The resolution seeks legislative approval for amendments to the Rhode Island Medicaid program as outlined in the Rhode Island Medicaid Reform Act of 2008. It highlights the responsibilities of the secretary of the executive office of health and human services regarding the review and coordination of Medicaid waiver requests and state plan amendments. The proposed amendments aim to create a more cost-effective and sustainable system of care, including limiting rate increases for nursing facilities and hospitals to align with anticipated state revenue growth, eliminating annual rate increases for home care services, and establishing an interprofessional consultation program in Medicaid.

Additionally, the resolution authorizes the secretary to pursue necessary amendments to the Medicaid state plan and regulations to implement these changes, including the elimination of certain hospital payment limits and the establishment of directed managed care payments to hospitals. The total amount allocated for these payments in Fiscal Year 2025-2026 is set at $396 million. The resolution is set to take effect on July 1, 2025, pending approval from the General Assembly.