§ 40-8.3-3 — § 40-8.3-3. Implementation.

Rhode Island § 40-8.3-3

• Jurisdiction: Rhode Island
• Title 40: Human services
• Ch. 40-8.3: Uncompensated Care

Text

§ 40-8.3-3. Implementation.

(a) For federal fiscal year 2024, commencing on October 1, 2023, and ending September 30, 2024, the executive office of health and human services shall submit to the Secretary of the United States Department of Health and Human Services a state plan amendment to the Rhode Island Medicaid DSH Plan to provide:

(1) That the DSH Plan to all participating hospitals, not to exceed an aggregate limit of $14.8 million, shall be allocated by the executive office of health and human services to the Pool D component of the DSH Plan; and

(2) That the Pool D allotment shall be distributed among the participating hospitals in direct proportion to the individual participating hospital's uncompensated-care costs for the base year, inflated by the uncompensated-care index to the total uncompensated-care costs for the base year inflated by the uncompensated-care index for all participating hospitals. The disproportionate share payments shall be made on or before June 30, 2024, and are expressly conditioned upon approval on or before June 23, 2024, by the Secretary of the United States Department of Health and Human Services, or their authorized representative, of all Medicaid state plan amendments necessary to secure for the state the benefit of federal financial participation in federal fiscal year 2024 for the disproportionate share payments.

(b) For federal fiscal year 2025, commencing on October 1, 2024, and ending September 30, 2025, the executive office of health and human services shall submit to the Secretary of the United States Department of Health and Human Services a state plan amendment to the Rhode Island Medicaid DSH plan to provide:

(1) The creation of Pool C which allots no more than twelve million nine hundred thousand dollars ($12,900,000) to Medicaid eligible government-owned hospitals;

(2) That the DSH plan to all participating hospitals, not to exceed an aggregate limit of $27.7 million, shall be allocated by the executive office of health and human services to the Pool C and D components of the DSH plan;

(3) That the Pool D allotment shall be distributed among the participating hospitals in direct proportion to the individual participating hospital's uncompensated-care costs for the base year, inflated by the uncompensated-care index to the total uncompensated-care costs for the base year inflated by the uncompensated-care index of all participating hospitals. The disproportionate share payments shall be made on or before June 30, 2025, and are expressly conditioned upon approval on or before June 23, 2025, by the Secretary of the United States Department of Health and Human Services, or their authorized representative, of all Medicaid state plan amendments necessary to secure for the state the benefit of federal financial participation in federal fiscal year 2025 for the disproportionate share payments; and

(4) That the Pool C allotment shall be distributed among the participating hospitals in direct proportion to the individual participating hospital's uncompensated-care costs for the base year, inflated by the uncompensated-care index to the total uncompensated-care cost for the base year inflated by the uncompensated-care index of all participating hospitals. The disproportionate share payments shall be made on or before June 30, 2025, and are expressly conditioned upon approval on or before June 23, 2025, by the Secretary of the United States Department of Health and Human Services, or their authorized representative, of all Medicaid state plan amendments necessary to secure for the state the benefit of federal financial participation in federal fiscal year 2025 for the disproportionate share payments.

(c) For federal fiscal year 2026, commencing on October 1, 2025, and ending September 30, 2026, the executive office of health and human services shall submit to the Secretary of the United States Department of Health and Human Services a state plan amendment to the Rhode Island Medicaid DSH plan to provide:

(1) That the DSH plan to all participating hospitals, not to exceed an aggregate limit of $13.9 million, shall be allocated by the executive office of health and human services to the Pool C and D components of the DSH plan. Pool C shall not exceed an aggregate limit of $12.9 million. Pool D shall not exceed an aggregate limit of $1.0 million;

(2) That the Pool C allotment shall be distributed among the participating hospitals in direct proportion to the individual participating hospital's uncompensated-care costs for the base year, inflated by the uncompensated-care index to the total uncompensated-care cost for the base year inflated by the uncompensated-care index of all participating hospitals. The disproportionate share payments shall be made on or before June 30, 2026, and are expressly conditioned upon approval on or before June 23, 2026, by the Secretary of the United States Department of Health and Human Services, or their authorized representative, of all Medicaid state plan amendments necessary to secure for the state the benefit of federal financial participation in federal fiscal year 2026 for the disproportionate share payments; and

(3) That the Pool D allotment shall be distributed among the participating hospitals in direct proportion to the individual participating hospital's uncompensated-care costs for the base year, inflated by the uncompensated-care index to the total uncompensated-care costs for the base year inflated by the uncompensated-care index of all participating hospitals. The disproportionate share payments shall be made on or before June 30, 2026, and are expressly conditioned upon approval on or before June 23, 2026, by the Secretary of the United States Department of Health and Human Services, or their authorized representative, of all Medicaid state plan amendments necessary to secure for the state the benefit of federal financial participation in federal fiscal year 2026 for the disproportionate share payments.

(d) No provision is made pursuant to this chapter for disproportionate-share hospital payments to participating hospitals for uncompensated-care costs related to graduate medical education programs.

(e) The executive office of health and human services is directed, on at least a monthly basis, to collect patient-level uninsured information, including, but not limited to, demographics, services rendered, and reason for uninsured status from all hospitals licensed in Rhode Island.

(f) [Deleted by P.L. 2019, ch. 88, art. 13, § 6.]

Legislative History

P.L. 1996, ch. 100, art. 42, § 1; P.L. 1997, ch. 30, art. 21, § 1; P.L. 1998, ch. 31, art. 7, § 1; P.L. 1999, ch. 31, art. 15, § 1; P.L. 2000, ch. 55, art. 16, § 1; P.L. 2001, ch. 77, art. 25, § 1; P.L. 2002, ch. 65, art. 21, § 1; P.L. 2003, ch. 376, art. 19, § 1; P.L. 2004, ch. 595, art. 9, § 1; P.L. 2005, ch. 117, art. 9, § 1; P.L. 2006, ch. 246, art. 13, § 1; P.L. 2007, ch. 73, art. 19, § 1; P.L. 2008, ch. 100, art. 19, § 1; P.L. 2009, ch. 68, art. 19, § 1; P.L. 2010, ch. 23, art. 15, § 1; P.L. 2011, ch. 151, art. 18, § 1; P.L. 2012, ch. 241, art. 15, § 1; P.L. 2013, ch. 144, art. 12, § 1; P.L. 2014, ch. 145, art. 17, § 1; P.L. 2015, ch. 141, art. 5, § 14; P.L. 2016, ch. 142, art. 7, § 3; P.L. 2017, ch. 302, art. 9, § 3; P.L. 2018, ch. 47, art. 13, § 2; P.L. 2019, ch. 88, art. 13, § 6; P.L. 2021, ch. 162, art. 12, § 3, effective July 1, 2021; P.L. 2022, ch. 231, art. 12, § 3, effective July 1, 2022; P.L. 2023, ch. 79, art. 9, § 5, effective June 16, 2023; P.L. 2024, ch. 117, art. 9, § 4, effective June 17, 2024; P.L. 2025, ch. 278, art. 8, § 5, effective June 29, 2025.