The resolution seeks legislative approval for amendments to the Rhode Island Medicaid Reform Act of 2008, specifically regarding the Medicaid section 1115 demonstration waiver requests and renewals. It outlines several proposals aimed at aligning Medicaid service rate increases with anticipated state revenue growth, which is estimated at 2.3 percent for Fiscal Year 2025-2026. Key proposals include limiting rate increases for nursing facilities and inpatient/outpatient hospital services, eliminating annual rate increases for home care services, and establishing an interprofessional consultation program in Medicaid. Additionally, the resolution authorizes the executive office of health and human services to pursue federal financing opportunities and make necessary amendments to regulations for Medicaid Managed Care Organizations.

The resolution emphasizes the importance of maintaining a cost-effective and sustainable system of care while ensuring that any changes do not adversely impact beneficiaries or exceed the appropriated budget for Fiscal Year 2024-2025. It grants the secretary of the executive office of health and human services the authority to implement the approved amendments and changes to rules and regulations as needed. The resolution is set to take effect on July 1, 2025.