JOINT RESOLUTION TO AMEND THE MEDICAID SECTION 1115 DEMONSTRATION WAIVER REQUESTS AND RENEWALS -- RHODE ISLAND MEDICAID REFORM ACT OF 2008

This bill approves amendments to Rhode Island's Medicaid program under a federal waiver, directly affecting Medicaid beneficiaries and healthcare providers. It limits nursing facility and hospital rate increases to 2.3% (aligned with state tax revenue growth) for 2025-2026, eliminates annual home care rate increases, and removes hospital upper payment limits. The bill also establishes an interprofessional consultation program starting October 2025 and authorizes $396 million for hospital payments through Medicaid Managed Care Organizations. These changes require state plan amendments but must not increase overall program spending beyond the 2024-2025 budget. The resolution takes effect July 1, 2025.