RI S3091

Beginning January 1, 2027, the Office of the Health Insurance Commissioner must incorporate uncompensated care as a formula-driven numeric adjustment when establishing affordability standards or rate caps for hospital contracts.

The uncompensated care adjustment must be calculated separately from base rate caps (including those based on CPI, medical inflation, or economic growth) and applied uniformly as an additive adjustment above the base rate.

The adjustment cannot be used to reduce, offset, or modify the underlying rate cap methodology that was in effect as of January 1, 2026.

The commissioner must adopt rules establishing a transparent formula for calculating the statewide hospital uncompensated care adjustment, which must be updated annually.

Hospital uncompensated care will be defined pursuant to existing state law (§ 40-8.3-2) and converted into a single percentage adjustment applied uniformly to all hospital contracts.