The bill amends Section 40-8.9-9 of the General Laws to establish a long-term-care rebalancing system reform goal. It mandates that, notwithstanding any law or regulation to the contrary, on and after January 1, 2026, the Medicaid reimbursement rate for Tier C services provided by assisted living residences licensed pursuant to the provisions of chapter 17.4 of title 23 shall be increased by thirteen percent (13%) over the rate in effect on December 31, 2025.

Additionally, the executive office of health and human services is tasked with applying for necessary waivers and amendments to implement this plan, which includes annual reporting on care distribution and waiting lists. The reform aims to promote person-centered care, individual choice, and access to supportive services in community settings, thereby reducing reliance on institutional care.

The bill also authorizes the executive office to develop tiered eligibility criteria for long-term-care services, consolidate existing home- and community-based services, and implement payment reforms to improve access and quality. It includes provisions for increasing wages for home-care workers, establishing a long-term-care-options counseling program, and creating a conflict-free case management network. The act will take effect upon passage.

Statutes affected:
6289: 40-8.9-9