RI
Rhode Island Senate Bill S2106
Rhode Island 2026 Regular Session
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RI

Rhode Island 2026 Regular Session

Rhode Island Senate Bill S2106

Introduced
1/16/26  

Caption

Provides medical assistance coverage for medical services provided qualifying eligible recipients for community based care.

Impact

This bill's passage will affect existing patient care strategies by establishing defined parameters for community medical services. Eligible recipients, identified through frequent emergency department use or deemed by their healthcare providers to benefit from such services, will have access to a variety of medical services, including health assessments, chronic disease management, and minor procedures. Additionally, it requires care coordination to ensure services are not duplicated, thus promoting efficiency in healthcare delivery.

Summary

Bill S2106 aims to expand medical assistance coverage for specific community-based health services provided to eligible recipients. The legislation introduces a new section within the Medical Assistance statutes that mandates the Executive Office of Health and Human Services to develop a reimbursement strategy for licensed medical service providers offering community medical services. These services are designed to help alleviate the burden on emergency departments and provide holistic healthcare solutions to the community, particularly for those with frequent hospital visits.

Contention

While the bill emphasizes the importance of community medical services, it may face scrutiny regarding the adequacy of resources allocated for implementation and the potential implications for existing healthcare providers. Opponents may question the capacity of the system to manage increased demand for services without straining resources or reducing quality of care. Furthermore, the requirement for federal approval may introduce delays and complicate the implementation process.

Companion Bills

No companion bills found.

Previously Filed As

RI S0975

Provides medical assistance coverage for medical services provided qualifying eligible recipients for community based care.

RI H6046

Requires reimbursement for medical, dental, and behavioral health services provided at community health care centers to equal the lesser of the actual cost, based on Medicaid reports, or 125% of the median rate for all community health centers within RI.

RI S0896

Requires reimbursement for medical, dental, and behavioral health services provided at community health care centers to equal the lesser of the actual cost, based on Medicaid reports, or 125% of the median rate for all community health centers within RI.

RI H6373

Requires the executive office of health and human services to increase Medicaid payment rates for primary care services furnished by primary care providers to be commensurate with Medicare rates.

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 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 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 H5774

Establishes Medicaid fee-for-service reimbursement rates set by the general assembly as the rate floor for Medicaid managed care by home care, home nursing care and hospice providers licensed by the DOH and continue the EEOHH.

RI S0255

Establishes Medicaid fee-for-service reimbursement rates set by the general assembly as the rate floor for Medicaid managed care by home care, home nursing care and hospice providers licensed by the DOH and continue the EEOHH.

Similar Bills

No similar bills found.