The bill establishes a joint commission consisting of twenty-seven members tasked with studying ways to maximize revenue for child welfare and children's behavioral health services in Rhode Island. The commission will focus on the goals, scope, and implementation of the Medicaid transformation project, as well as opportunities to maximize and better coordinate federal funding in support of children's services, behavioral health, and family-serving systems across state agencies. It will also evaluate the impact of Medicaid policy changes on children's behavioral health services, child welfare-related services, community-based providers, and family support and prevention services.

The commission is required to identify all federal funding sources supporting Medicaid and related services, assess opportunities to maximize federal revenue, improve cross-agency coordination of federal funds, reduce fragmentation or duplication, and evaluate barriers to accessing or drawing down federal funds for children's behavioral health and family-serving systems. Additionally, the commission will solicit public input through at least two public hearings and consider testimony from stakeholders not represented on the commission.

The commission must issue an interim report to the General Assembly no later than January 15, 2027, summarizing preliminary findings, and a final report no later than June 30, 2027, which will include findings and analysis, recommendations for statutory changes, budgetary and fiscal recommendations, and administrative or policy recommendations to maximize federal revenue and protect the continuum of care. The executive office of health and human services will provide staff support and data access as requested by the commission, and members of the commission will serve without compensation.