The resolution acknowledges the difficulties faced by Rhode Islanders in accessing health care services due to high costs associated with insurance premiums, deductibles, and out-of-pocket expenses. It notes that individuals in the individual market pay higher cost-sharing than those in small or large group markets and that high cost-sharing can lead to decreased use of necessary medical services, adversely affecting vulnerable populations. The resolution also references a report by HealthSource RI (HSRI) highlighting increased out-of-pocket spending and the challenges faced by Rhode Islanders in paying medical bills. Additionally, it mentions the potential impact of the expiration of federal enhanced advance premium tax credits in December 2025, which could lead to unaffordable health insurance for many middle-income residents.

In response to these concerns, the resolution calls for HSRI to form a working group to study the affordability of coverage in the Rhode Island health insurance individual market and to design a state-based program to assist with affordability. The working group is to include a diverse range of stakeholders, including health care providers, consumers, advocacy organizations, and businesses. The group is tasked with considering mechanisms to address both monthly premiums and out-of-pocket costs, assessing the impact of the expiration of federal tax credits, and exploring potential funding mechanisms for the state-based affordability program. HSRI is requested to submit a report with the working group's recommendations to the Speaker of the House, the President of the Senate, and the Governor by January 31, 2025. Copies of the resolution are to be sent to relevant state departments and the Governor.