SENATE RESOLUTION RESPECTFULLY REQUESTING THE EXECUTIVE OFFICE OF HEALTH AND HUMAN SERVICES (EOHHS) TO ADOPT AN ELECTRONIC PREADMISSION SCREENING AND RESIDENT REVIEW (PASRR) SYSTEM

S2257

2026 -- S 2257
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LC003912
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STATE OF RHODE ISLAND
IN GENERAL ASSEMBLY
JANUARY SESSION, A.D. 2026
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S E N A T E R E S O L U T I O N
RESPECTFULLY REQUESTING THE EXECUTIVE OFFICE OF HEALTH AND HUMAN
SERVICES (EOHHS) TO ADOPT AN ELECTRONIC PREADMISSION SCREENING AND
RESIDENT REVIEW (PASRR) SYSTEM

Introduced By:
Senators DiMario, DiPalma, Murray, Lauria, Zurier, Acosta, Valverde,
Gallo, and Vargas

Date Introduced:
January 23, 2026

Referred To:
Senate Health & Human Services
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WHEREAS, The PASRR system is a federal requirement to evaluate individuals seeking
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admission to Medicaid-certified nursing facilities for serious mental illness or
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intellectual/developmental disabilities; and
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WHEREAS, Most states have transitioned from paper-based submissions to an electronic
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PASRR system, which is a digital platform used to manage the federally mandated screening
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process. Rhode Island is one of the only states, if not the only state, to have not yet converted; and
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WHEREAS, Benefits of adopting an electronic PASRR system include:
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• Protects Vulnerable Individuals: It identifies people with SMI/IDD to prevent
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them from being unnecessarily institutionalized in nursing facilities;
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• Promotes Least Restrictive Settings: Ensures people are placed in the most
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appropriate, least restrictive environment, often in the community, when possible;
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• Supports Community-Based Care: Facilitates home and community-based
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services (HCBS) for more independence and freedom;
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• Informed Choice & Dignity: Offers individuals and families awareness of
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alternatives to nursing homes, supporting person-centered care;
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• Ensures Appropriate Services: Guarantees that necessary specialized mental
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health or IDD services are identified and provided;
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• Rebalances Long-Term Services: Helps states shift resources from institutional
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care to community support; and

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• Reduces Readmissions: By connecting individuals with needed supports, it
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lowers the risk of hospital readmissions; now, therefore be it
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RESOLVED, That this Senate of the State of Rhode Island hereby respectfully requests
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the RI Executive Office of Health and Human Services to:
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• Investigate the potential cost savings and advantages to entering into a
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Memorandum of understanding (MUO) with neighboring states in implementing an electronic
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PASRR system;
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• Investigate potential grant funding and Federal Funding for the adoption of an
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electronic PASRR system; and
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• Establish and implement the electronic PASRR System no later than January 1,
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2027; and be it further
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RESOLVED, That the Secretary of State be and hereby is authorized and directed to
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transmit a duly certified copy of this resolution to the Honorable Governor Daniel McKee, and
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Richard Charest III, R.Ph, MBA, Secretary, Executive Office of Health and Human Services.
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