This bill amends Section 42-7.2-16 of the General Laws to further reform the Medicaid system in Rhode Island. The executive office of health and human services, along with other departments, is authorized to design options that promote accountability, transparency, and healthy outcomes in the Medicaid program. The bill also outlines principles and goals for the reform, including empowering consumers to make cost-effective choices, promoting community-based care, and encouraging competition between healthcare providers. Additionally, the bill requires the executive office to submit an annual report on the administration and implementation of the Medicaid Section 1115 demonstration waiver. Lastly, the bill prohibits the executive office from entering into managed care organization contracts that allow managed care organizations to contract with pharmacy benefit managers.

In summary, this bill aims to reform the Medicaid system in Rhode Island by promoting accountability, transparency, and healthy outcomes. It also prohibits managed care organizations from contracting with pharmacy benefit managers.

Statutes affected:
581: 42-7.2-16