This resolution addresses concerns regarding managed care organizations (MCOs) in Rhode Island, particularly their effectiveness in providing access to necessary specialists for individuals with disabilities, chronic diseases, or psychological trauma. It questions whether the managed care approach yields better savings, access, and outcomes compared to a potential state-managed fee-for-service program. Consequently, the resolution calls for an audit of Medicaid programs administered by MCOs to be overseen by the Auditor General, with findings to be reported to the Rhode Island House of Representatives and the Director of the Executive Office of Health and Human Services (EOHHS) within six months of the resolution's passage.

Furthermore, the resolution outlines steps to be taken if the audit suggests that a state-run fee-for-service Medicaid program would be more beneficial. It requests the development of a plan to transition to such a program within two years, setting requirements for MCOs to meet a medical loss ratio (MLR) of over 90% net of pharmacy benefit manager costs, to return excess capitation revenues if they do not meet the MLR, and to face penalties for contract non-compliance. The Secretary of State is directed to send certified copies of the resolution to the Office of the Auditor General and the EOHHS.