The proposed bill, known as the "Rhode Island birthing center access, transparency, and financial accountability act of 2026," aims to enhance oversight and transparency regarding the closure or significant reduction of services at birthing centers in Rhode Island. It stipulates that no birthing center can be closed, relocated, or significantly reduced in capacity without prior written approval from the director of the department of health.

Key provisions of the bill include the requirement for a closure application to be submitted at least 180 days before any proposed changes. This application must include comprehensive financial disclosures, an access impact assessment, a patient transition plan, and a financial justification certified by a certified public accountant (CPA). The application will also be considered a public record and posted on the department of health's website.

The director of health is responsible for evaluating these applications and must deny any that do not meet the outlined criteria. Additionally, the bill mandates a public hearing within 60 days of receiving notice of the proposed closure or significant reduction, allowing community members to participate and offer testimony.

The bill imposes civil penalties for noncompliance, not to exceed $25,000 per violation, with each day of noncompliance constituting a separate violation. Furthermore, the department of health is required to adopt rules and regulations to implement and enforce the provisions of this act. Overall, the legislation seeks to ensure that any changes to birthing center operations are thoroughly reviewed and justified to protect maternal and newborn health.