Senate Bill #898 (2021)

AN ACT RELATING TO HUMAN SERVICES -- RHODE ISLAND PATHWAYS PROJECT

Requires the executive office of health and human services (EOHHS) to conduct a study to assess the impact of using Medicaid funds to provide coverage for the treatment of the chronically homeless.

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Changes since original draft

  • 2021 – S 0898
  • 2021 – S 0898 SUBSTITUTE A
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  • LC002839
  • LC002839/SUB A
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  • S T A T E O F R H O D E I S L A N D
  • IN GENERAL ASSEMBLY
  • JANUARY SESSION, A.D. 2021
  • ____________
  • A N A C T
  • RELATING TO HUMAN SERVICES – RHODE ISLAND PATHWAYS PROJECT
  • Introduced By: Senators Miller, Kallman, Sosnowski, Quezada, Valverde, DiMario, and
  • Goodwin
  • Date Introduced: May 14, 2021
  • Referred To: Senate Health & Human Services
  • It is enacted by the General Assembly as follows:
  • SECTION 1. Title 40 of the General Laws entitled "HUMAN SERVICES" is hereby amended by adding thereto the following chapter:
  • CHAPTER 23
  • RHODE ISLAND PATHWAYS PROJECT
  • 40-23-1. Short title.
  • This chapter shall be known and may be cited as the "Rhode Island pathways project."
  • 40-23-2. Definitions.
  • (a) For the purposes of this section, and consistent with 42 U.S.C. § 11360(2) et seq., "chronicallyhomeless" means, withrespect to anindividual orfamily, that theindividual orfamily:
  • (a) For the purposes of this chapter, and consistent with 42 U.S.C. § 11360(2) et seq., "chronicallyhomeless" means, withrespect to anindividual orfamily, that theindividual orfamily:
  • (1) Is homeless and lives or residesin a place not meant for human habitation, a safehaven, or in an emergency shelter;
  • (2) Has been homeless and living or residing in a place not meant for human habitation, a safe haven, or in an emergency shelter continuously for at least one year or on at least four (4) separate occasions in the last three (3) years; and
  • (3) Has an adult head of household (or a minor head of household if no adult is present in the household) with a diagnosable substance use disorder, serious mental illness, developmental disability, post-traumatic stress disorder, cognitive impairments resulting from a brain injury, or chronic physical illness or disability, including the co-occurrence of two (2) or more of those conditions.
  • (b) A person who currently lives or resides in an institutional care facility, including a jail, substanceabuseormental healthtreatmentfacility,hospitalorothersimilarfacility,andhasresided there for fewer than ninety (90) days shall be considered chronically homeless if such person met all oftherequirementsdescribedinsubsections(a)(1)through(a)(3)ofthissectionpriortoentering that facility.
  • 40-23-3. Purpose.
  • The purpose of this chapter is to require the executive office of health and human services (EOHHS) to conduct a study to assess the impact of using Medicaid funds to provide coverage for the treatment for homelessness.
  • 40-23-4. Establishment of the Rhode Island pathways project pilot study.
  • (a) EOHHS shall conduct a study to assess the impact of using Medicaid funds to provide coverage for the treatment for homelessness, including the costs to provide coverage for the chronically homeless population in the state; provided, that for the purposes of this chapter, "treatment" or "treatment for homelessness" includes:
  • (1) Behavioral health services, including mental health and substance abuse services;
  • (2) Case management;
  • (3) Personal care and personal assistance services;
  • (4) Home and community-based services; and
  • (5) Housing support services.
  • (b) EOHHS shall submit findings and recommendations, including any proposed legislation, to the general assembly no later than January 1, 2022.
  • 40-23-5. Duties and responsibilities.
  • (a) The executive office of health and human services (EOHHS) will utilize any current Medicaid waiver funds to provide coverage for supportive housing for the chronically homeless population in the state.
  • (b) In planning for the expansion of supportive housing services provided through Medicaid managed care plans, EOHHS shall consider the following:
  • (1) Benefit eligibility, including criteria related to:
  • (i) Health conditions;
  • (b) A person who currently lives or resides in an institutional care facility, including a jail, substanceabuseormental healthtreatmentfacility,hospitalorothersimilarfacility,andhasresided there for fewer than ninety (90) days shall be considered chronically homeless if such person met all oftherequirementsdescribedinsubsections(a)(1)through(a)(3)ofthissectionpriortoentering that facility.
  • (c) For purposes of this chapter, "Medicaid-expansion population" means any individual who became newly eligible to receive Medicaid-funded health coverage as of January 1, 2014 as defined under the federal Social Security Act, 1902(a)(10)(A)(i)(VIII), and enrolled in such Medicaid-funded health coverage.
  • 40-23-3. Purpose.
  • The purpose of this chapter is to require the executive office of health and human services (EOHHS) to conduct a study to assess the impact of using Medicaid funds to provide coverage for the treatment of underlying conditions that contribute to homelessness.
  • 40-23-4. Establishment of the Rhode Island pathways project pilot study.
  • (a) EOHHS shall conduct a study to assess the impact of using Medicaid funds to provide coverage for the treatment of underlying conditions that contribute to homelessness, including the costs to provide coverage for the chronically homeless population in the state; provided, that for the purposes of this chapter, "treatment" or "treatment of underlying conditions that contribute to homelessness" includes:
  • (1) Behavioral health services, including mental health and substance abuse services;
  • (2) Case management;
  • (3) Personal care and personal assistance services;
  • (4) Home and community-based services; and
  • (5) Housing support services, including rental payment assistance.
  • (b) EOHHS shall submit findings and recommendations, including any proposed legislation, to the general assembly no later than January 1, 2022.
  • 40-23-5. Duties and responsibilities.
  • (a) The executive office of health and human services (EOHHS) will have the authority to utilize Medicaid waiver funds to provide coverage for supportive housing for the chronically homeless population in the state.
  • (b) In planning for the expansion of supportive housing services provided through Medicaid managed care plans, EOHHS shall consider the following:
  • (1) Benefit eligibility, including criteria related to:
  • (i) Health conditions;
  • (ii) Housing status; and
  • (iii) Current or potential system costs;
  • (2) Supportive housing services including, but not limited to:
  • (i) Outreach and engagement;
  • (ii) Housing search assistance;
  • (iii) Tenancy rights and responsibilities education;
  • (iv) Eviction prevention;
  • (v) Service plan development;
  • (vi) Coordination with primary care and health homes;
  • (vii) Coordination with substance use treatment providers;
  • (viii) Coordination with mental health providers;
  • (ix) Coordination of vision and dental providers;
  • (x) Coordination with hospitals and emergency departments;
  • (xi) Crisis intervention and critical time intervention;
  • (xii) Independent living skills coaching; and
  • (xiii) Linkages to education, job skills training, and employment;
  • (3) Pursuant to § 40-8-17, EOHHS is directed and authorized to apply for and obtain any necessary waiver(s), waiver amendment(s) and/or state plan amendment(s) from the Secretary of the United States Department of Health and Human Services, that will ensure that individuals who are homeless have access to housing and supportive housing services;
  • (v) Rental payment assistance;
  • (vi) Service plan development;
  • (vii) Coordination with primary care and health homes;
  • (viii) Coordination with substance use treatment providers;
  • (ix) Coordination with mental health providers;
  • (x) Coordination of vision and dental providers;
  • (xi) Coordination with hospitals and emergency departments;
  • (xii) Crisis intervention and critical time intervention;
  • (xiii) Independent living skills coaching; and
  • (xiv) Linkages to education, job skills training, and employment;
  • (3) Pursuant to § 40-8-17, EOHHS is directed and authorized to apply for and obtain any necessary waiver(s), waiver amendment(s) and/or state plan amendment(s) from the Secretary of the United States Department of Health and Human Services, that will ensure that individuals who are chronically homeless have access to housing and supportive housing services;
  • (4) Financing and reinvestment strategies, including:
  • (i) Health care costs and housing status of current Medicaid beneficiaries;
  • (ii) The degree to which accurate and up-to-date information on housing status is available for current Medicaid beneficiaries;
  • (i) Health care costs and housing status of current Medicaid-funded populations;
  • (ii) The degree to which accurate and up-to-date information on housing status is available for current Medicaid-funded populations;
  • (iii) Health care costs of current residents of supportive housing;
  • (iv) Health care costs of the Medicaid-expansion population;
  • (v) Potential impact on costs to other systems, such as jails, long-term care, and treatment facilities;
  • (vi) Affordable housinginvestmentsthat can beleveraged tocreate new units of supportive housing; and
  • (vii) Amount of flexible service dollars available to cover the costs that Medicaid cannot; and
  • (5) Administration of the benefit, including:
  • (i) The role of managed care;
  • (ii) The role of supportive housing service providers; and
  • (iii) Coordination with existing and emerging systems.
  • (c) EOHHS shall submit a report to the legislature regarding the status of its efforts, including any proposed legislation, no later than January 1, 2022. The report shall include:
  • (1) The status of proposed amendment(s) to expand Medicaid waivers pursuant to § 40-8- 17;
  • (i) The role of managed care;
  • (ii) The role of supportive housing service providers; and
  • (iii) Coordination with existing and emerging systems.
  • (c) EOHHS shall submit a report to the legislature regarding the status of its efforts, including any proposed legislation, no later than January 1, 2022. The report shall include:
  • (1) The status of proposed amendment(s) to expand Medicaid waivers pursuant to § 40-8- 17;
  • (2) A description of housing and/or supportive housing services currently being provided to the chronically homeless population in the state;
  • (3) An analysis of the effectiveness of providing housing and/or supportive housing services at current levels in the state;
  • (4) Estimates of the cost and potential savings of expanding the program(s) to meet the needs of the chronically homeless in the state; and
  • (5) Proposed eligibility criteria to qualify for supportive housing services.
  • SECTION 2. This act shall take effect upon passage. ======== LC002839 ========
  • SECTION 2. This act shall take effect upon passage.
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  • LC002839/SUB A
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  • EXPLANATION
  • BY THE LEGISLATIVE COUNCIL
  • OF
  • A N A C T
  • A N A C T
  • RELATING TO HUMAN SERVICES – RHODE ISLAND PATHWAYS PROJECT
  • ***
  • ***
  • This act would require the executive office of health and human services (EOHHS) to conduct a study to assess the impact of using Medicaid funds to provide coverage for the treatment of the chronically homeless.
  • This act would take effect upon passage. ======== LC002839 ========
  • This act would take effect upon passage. ======== LC002839/SUB A ========

Votes

NOTE: Electronic voting records are unofficial and may not be accurate. For an official vote tally, check the House or Senate Journal from the day of the vote.

Floor vote for Passage

June 06, 2019 at 4:57pm
Yeas: 36 / Nays: 0 / Not voting: 2 / Recused: 0
Legislator Vote
Sen. Algiere Y
Sen. Archambault Y
Sen. Bell Y
Sen. Cano Y
Sen. Ciccone NV
Sen. Conley Y
Sen. Coyne Y
Sen. Crowley Y
Sen. Cruz Y
Sen. DiPalma Y
Sen. Euer Y
Sen. Felag Y
Sen. Gallo Y
Sen. Goldin Y
Sen. Goodwin Y
Sen. Lawson Y
Sen. Lombardi Y
Sen. Lombardo Y
Sen. Lynch Prata Y
Sen. McCaffrey Y
Sen. McKenney Y
Sen. Metts Y
Sen. Miller Y
Sen. Morgan Y
Sen. Murray Y
Sen. Nesselbush Y
Sen. Paolino Y
Sen. Pearson Y
Sen. Picard NV
Sen. Quezada Y
Sen. Raptakis Y
Sen. Rogers Y
Sen. Ruggerio Y
Sen. Satchell Y
Sen. Seveney Y
Sen. Sheehan Y
Sen. Sosnowski Y
Sen. Valverde Y

Floor vote for PASSAGE IN CONCURRENCE

June 20, 2019 at 5:40pm
Yeas: 73 / Nays: 0 / Not voting: 2 / Recused: 0
Legislator Vote
Rep. Abney Y
Rep. Ackerman Y
Rep. Ajello Y
Rep. Almeida Y
Rep. Alzate Y
Rep. Amore Y
Rep. Azzinaro Y
Rep. Barros Y
Rep. Bennett Y
Rep. Blazejewski Y
Rep. Caldwell Y
Rep. Canario Y
Rep. Carson Y
Rep. Casey Y
Rep. Casimiro Y
Rep. Cassar Y
Rep. Chippendale Y
Rep. Cortvriend Y
Rep. Corvese Y
Rep. Costantino Y
Rep. Craven Y
Rep. Diaz Y
Rep. Donovan Y
Rep. Edwards Y
Rep. Fellela Y
Rep. Filippi Y
Rep. Fogarty Y
Rep. Handy Y
Rep. Hawkins Y
Rep. Hull Y
Rep. Jackson Y
Rep. Jacquard Y
Rep. Johnston Y
Rep. Kazarian Y
Rep. Kennedy Y
Rep. Kislak Y
Rep. Knight Y
Rep. Lima Y
Rep. Lombardi Y
Rep. Lyle Y
Rep. Maldonado Y
Rep. Marszalkowski Y
Rep. Mattiello Y
Rep. McEntee Y
Rep. McKiernan Y
Rep. McLaughlin Y
Rep. McNamara Y
Rep. Mendez Y
Rep. Messier Y
Rep. Millea Y
Rep. Morin Y
Rep. Nardone Y
Rep. Newberry Y
Rep. Noret Y
Rep. O'Brien Y
Rep. Phillips Y
Rep. Place Y
Rep. Price Y
Rep. Quattrocchi Y
Rep. Ranglin-Vassell Y
Rep. Roberts Y
Rep. Ruggiero Y
Rep. Serodio Y
Rep. Serpa Y
Rep. Shanley Y
Rep. Shekarchi Y
Rep. Slater Y
Rep. Solomon Y
Rep. Speakman Y
Rep. Tanzi NV
Rep. Tobon Y
Rep. Ucci NV
Rep. Vella-Wilkinson Y
Rep. Walsh Y
Rep. Williams Y