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		<title>2010 Rhode Island State Budget Highlights</title>
		<link>http://sswdlaw.com/2009/08/2010-budget-highlight/</link>
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				<category><![CDATA[News]]></category>

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		<description><![CDATA[An overview of some of the changes to the Governor’s original proposal.]]></description>
			<content:encoded><![CDATA[<p>An overview of some of the changes to the Governor&#8217;s original proposal can be found below.</p>
<p><strong>Taxes and Fees</strong></p>
<p>Most of the Governor&#8217;s recommended tax reduction package was rejected by the General Assembly. The Governor&#8217;s requested changes included a gradual elimination of the corporate income tax, changes to the inheritance tax and changes to the personal income tax and tax credits. Below is a breakdown of some of the tax items that appear in the final version of the budget.</p>
<p><span style="text-decoration: underline;">Capital Gains Tax:</span> The General Assembly budget recommends taxing capital gains as ordinary income. This change is expected to result in <strong>$23.6M</strong> in additional revenue. This provision is contained in Article 16.</p>
<p><span style="text-decoration: underline;">Corporate Income Tax:</span> The General Assembly did not concur with the Governor&#8217;s proposal to gradually eliminate the business corporation income tax and instead restores the <strong>$14.5M</strong> in corporate tax revenue for FY2010. This provision is contained in Article 16.</p>
<p><span style="text-decoration: underline;">Inheritance Tax:</span> House Finance budget raises the inheritance tax exemption from the current level of <strong>$675,000</strong> to <strong>$850,000</strong>. This results in a revenue reduction of <strong>$0.8 million</strong>. The Governor had requested raising the exemption to <strong>$1.0 million</strong>. This provision is included in Article 16.</p>
<p><strong>Health and Human Services</strong></p>
<p><span style="text-decoration: underline;">Office of the Health Insurance Commissioner:</span> The House Finance originally recommended the elimination of the office and repeal of the statute creating the office and outlining its duties, for a savings of <strong>$650,000</strong>. After an outpouring of opposition from a number of advocacy groups and other state officials, the House removed this proposal and restored the OHIC&#8217;s funding in a floor amendment.</p>
<p><span style="text-decoration: underline;">Rhode Island Pharmaceutical Assistance for the Elderly (RIPAE):</span> The General Assembly fully restored funding for the program for FY2010. The Governor had proposed eliminating the program entirely with an expected savings of <strong>$855,000.</strong></p>
<p><span style="text-decoration: underline;">RIte Care Dental for Adults:</span> The General Assembly fully funded the program for FY2010. The Governor had proposed eliminating dental coverage for RIte care parents, with an expected savings of <strong>$1.1 million</strong>.</p>
<p><span style="text-decoration: underline;">Diagnosis Related Groups (DRG): </span>Article 23, Sections 6-8 will implement a new reimbursement system for hospitals. The implementation of this new system is delayed until March 30, 2010. The budget assumes savings for <strong>$2.5 million</strong> in FY 2010.</p>
<p><span style="text-decoration: underline;">Elimination of RIte Care Co-Pay:</span> The General Assembly recommends the following regarding co-payments for RIte Care beneficiaries: 1) Repeal co-share medical premium requirement for individuals between 133-150% of the Federal Poverty Level (FPL); 2) Repeal co-share medical premium increase that was passed by the 2008 General Assembly for individuals between 150%-250% of the FPL. Both of these changes are retroactive to May 31, 2009. The roll-back of these co-share provisions is necessary to fully comply with the Medicaid eligibility maintenance of effort provisions of the American Recovery and Reinvestment Act (ARRA). The House Finance Committee restores a total of <strong>$3.5 million</strong> in revenue for FY 2010 to implement these two changes.</p>
<p><span style="text-decoration: underline;">RIte Care Buy-in for Pregnant Women:</span> The General Assembly recommends fully funding the program for FY2010. The governor had proposed eliminating coverage for pregnant women from 250% &#8211; 350% of the federal poverty level, with an expected savings of <strong>$235,000</strong>.</p>
<p><span style="text-decoration: underline;">Global Medicaid Waiver:</span> The General Assembly includes savings of <strong>$28.3 million</strong> from the implementation of the Global Medicaid Waiver. These savings come from a number of initiatives, including various changes to the state&#8217;s long term care system.<span id="_marker"> </span></p>
<p><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">An overview of some of the changes to the Governor&#8217;s original proposal can be found below. </span></p>
<p><strong><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">Taxes and Fees</span></strong><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;"> </span></p>
<p><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">Most of the Governor&#8217;s recommended tax reduction package was rejected by the General Assembly. The Governor&#8217;s requested changes included a gradual elimination of the corporate income tax, changes to the inheritance tax and changes to the personal income tax and tax credits. Below is a breakdown of some of the tax items that appear in the final version of the budget. </span></p>
<p><span style="text-decoration: underline;"><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">Capital Gains Tax:</span></span><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;"> The General Assembly budget recommends taxing capital gains as ordinary income. This change is expected to result in <strong>$23.6M</strong> in additional revenue. This provision is contained in Article 16. </span></p>
<p><span style="text-decoration: underline;"><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">Corporate Income Tax:</span></span><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;"> The General Assembly did not concur with the Governor&#8217;s proposal to gradually eliminate the business corporation income tax and instead restores the <strong>$14.5M</strong> in corporate tax revenue for FY2010. This provision is contained in Article 16. </span></p>
<p><span style="text-decoration: underline;"><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">Inheritance Tax:</span></span><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;"> House Finance budget raises the inheritance tax exemption from the current level of <strong>$675,000</strong> to <strong>$850,000</strong>. This results in a revenue reduction of <strong>$0.8 million</strong>. The Governor had requested raising the exemption to <strong>$1.0 million</strong>. This provision is included in Article 16. </span></p>
<p><strong><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">Health and Human Services</span></strong><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;"> </span></p>
<p><span style="text-decoration: underline;"><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">Office of the Health Insurance Commissioner:</span></span><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;"> The House Finance originally recommended the elimination of the office and repeal of the statute creating the office and outlining its duties, for a savings of <strong>$650,000</strong>. After an outpouring of opposition from a number of advocacy groups and other state officials, the House removed this proposal and restored the OHIC&#8217;s funding in a floor amendment. </span></p>
<p><span style="text-decoration: underline;"><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">Rhode Island Pharmaceutical Assistance for the Elderly (RIPAE):</span></span><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;"> The General Assembly fully restored funding for the program for FY2010. The Governor had proposed eliminating the program entirely with an expected savings of <strong>$855,000.</strong> </span></p>
<p><span style="text-decoration: underline;"><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">RIte Care Dental for Adults:</span></span><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;"> The General Assembly fully funded the program for FY2010. The Governor had proposed eliminating dental coverage for RIte care parents, with an expected savings of <strong>$1.1 million</strong>. </span></p>
<p><span style="text-decoration: underline;"><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">Diagnosis Related Groups (DRG): </span></span><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">Article 23, Sections 6-8 will implement a new reimbursement system for hospitals. The implementation of this new system is delayed until March 30, 2010. The budget assumes savings for <strong>$2.5 million</strong> in FY 2010. </span></p>
<p><span style="text-decoration: underline;"><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">Elimination of RIte Care Co-Pay:</span></span><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;"> The General Assembly recommends the following regarding co-payments for RIte Care beneficiaries: 1) Repeal co-share medical premium requirement for individuals between 133-150% of the Federal Poverty Level (FPL); 2) Repeal co-share medical premium increase that was passed by the 2008 General Assembly for individuals between 150%-250% of the FPL. Both of these changes are retroactive to May 31, 2009. The roll-back of these co-share provisions is necessary to fully comply with the Medicaid eligibility maintenance of effort provisions of the American Recovery and Reinvestment Act (ARRA). The House Finance Committee restores a total of <strong>$3.5 million</strong> in revenue for FY 2010 to implement these two changes. </span></p>
<p><span style="text-decoration: underline;"><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;">RIte Care Buy-in for Pregnant Women:</span></span><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;;"> The General Assembly recommends fully funding the program for FY2010. The governor had proposed eliminating coverage for pregnant women from 250% &#8211; 350% of the federal poverty level, with an expected savings of <strong>$235,000</strong>. </span></p>
<p><span style="text-decoration: underline;"><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;">Global Medicaid Waiver:</span></span><span style="font-size: 10pt; color: black; font-family: &quot;Verdana&quot;,&quot;sans-serif&quot;; mso-fareast-font-family: Calibri; mso-fareast-theme-font: minor-latin; mso-bidi-font-family: 'Times New Roman'; mso-ansi-language: EN-US; mso-fareast-language: EN-US; mso-bidi-language: AR-SA;"> The General Assembly includes savings of <strong>$28.3 million</strong> from the implementation of the Global Medicaid Waiver. These savings come from a number of initiatives, including various changes to the state&#8217;s long term care system. </span></p>
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