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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.)
This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.
The plain English breakdown is still being put together. The official documents below are already here.
Introduced, referred to Senate Finance
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.)
S2097 2026 -- S 2097 ======== LC003824 ======== 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 LC003824 - Page 3 of 15 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 LC003824 - Page 4 of 15 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 LC003824 - Page 5 of 15 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 LC003824 - Page 6 of 15 1 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 LC003824 - Page 7 of 15 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. LC003824 - Page 8 of 15 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: LC003824 - Page 9 of 15 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 LC003824 - Page 10 of 15 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 LC003824 - Page 11 of 15 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 LC003824 - Page 12 of 15 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, LC003824 - Page 13 of 15 1 policies, and purposes of this chapter. 2 SECTION 4. This act shall take effect upon passage. ======== LC003824 ======== LC003824 - Page 14 of 15 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. ======== LC003824 ======== LC003824 - Page 15 of 15