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RI H7693
Bill
Status
2/11/2026
Primary Sponsor
Teresa Tanzi
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AI Summary
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Requires the Executive Office of Health and Human Services to increase Medicaid payment rates to 130% of Medicare rates for all outpatient clinical services provided to patients under 19 years old by October 1, 2026
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Mandates a Medicaid state plan amendment and allocation of sufficient state general revenue to fund the rate increase
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Addresses pediatric workforce crisis where less than 50% of pediatric primary care offices are accepting new patients and a projected net loss of 40-45 providers is expected by 2030
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Targets recruitment and retention of pediatricians, pediatric specialists, child psychiatrists, family medicine physicians, nurse practitioners, and physician assistants
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Responds to Rhode Island Medicaid rates being approximately 25% lower than Massachusetts and Connecticut, while 54% of children ages 0-18 in the state rely on Medicaid coverage
Legislative Description
Requires the EOHHS to amend the state Medicaid plan and secure sufficient state general revenue to increase Medicaid payment rates to an amount equal to one hundred thirty percent (130%) of Medicare rates for outpatient clinical pediatric services.
State Affairs And Government
Last Action
Introduced, referred to House Finance
2/11/2026