The bill addresses a significant workforce crisis among pediatricians in Rhode Island, which is leading to decreased healthcare access for children. Findings indicate that less than 50% of pediatric primary care offices are accepting new patients, and a substantial number of pediatricians plan to retire in the coming years, exacerbating the shortage. The bill highlights the challenges posed by lower Medicaid payment rates for pediatric specialists compared to general pediatricians, which hinders recruitment efforts. It emphasizes the importance of investing in children's healthcare to improve long-term health outcomes and reduce future costs.

To combat this crisis, the bill proposes an amendment to Chapter 42-12.3 of the General Laws, introducing a new section that mandates the executive office of health and human services to pursue a Medicaid state plan amendment. This amendment aims to increase Medicaid payment rates to 130% of Medicare rates for outpatient clinical services provided to patients under 19 years old by October 1, 2025. The increased rates are intended to help pediatric providers adequately serve their current patient panels and attract new healthcare professionals, including pediatricians, specialists, and child psychiatrists, thereby addressing the workforce shortage and ensuring better access to pediatric healthcare in the state.