§ 27-68-2. Pilot primary care program established.
To increase access to primary care 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
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§ 27-68-2. Pilot primary care program established.
To increase access to primary care 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. 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.