Healthcare Our office plays an important role in ensuring that quality healthcare is accessible and affordable for all Rhode Islanders. From serving as a regulatory authority in major hospital transactions to advocating on behalf of all Rhode Islanders, the Office continues to make important strides when it comes to expanding our role in healthcare. Here are a few recent highlights: We put affordability front and center when insurance companies pushed to increase insurance rates during the middle of a massive public health crisis. We worked to ensure that vaccine distribution was guided by public health and done in accordance with the guidelines provided by the CDC, and that entities charged with vaccine administration did so in an equitable and transparent manner. We took steps to build a top-notch healthcare team in the Office to execute our crucial role under the Hospital Conversions Act (HCA) as one of the main regulators of potential hospital mergers in the state. We introduced legislation passed by the General Assembly that strengthened the Office’s oversight role under the HCA by adding antitrust review, extending the monitoring period after a transaction, increasing the monetary fine for violations, and simplifying the judicial review process. Hospital Conversions Act (HCA) The Rhode Island Office of Attorney General reviews proposed hospital conversions pursuant to the Hospital Conversions Act, R.I. Gen. Laws § 23-17.14, et. seq. HCA Forms Expedited Review Hospital Conversion Initial Application PDF file, less than 1mbmegabytes Hospital Conversion Act Application Long Form PDF file, less than 1mbmegabytes For questions about the Initial Application, please call the Office of the Health Care Advocate at (401) 274-4400. Recent HCA Reviews CNE/Lifespan Application_confidentiality_review.pdf PDF file, less than 1mbmegabytes Application_confidential_exhibits_deemed_public.zip zip file, about 225mbmegabytes Notice of Application.pdf PDF file, less than 1mbmegabytes AG Decision Denying Merger Application AG Presentation Outlining Decision Application_public_documents Attorney General and Director of RIDOH deem Lifespan CNE merger application complete under the Hospital Conversions Act RIAG and RIDOH make Lifespan-CNE merger application available to the public, schedule public comment meetings Find application here under Recent HCA Reviews Audio from January 20, 2022 Public Comment Meeting Transcript of January 20, 2022 Public Comment Meeting Audio from January 26, 2022 Public Comment Meeting Transcript of January 26, 2022 Public Comment Meeting Access Public Written Comments here Expert Report: Pflum Expert Report: Burns Expert Report: Veralon Yale-New Haven Health Services and L+M Corporation (Westerly Hospital) Yale-New Haven L+M Final Decision PDF file, about 5mbmegabytes Yale-New Haven L+M Initial Application PDF file, about 19mbmegabytes Public Notice of Application PDF file, less than 1mbmegabytes CharterCARE/Prospect CharterCARE Prospect Final Decision PDF file, about 5mbmegabytes CharterCARE Initial Application PDF file, about 8mbmegabytes CharterCARE Prospect 1st Amendment to Asset Purchase Agreement PDF file, less than 1mbmegabytes Public ExhibitsAdditional Public Exhibits Landmark/Prime Prime Landmark Final Decision PDF file, about 5mbmegabytes Notice of Public Informational Hearing held on 9.30.13 PDF file, less than 1mbmegabytes Prime Hospital Conversion Application-Part 1 PDF file, about 7mbmegabytes Prime Hospital Conversion Application - Part 2 PDF file, about 5mbmegabytes Public Exhibits Memorial/Care New England Memorial Final Decision PDF file, about 4mbmegabytes Memorial Initial Application PDF file, about 26mbmegabytes Public Notice MHRI-CNE PDF file, less than 1mbmegabytes Westerly/L&M Westerly Final Decision PDF file, about 4mbmegabytes Westerly Application and Appendix A PDF file, less than 1mbmegabytes Westerly Public Exhibits PDF file, about 5mbmegabytes Chamber Inc.; Ivy Holdings Inc.; Ivy Intermediate Holdings, Inc.; Prospect Medical Holdings, Inc.; Prospect East Holdings, Inc.; Prospect East Hospital Advisory Services, LLC; Prospect CharterCARE, LLC; Prospect CharterCARE SJHSRI, LLC; Prospect CharterCA Extension of review PDF file, less than 1mbmegabytes Public Meeting Transcript 2 PDF file, less than 1mbmegabytes Public Meeting Transcript 1 PDF file, less than 1mbmegabytes Public Notice PDF file, less than 1mbmegabytes Application PDF file, about 7mbmegabytes Prospect Decision presentation PDF file, less than 1mbmegabytes HCA Decision PDF file, about 15mbmegabytes Public ExhibitsConfidential Exhibits Deemed PublicSupplemental submission 8/11/20First Set of Supplemental Questions and ResponsesSecond Set of Supplemental Questions and ResponsesThird Set of Supplemental Questions and ResponsesFourth Set of Supplemental Questions and ResponsesFifth Set of Supplemental Questions and ResponsesStatements under oath transcripts and related confidentiality determinations Recent HCA Monitoring Reports Chamber Inc.; Ivy Holdings Inc.; Ivy Intermediate Holdings, Inc.; Prospect Medical Holdings, Inc.; Prospect East Holdings, Inc.; Prospect East Hospital Advisory Services, LLC; Prospect CharterCARE, LLC; Prospect CharterCARE SJHSRI, LLC; Prospect CharterCA CharterCARE Prospect, AMI Final Report 12.23.20 PDF file, about 17mbmegabytes