RI H7720

Healthcare entities with at least $10 million in assets or revenues must notify the Attorney General and Department of Health at least 180 days before any material change transaction, including mergers, acquisitions, joint ventures, real estate deals, or facility closures

Within 30 days of receiving complete notice, regulators must approve the transaction, approve with conditions, or designate it for comprehensive review if it may significantly affect competition, prices, quality, access, workforce, or health equity

Comprehensive reviews require public hearings and a Cost and Market Impact Review (CMIR) within 90 days, with transaction parties bearing the burden of proving the deal will not harm competition, increase costs, or reduce access and quality

Regulators may impose conditions on approved transactions including pricing requirements, service maintenance mandates, workforce protections, or divestiture, and may require ongoing post-transaction monitoring and reporting

Non-compliance with the act's requirements may result in civil penalties of $10,000 per day, and transaction parties must reimburse the state for all review costs including consultant and expert fees