eligibility for lactation counselor services to RIte Start recipients starting October 1, 2025, through the end of their 12 month postpartum period, with coverage provided regardless of federal financial participation.

RI S0793

Increases individual, group, and Medicaid insurance rates of reimbursement for ambulance and wheelchair van services to be equal to reimbursement rates provided by Medicare for the same medical services.

RI H5772

Increases individual, group, and Medicaid insurance rates of reimbursement for ambulance and wheelchair van services to be equal to reimbursement rates provided by Medicare for the same medical services.

RI H5624

Removes the age restriction for benefits coverage/requires, after 1/1/26, for policies issued or renewed include coverage for reimbursement for provider services at a rate equal to, or greater than, Medicaid establishments of EOHHS.

RI S0788

Removes the age restriction for benefits coverage/requires, after 1/1/26, for policies issued or renewed include coverage for reimbursement for provider services at a rate equal to, or greater than, Medicaid establishments of EOHHS.

RI H5078

Provides that licensed independent clinical social workers be able to enroll and bill Medicaid directly for covered services provided to adults with Medicaid fee-for-service coverage.

RI S0479

Requires health insurance plans to cover services provided by licensed certified professional midwives. Insurers must report utilization and cost data annually. Certain limited benefit policies are exempt.

Similar Bills

No similar bills found.