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S2097 • 2026

AN ACT RELATING TO PUBLIC FINANCE -- STATE FUNDS (Requires quarterly financial reporting to the executive office of health and human services beginning on October 1, 2026.)

AN ACT RELATING TO PUBLIC FINANCE -- STATE FUNDS (Requires quarterly financial reporting to the executive office of health and human services beginning on October 1, 2026.)

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Acosta, DiPalma, DiMario, Vargas, Felag, Zurier, Valverde, Thompson, Quezada, Murray
Last action
2026-01-16
Official status
Introduced, referred to Senate Finance
Effective date
Not listed

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

  1. 2026-01-16 Rhode Island General Assembly

    Introduced, referred to Senate Finance

Official Summary Text

AN ACT RELATING TO PUBLIC FINANCE -- STATE FUNDS (Requires quarterly financial reporting to the executive office of health and human services beginning on October 1, 2026.)

Current Bill Text

Read the full stored bill text
S2097

2026 -- S 2097
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LC003824
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STATE OF RHODE ISLAND
IN GENERAL ASSEMBLY
JANUARY SESSION, A.D. 2026
____________
A N A C T
RELATING TO PUBLIC FINANCE -- STATE FUNDS

Introduced By:
Senators Acosta, DiPalma, DiMario, Vargas, Felag, Zurier, Valverde,
Thompson, Quezada, and Murray

Date Introduced:
January 16, 2026

Referred To:
Senate Finance
It is enacted by the General Assembly as follows:
1
SECTION 1. Section 35-4-27 of the General Laws in Chapter 35-4 entitled "State Funds"
2
is hereby amended to read as follows:
3

35-4-27. Indirect cost recoveries on restricted receipt accounts.
4
Indirect cost recoveries of fifteen percent (15%) of cash receipts shall be transferred from
5
all restricted receipt accounts, to be recorded as general revenues in the general fund. However,
6
there shall be no transfer from cash receipts with restrictions received exclusively: (1) From
7
contributions from nonprofit charitable organizations; (2) From the assessment of indirect cost-
8
recovery rates on federal grant funds; or (3) Through transfers from state agencies to the department
9
of administration for the payment of debt service. These indirect cost recoveries shall be applied to
10
all accounts, unless prohibited by federal law or regulation, court order, or court settlement. The
11
following restricted receipt accounts shall not be subject to the provisions of this section:
12
Executive Office of Health and Human Services
13
HIV Care Grant Drug Rebates
14
Health System Transformation Project
15

Health Care Entity Fiscal Integrity, Transparency and Accountability Act
16
Rhode Island Statewide Opioid Abatement Account
17
HCBS Support-ARPA
18
HCBS Admin Support-ARPA
19
Department of Human Services

1
Organ Transplant Fund
2
Veterans’ home — Restricted account
3
Veterans’ home — Resident benefits
4
Pharmaceutical Rebates Account
5
Demand Side Management Grants
6
Veteran’s Cemetery Memorial Fund
7
Donations — New Veterans’ Home Construction
8
Commodity Supplemental Food Program-Claims
9
Department of Health
10
Pandemic medications and equipment account
11
Miscellaneous Donations/Grants from Non-Profits
12
State Loan Repayment Match
13
Healthcare Information Technology
14
Department of Behavioral Healthcare, Developmental Disabilities and Hospitals
15
Eleanor Slater non-Medicaid third-party payor account
16
Hospital Medicare Part D Receipts
17
RICLAS Group Home Operations
18
Group Home Facility Improvement Fund
19
Commission on the Deaf and Hard of Hearing
20
Emergency and public communication access account
21
Department of Environmental Management
22
National heritage revolving fund
23
Environmental response fund II
24
Underground storage tanks registration fees
25
De Coppet Estate Fund
26
Rhode Island Historical Preservation and Heritage Commission
27
Historic preservation revolving loan fund
28
Historic Preservation loan fund — Interest revenue
29
Department of Public Safety
30
E-911 Uniform Emergency Telephone System
31
Forfeited property — Retained
32
Forfeitures — Federal
33
Forfeited property — Gambling
34
Donation — Polygraph and Law Enforcement Training

LC003824 - Page 2 of 15
1
Rhode Island State Firefighter’s League Training Account
2
Fire Academy Training Fees Account
3
Attorney General
4
Forfeiture of property
5
Federal forfeitures
6
Attorney General multi-state account
7
Forfeited property — Gambling
8
Department of Administration
9
Health Insurance Market Integrity Fund
10
RI Health Benefits Exchange
11
Information Technology restricted receipt account
12
Restore and replacement — Insurance coverage
13
Convention Center Authority rental payments
14
Investment Receipts — TANS
15
OPEB System Restricted Receipt Account
16
Grants Management Administration
17
Office of Energy Resources
18
OER Reconciliation Funding
19
RGGI Executive Climate Change Coordinating Council Projects
20
Electric Vehicle Charging Stations Operating and Maintenance Account
21
Clean Transportation Programs
22
Department of Housing
23
Housing Resources and Homelessness Restricted Receipt Account
24
Housing Production Fund
25
Low-Income Housing Tax Credit Fund
26
Department of Revenue
27
Car Rental Tax/Surcharge-Warwick Share
28
DMV Modernization Project
29
Jobs Tax Credit Redemption Fund
30
Legislature
31
Audit of federal assisted programs
32
Department of Children, Youth and Families
33
Children’s Trust Accounts — SSI
34
Military Staff

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1
RI Military Family Relief Fund
2
RI National Guard Counterdrug Program
3
Treasury
4
Admin. Expenses — State Retirement System
5
Retirement — Treasury Investment Options
6
Defined Contribution — Administration - RR
7
Violent Crimes Compensation — Refunds
8
Treasury Research Fellowship
9
Business Regulation
10
Banking Division Reimbursement Account
11
Office of the Health Insurance Commissioner Reimbursement Account
12
Securities Division Reimbursement Account
13
Commercial Licensing and Racing and Athletics Division Reimbursement Account
14
Insurance Division Reimbursement Account
15
Historic Preservation Tax Credit Account
16
Rhode Island Cannabis Control Commission
17
Marijuana Trust Fund
18
Social Equity Assistance Fund
19
Judiciary
20
Arbitration Fund Restricted Receipt Account
21
Third-Party Grants
22
RI Judiciary Technology Surcharge Account
23
Department of Elementary and Secondary Education
24
Statewide Student Transportation Services Account
25
School for the Deaf Fee-for-Service Account
26
School for the Deaf — School Breakfast and Lunch Program
27
Davies Career and Technical School Local Education Aid Account
28
Davies — National School Breakfast & Lunch Program
29
School Construction Services
30
Office of the Postsecondary Commissioner
31
Tuition Savings Program Fund
32
Higher Education and Industry Center
33
IGT STEM Scholarships
34
Department of Labor and Training

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1
Job Development Fund
2
Contractor Training Restricted Receipt Account
3
Workers’ Compensation Administrative Account
4
Rhode Island Council on the Arts
5
Governors’ Portrait Donation Fund
6
Statewide records management system account
7
SECTION 2. Section 42-7.2-5 of the General Laws in Chapter 42-7.2 entitled "Office of
8
Health and Human Services" is hereby amended to read as follows:
9

42-7.2-5. Duties of the secretary.
10
The secretary shall be subject to the direction and supervision of the governor for the
11
oversight, coordination, and cohesive direction of state-administered health and human services
12
and in ensuring the laws are faithfully executed, notwithstanding any law to the contrary. In this
13
capacity, the secretary of the executive office of health and human services (EOHHS) shall be
14
authorized to:
15
(1)
Coordinate

Oversee and direct
the administration and financing of healthcare benefits,
16
human services,
systems of care,
and programs including those authorized by the state’s Medicaid
17
section 1115 demonstration waiver and, as applicable, the Medicaid state plan under Title XIX of
18
the U.S. Social Security Act. However,
except as explicitly set forth herein,
nothing in this section
19
shall be construed as transferring to the secretary the powers, duties, or functions conferred upon
20
the departments by Rhode Island public and general laws for the administration of federal/state
21
programs financed in whole or in part with Medicaid funds or the administrative responsibility for
22
the preparation and submission of any state plans, state plan amendments, or authorized federal
23
waiver applications, once approved by the secretary.
24
(2) Serve as the governor’s chief advisor and liaison to federal policymakers on Medicaid
25
reform issues as well as the principal point of contact in the state on any such related matters.
26
(3)(i) Review and ensure the coordination of the state’s Medicaid section 1115
27
demonstration waiver requests and renewals as well as any initiatives and proposals requiring
28
amendments to the Medicaid state plan or formal amendment changes, as described in the special
29
terms and conditions of the state’s Medicaid section 1115 demonstration waiver with the potential
30
to affect the scope, amount, or duration of publicly funded healthcare services, provider payments
31
or reimbursements, or access to or the availability of benefits and services as provided by Rhode
32
Island general and public laws. The secretary shall consider whether any such changes are legally
33
and fiscally sound and consistent with the state’s policy and budget priorities. The secretary shall
34
also assess whether a proposed change is capable of obtaining the necessary approvals from federal

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1
officials and achieving the expected positive consumer outcomes. Department directors shall,
2
within the timelines specified, provide any information and resources the secretary deems necessary
3
in order to perform the reviews authorized in this section.
4
(ii) Direct the development and implementation of any Medicaid policies, procedures, or
5
systems that may be required to assure successful operation of the state’s health and human services
6
integrated eligibility system and coordination with HealthSource RI, the state’s health insurance
7
marketplace.
8
(iii) Beginning in 2015, conduct on a biennial basis a comprehensive review of the
9
Medicaid eligibility criteria for one or more of the populations covered under the state plan or a
10
waiver to ensure consistency with federal and state laws and policies, coordinate and align systems,
11
and identify areas for improving quality assurance, fair and equitable access to services, and
12
opportunities for additional financial participation.
13
(iv) Implement service organization and delivery reforms that facilitate service integration,
14
increase value, and improve quality and health outcomes.
15
(4) Beginning in 2020, prepare and submit to the governor, the chairpersons of the house
16
and senate finance committees, the caseload estimating conference, and to the joint legislative
17
committee for health-care oversight, by no later than September 15 of each year, a comprehensive
18
overview of all Medicaid expenditures outcomes, administrative costs, and utilization rates. The
19
overview shall include, but not be limited to, the following information:
20
(i) Expenditures under Titles XIX and XXI of the Social Security Act, as amended;
21
(ii) Expenditures, outcomes, and utilization rates by population and sub-population served
22
(e.g., families with children, persons with disabilities, children in foster care, children receiving
23
adoption assistance, adults ages nineteen (19) to sixty-four (64), and elders);
24
(iii) Expenditures, outcomes, and utilization rates by each state department or other
25
municipal or public entity receiving federal reimbursement under Titles XIX and XXI of the Social
26
Security Act, as amended;
27
(iv) Expenditures, outcomes, and utilization rates by type of service and/or service
28
provider;
29
(v) Expenditures by mandatory population receiving mandatory services and, reported
30
separately, optional services, as well as optional populations receiving mandatory services and,
31
reported separately, optional services for each state agency receiving Title XIX and XXI funds; and
32
(vi) Information submitted to the Centers for Medicare & Medicaid Services for the
33
mandatory annual state reporting of the Core Set of Children’s Health Care Quality Measures for
34
Medicaid and Children’s Health Insurance Program, behavioral health measures on the Core Set of

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Adult Health Care Quality Measures for Medicaid and the Core Sets of Health Home Quality
2
Measures for Medicaid to ensure compliance with the Bipartisan Budget Act of 2018, Pub. L. No.
3
115-123.
4
The directors of the departments, as well as local governments and school departments,
5
shall assist and cooperate with the secretary in fulfilling this responsibility by providing whatever
6
resources, information, and support shall be necessary.
7
(5) Resolve administrative, jurisdictional, operational, program, or policy conflicts among
8
departments and their executive staffs and make necessary recommendations to the governor.
9
(6) Ensure continued progress toward improving the quality, the economy, the
10
accountability, and the efficiency of state-administered health and human services. In this capacity,
11
the secretary shall:
12
(i) Direct implementation of reforms in the human resources practices of the executive
13
office and the departments that streamline and upgrade services, achieve greater economies of scale
14
and establish the coordinated system of the staff education, cross-training, and career development
15
services necessary to recruit and retain a highly-skilled, responsive, and engaged health and human
16
services workforce;
17
(ii) Encourage EOHHS-wide consumer-centered approaches to service design and delivery
18
that expand their capacity to respond efficiently and responsibly to the diverse and changing needs
19
of the people and communities they serve;
20
(iii) Develop all opportunities to maximize resources by leveraging the state’s purchasing
21
power, centralizing fiscal service functions related to budget, finance, and procurement,
22
centralizing communication, policy analysis and planning, and information systems and data
23
management, pursuing alternative funding sources through grants, awards, and partnerships and
24
securing all available federal financial participation for programs and services provided EOHHS-
25
wide;
26
(iv) Improve the coordination and efficiency of health and human services legal functions
27
by centralizing adjudicative and legal services and overseeing their timely and judicious
28
administration;
29
(v) Facilitate the rebalancing of the long-term system by creating an assessment and
30
coordination organization or unit for the expressed purpose of developing and implementing
31
procedures EOHHS-wide that ensure that the appropriate publicly funded health services are
32
provided at the right time and in the most appropriate and least restrictive setting;
33
(vi) Strengthen health and human services program integrity, quality control and
34
collections, and recovery activities by consolidating functions within the office in a single unit that

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1
ensures all affected parties pay their fair share of the cost of services and are aware of alternative
2
financing;
3
(vii) Assure protective services are available to vulnerable elders and adults with
4
developmental and other disabilities by reorganizing existing services, establishing new services
5
where gaps exist, and centralizing administrative responsibility for oversight of all related
6
initiatives and programs.
7
(7) Prepare and integrate comprehensive budgets for the health and human services
8
departments and any other functions and duties assigned to the office. The budgets shall be
9
submitted to the state budget office by the secretary, for consideration by the governor, on behalf
10
of the state’s health and human services agencies in accordance with the provisions set forth in §
11
35-3-4.
12
(8) Utilize objective data to evaluate health and human services policy goals, resource use
13
and outcome evaluation and to perform short and long-term policy planning and development.
14
(9) Establish an integrated approach to interdepartmental information and data
15
management that complements and furthers the goals of the unified health infrastructure project
16
initiative and that will facilitate the transition to a consumer-centered integrated system of state-
17
administered health and human services.
18
(10) At the direction of the governor or the general assembly, conduct independent reviews
19
of state-administered health and human services programs, policies, and related agency actions and
20
activities and assist the department directors in identifying strategies to address any issues or areas
21
of concern that may emerge thereof. The department directors shall provide any information and
22
assistance deemed necessary by the secretary when undertaking such independent reviews.
23
(11) Provide regular and timely reports to the governor and make recommendations with
24
respect to the state’s health and human services agenda.
25
(12) Employ such personnel and contract for such consulting services as may be required
26
to perform the powers and duties lawfully conferred upon the secretary.
27
(13) Assume responsibility for complying with the provisions of any general or public law
28
or regulation related to the disclosure, confidentiality, and privacy of any information or records,
29
in the possession or under the control of the executive office or the departments assigned to the
30
executive office, that may be developed or acquired or transferred at the direction of the governor
31
or the secretary for purposes directly connected with the secretary’s duties set forth herein.
32
(14) Hold the director of each health and human services department accountable for their
33
administrative, fiscal, and program actions in the conduct of the respective powers and duties of
34
their agencies.

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1
(15) Identify opportunities for inclusion with the EOHHS’ October 1, 2023, budget
2
submission, to remove fixed eligibility thresholds for programs under its purview by establishing
3
sliding scale decreases in benefits commensurate with income increases up to four hundred fifty
4
percent (450%) of the federal poverty level. These shall include but not be limited to, medical
5
assistance, childcare assistance, and food assistance.
6
(16) Ensure that insurers minimize administrative burdens on providers that may delay
7
medically necessary care, including requiring that insurers do not impose a prior authorization
8
requirement for any admission, item, service, treatment, or procedure ordered by an in-network
9
primary care provider. Provided, the prohibition shall not be construed to prohibit prior
10
authorization requirements for prescription drugs. Provided further, that as used in this subsection
11
(16) of this section, the terms “insurer,” “primary care provider,” and “prior authorization” means
12
the same as those terms are defined in § 27-18.9-2.
13
(17) The secretary shall convene, in consultation with the governor, an advisory working
14
group to assist in the review and analysis of potential impacts of any adopted federal actions related
15
to Medicaid programs. The working group shall develop options for administrative action or
16
general assembly consideration that may be needed to address any federal funding changes that
17
impact Rhode Island’s Medicaid programs.
18
(i) The advisory working group may include, but not be limited to, the secretary of health
19
and human services, director of management and budget, and designees from the following: state
20
agencies, businesses, healthcare, public sector unions, and advocates.
21
(ii) As soon as practicable after the enactment federal budget for fiscal year 2026, but no
22
later than October 31, 2025, the advisory working group shall forward a report to the governor,
23
speaker of the house, and president of the senate containing the findings, recommendations and
24
options for consideration to become compliant with federal changes prior to the governor’s budget
25
submission pursuant to § 35-3-7.
26

(18) Promote fiscal integrity, transparency, and accountability in the state’s health care
27
system by implementing the provisions of chapter 7.5 of title 42.
28
SECTION 3. Title 42 of the General Laws entitled "STATE AFFAIRS AND
29
GOVERNMENT" is hereby amended by adding thereto the following chapter:
30
CHAPTER 7.5
31
HEALTH CARE ENTITY FISCAL INTEGRITY, TRANSPARENCY, AND
32
ACCOUNTABILITY
33

42-7.5-1. Definitions.

34

As used in this chapter:

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1

(1) Adverse change in financial condition” means material, negative changes in a nursing
2
facility’s financial condition that may include, but not be limited to, changes in financial position,
3
marginal financial status, cash flow or operation results, severe financial difficulties or other events
4
that could affect the delivery of essential care and services that initiate the provisions of § 23-17-
5
12.7.
6

(2) “Audited financial statement” means the complete set of financial statements of a health
7
care entity, including notes to the financial statements, which are subject to an independent audit
8
in accordance with generally accepted auditing standards that certain reporting covered entities are
9
required to submit to state and federal authorities. The quarterly reports required in this section
10
should be approved by the governing board of the reporting covered entity although they are a
11
supplement to and not a substitute for existing audited financial statement reporting requirements.
12

(3) “Assessment” means review of the financial reports submitted by reporting covered
13
entities for the purposes of identifying financial strengths, weaknesses, and risks, tracking
14
utilization and capacity, and initiating any authorized remedies or corrective actions deemed
15
necessary and appropriate to address financial risks in accordance with implementing regulations
16
promulgated by the secretary of EOHHS.
17

(4) “Bad debt” means loans or outstanding balances owed that are no longer deemed
18
recoverable and are journaled as uncollectible accounts.
19

(5) “Department” or “OFFICE” means the executive office of health and human services.
20

(6) “Financial risk” means the possibility of facing adverse financial and/or operational
21
consequences based on criteria established by regulations promulgated pursuant to this chapter by
22
the secretary of EOHHS.
23

(7) “Fiscal integrity” means a financial system that operates in a transparent, and
24
accountable way that promotes stability and solvency and in accordance with widely accepted
25
financial rules and standards.
26

(8) “Imminent financial jeopardy” means an assessment finding indicating that a reporting
27
covered entity is in financial distress that poses an immediate threat and significant likelihood of
28
financial insolvency, the ceasing of operations or admissions, the loss of licensure, accreditation,
29
or certification for third party reimbursement, and/or the reduction of access to health care services
30
to the extent that public health and safety may be adversely affected.
31

(9) “Parent organization” means an entity that has a controlling interest in one or more
32
subsidiary reporting covered entities.
33

(10) “Quarterly financial report” means detailed information about a reporting covered
34
entity’s finances prepared by the entity in accordance with a format and/or set of specific auditing

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1
principles to be determined by the secretary.
2

(11) “Reporting covered entity” means:
3

(i) Hospitals and their parent organizations licensed by the department of health and
4
actively operating under § 23-17-4 and the associated implementing regulations established in 216-
5
RICR-40-10-4; and
6

(ii) Federally qualified community health centers, hereinafter referred to as “FQHCs,”
7
licensed by the state as a type of “organized ambulatory facility” in accordance with § 23-17-10
8
and implementing regulations at 216-RICR40-10-3 and certified by the federal Centers for
9
Medicare and Medicaid and the executive office of health and human services.
10

(12) “Rhode Island code of regulations” or “RICR” means the online, uniform code
11
maintained by the secretary of state that provides access to all proposed and final regulations filed
12
by state agencies, boards, and commissions under the state's administrative procedures act to make
13
government more transparent, accessible, and efficient.
14

(13) “Secretary” means the secretary of the executive office of health and human services.
15

42-7.5-2. Quarterly reporting required.

16

(a) Beginning October 1, 2026, reporting covered entities are required to submit quarterly
17
financial reports including, but not limited to, balance sheet and income statement information
18
showing cash on hand, accounts payable and accounts receivable, gross and net patient revenues,
19
other income, operating costs by category, other expenses, investment income and non-patient
20
services revenues, assets, liabilities, and net surplus or profit margin, uninsured and bad debt costs,
21
and net charity care and any other information as may be required by the secretary.
22

The secretary shall consider ease of data collection, submission, and analysis from the
23
perspective of both the reporting covered entities and the EOHHS when selecting a report format
24
and shall pursue electronic formats to the full extent feasible.
25

(b) Reporting covered entities shall submit quarterly reports to the secretary no later than
26
sixty (60) business days after the end date of the preceding filing quarter. Quarters are as follows:
27
Q1: January 1– March 31; Q2: April 1–June 30; Q3: July 1–September 30; Q4: October 1–
28
December 31.
29

(c) Quarterly reports shall be signed by a reporting covered entity’s chief financial officer
30
or authorized financial signatory and include an attestation to the truthfulness and validity of the
31
information contained in the report at the time it was filed with the secretary.
32

(d) The quarterly reports shall be reviewed and provide the basis for an assessment and
33
analysis of each reporting covered entity’s financial status and capacity. The secretary shall develop
34
a process for conducting assessments and analyses of the reports in a systematic, objective, and

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1
timely manner that assures each reporting covered entity receives feedback of any noteworthy
2
findings at least thirty (30) days prior to the deadline for the next quarterly report submission. The
3
secretary may seek technical advice and support to assist in establishing this process and ensuring
4
that it leverages existing information technology to the full extent feasible, and utilizes available
5
objective data analytic tools. The secretary shall request that reporting covered entities provide
6
quarterly financial statements in a mutually agreed upon format until such time as a permanent
7
format is required.
8

42-7.5-3. Penalties for non-compliance – fines.

9

(a) A reporting covered entity that fails to submit a quarterly report on the date due without
10
good cause is subject to a fine of five hundred dollars ($500) per day for each business day the
11
report is past due. Good cause exceptions shall be defined in the regulations promulgated by the
12
secretary.
13

(b) Fines are to be paid to the secretary at the time the past due report is submitted to
14
EOHHS. The fines shall be deposited into a restricted receipt account created in subsection (c) of
15
this section.
16

(c) There is hereby created a restricted receipt account in the general fund housed within
17
the budget of EOHHS to be known as the “health care entity fiscal integrity, transparency and
18
accountability account” which shall be used to carry out the provisions, policies, and purposes of
19
this chapter. This account shall be exempt from the indirect cost recovery provisions of § 35-4-27.
20

42-7.5-4. Notification, remedies, and corrective actions.

21

(a) Each reporting covered entity shall be notified of the dates of receipt of the report and
22
completion of the assessment and analyses. Such notification shall include any findings which
23
require additional information from or actions by the reporting covered entity. Consistent with the
24
intent to ensure solvency of reporting covered entities, as an initial step upon finding financial risk
25
or significant financial jeopardy, EOHHS representatives shall meet with the reporting covered
26
entity’s leadership to identify and document strategies to address financial risks.
27

(b) If EOHHS makes a finding of financial risk or significant financial jeopardy, the notice
28
shall provide that the provisions of § 23-17-12.7 have been initiated and include any actions that
29
may be deemed necessary and appropriate in addition to, or in lieu of, the requirements herein. In
30
all other instances in which the assessment and analyses findings indicate that the financial status
31
of a reporting covered entity is at significant risk or poses imminent financial jeopardy, the
32
notification shall indicate:
33

(1) The range of corrective actions that the reporting health care entity is required to take,
34
the obligations of their owner(s)/operator(s) to cooperate, and any actions that may be imposed for

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1
failing to do so.
2

(2) The type of corrective action plan and follow-up reports the reporting covered entity is
3
required to submit to the secretary in response, associated due dates, and any additional
4
documentation that may be required.
5

(3) Any reporting covered entity that is required to provide an independent or other
6
additional analyses including forensic audits as part of a corrective action plan developed in
7
accordance with this chapter, is responsible for paying all associated costs. The secretary may use
8
the restricted receipt account to subsidize the costs of such analyses for a reporting covered entity
9
that has insufficient resources to pay all associated costs.
10

(4) Any fiscally sound necessary and appropriate actions the secretary and/or the health
11
and human services directors are authorized to take to mitigate the risk or imminent jeopardy and
12
secure health system stability and the corresponding obligations of the reporting covered entity;
13
and/or;
14

(5) In circumstances in which government action is deemed warranted and no authority for
15
such exists within the EOHHS or the health and human services departments, any recommendations
16
that will be made to the governor for the prompt resolution of any imminent risks identified.
17

42-7.5-5. Restrictions.

18

Nothing in this chapter obligates the secretary, the directors of the health and human
19
services departments, or any other state official to provide financial assistance to a reporting
20
covered entity identified as at serious financial risks even in instances in which the continued
21
viability of an entity is in immediate jeopardy.
22

42-7.5-6. Disclosure.

23

The secretary shall make available the findings from the required reports that is not
24
otherwise protected as confidential or deemed non-disclosable by federal or state law and
25
regulations.
26

42-7.5-7. Federal authorities and financing opportunities.

27

In addition to the fines collected as described in § 42-7.2.1-3, the secretary is authorized to
28
pursue additional funding including, but not limited to, authorized Medicaid Federal Match
29
opportunities, grants, and foundation awards to stabilize reporting covered entities in imminent
30
jeopardy and promote fiscal integrity, transparency and accountability in the state’s health care
31
system. Any additional funds received for the purposes of this chapter that are eligible shall be
32
deposited in the restricted receipt account established pursuant to § 42-7.2.1-3(c).
33

42-7.5-8. Rules and regulations.

34

The secretary is authorized to promulgate rules and regulations to carry out the provisions,

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1
policies, and purposes of this chapter.
2
SECTION 4. This act shall take effect upon passage.
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EXPLANATION
BY THE LEGISLATIVE COUNCIL
OF
A N A C T
RELATING TO PUBLIC FINANCE -- STATE FUNDS
***
1
This act would exempt the Health Care Entity Fiscal Integrity, Transparency and
2
Accountability Act from the requirement that indirect cost recoveries of fifteen percent (15%) of
3
funds from restricted receipt accounts be recorded as general revenues in the general fund. This act
4
would also require quarterly financial reporting to the executive office of health and human services
5
beginning on October 1, 2026.
6
This act would take effect upon passage.
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