The bill addresses the workforce crisis among pediatric healthcare providers in Rhode Island, which is impacting access to healthcare for children. It mandates the executive office of health and human services to pursue a Medicaid state plan amendment and allocate sufficient state general revenue to increase Medicaid payment rates to 130% of Medicare rates for all payment codes for outpatient clinical services rendered to patients under 19 years old by October 1, 2025. This increase is intended to ensure that pediatric providers can adequately serve their current patient panels, recruit and retain necessary healthcare professionals, and address the projected shortfall due to retirements. The act will take effect upon passage.