The proposed bill, titled the "Rhode Island Medicaid Eligibility Determination Act," aims to amend Title 40 of the General Laws concerning human services by establishing a new chapter dedicated to Medicaid eligibility determination. Key provisions include defining eligibility criteria based solely on state-controlled data sources, such as SWICA and PARIS, while explicitly prohibiting the use of private entity data in the eligibility determination process. Any termination decisions made using private entity data would be deemed invalid, and individuals terminated under such circumstances would be retroactively reinstated within ten days unless a correct termination decision is made using only state data.

Additionally, the bill mandates that all Medicaid terminations must be made by human employees of the executive office of health and human services or the department of human services, disallowing automated terminations. It specifies that if an employee has made more than fifty termination decisions on the day of a decision, that termination would also be invalid. The burden of proof would lie with the state to demonstrate that any termination recommended by a computer program was independently reviewed by an employee. This act would take effect upon passage.