The resolution addresses the imbalance in Rhode Island's long-term care spending, which is currently skewed towards institutional care rather than home- and community-based services. It acknowledges the state's priority to shift spending towards community supports, noting that such a shift is in the best interests of residents, communities, the state budget, and the economy. The resolution also highlights the high cost of long-term skilled nursing facility stays to the state's Medicaid program and the better health and quality of life outcomes for older adults who live at home.

The resolution specifically references the success of the Hospital Care Transitions Initiative (HCTI), a program that helps high-risk older patients transition from hospital to home, avoiding prolonged stays in skilled nursing facilities. The HCTI program, which has been operational for three years, has engaged over 1,000 patients and supports around 50 discharges per month, with 75% of patients successfully returning home. To continue the operation of HCTI, the resolution proposes an appropriation of $250,000 from the state treasury for the fiscal year 2024-2025, with the expectation that these funds will be matched by federal Medicaid funds. The legislative council explains that this resolution would authorize the appropriation of the specified sum to HCTI.