Health Care Our office plays an important role in ensuring that quality health care 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 health care. 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. Attorney General approves sale of hospitals to Centurion Foundation with significant conditions to protect delivery of health care for Rhode Islanders On June 20, 2024, Attorney General Peter F. Neronha announced that his Office has issued a decision, pursuant to its authority under Rhode Island’s Hospital Conversions Act (HCA), to conditionally approve a transaction that would allow a change in ownership of a health care system that includes two local safety net hospitals, Roger Williams Medical Center and Our Lady of Fatima Hospital, from Prospect Medical Holdings to The Centurion Foundation. Read the decision here. RIAG and RIDOH make public The Centurion Foundation HCA application On January 29, 2024, Attorney General Neronha and the Rhode Island Department of Health (RIDOH) released the Initial Hospital Conversion application submitted to the State for the proposed sale of Roger Williams Medical Center and Our Lady of Fatima Hospital. The application and confidentiality review can be found below. Application Deemed Public Application Confidentiality Review Public Notice Public Comments Batch One - received 2/8/2024-2/20/2024 Public Comments Batch Two - received 2/21/2024-3/8/2024 Public Comments Batch Three - received 3/8/2024-4/2/2024 Supplemental Questions and Answers - First Round Supplemental Questions and Answers - Second Round Confidentiality Designations Attorney General Neronha and the Rhode Island Department of Health (RIDOH) will hold two public meetings on the proposed sale of Roger Williams Medical Center and Our Lady of Fatima Hospital. Each meeting will take place from 4 to 6 p.m. in room 110 of Alger Hall at Rhode Island College, located at 600 Mount Pleasant Ave. in Providence. A virtual option is also available for both. Meeting 1: Tuesday, March 19, 2024 (Video Recording) Transcript Meeting 2: Tuesday, March 26, 2024 (Video Recording) Transcript 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 Hospital Conversion or Merger Initial Application HospitalConversionOrMerger.pdf PDF file, less than 1mbmegabytes Please call the Office of the Health Care Advocate at (401) 274-4400 for more information. Recent HCA Reviews Rhode Island Law permits parties subject to the HCA to withhold proprietary business information as confidential, subject to review by the Office of the Attorney General. If parties request certain information remain confidential, our Office will perform a detailed review of their request to determine if they are entitled by law to withhold that information. If parties do not request non-disclosure, our Office will not review for confidentiality. If parties disagree with our Office’s determination, they may seek court review. Centurion Foundation and Prospect Medical Holdings (CharterCARE) Application Confidentiality Review Application Deemed Public Public Notice 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 Exhibits Additional 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 Exhibits Confidential Exhibits Deemed Public Supplemental submission 8/11/20 First Set of Supplemental Questions and Responses Second Set of Supplemental Questions and Responses Third Set of Supplemental Questions and Responses Fourth Set of Supplemental Questions and Responses Fifth Set of Supplemental Questions and Responses Statements under oath transcripts and related confidentiality determinations RSM Agreement Fully Executed 8.23.21 - Redacted Recent HCA Monitoring Reports Chamber Inc.; Ivy Holdings Inc.; Ivy Intermediate Holdings, Inc.; Prospect Medical Holdings, Inc.; et al. 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. Rhode Island Law permits parties subject to the HCA to withhold proprietary business information as confidential, subject to review by the Office of the Attorney General. If parties request certain information remain confidential, our Office will perform a detailed review of their request to determine if they are entitled by law to withhold that information. If parties do not request non-disclosure, our Office will not review for confidentiality. If parties disagree with our Office’s determination, they may seek court review. Final RIAG Chamber Ivy Report for QE 09 30 2022 - Redacted Final RIAG Chamber Ivy Report for QE 06 30 2022 - Redacted Final RIAG Chamber Ivy Report for QE 03 31 2022 - Redacted Final RIAG Chamber Ivy Report for QE 12 31 2021 - Redacted Final RIAG Chamber Ivy Report for QE 09 30 2021 - Redacted Final RIAG Chamber Ivy Report for YE 09 30 2021 - Redacted Final RIAG Chamber Ivy Report for YE 09 30 2022 - Redacted Final RIAG Chamber Ivy Report for YE 12 31 2022 - Redacted Final RIAG Chamber Ivy Report for YE 03 31 2023 - Redacted Final RIAG Chamber Ivy Report for YE 06 30 2023 - Redacted Information submitted to the Office of the Attorney General under the Hospital Conversions Act as part of an application or ongoing monitoring is subject to a detailed confidentiality review by the Office before being publicly released. Reviews are conducted on an individualized basis, taking into account the context, facts, and circumstances of each transaction or monitoring. The Attorney General and Transacting Parties have agreed to make the information in the below documents public without redaction, notwithstanding the fact that, in some instances, documents could have been maintained as confidential. RIAG Chamber Ivy CAPEX reduction report 10.18.21 C-PMH-RIAG-000002- CONF FY21 thru 6-21 Capex C-PMH-RIAG-000001- CONF FY20 Capex Yale-New Haven Health Services Corporation ("YNHHSC"), Lawrence + Memorial Corporation ('L+M") and LMW Healthcare, Inc. d/b/a Westerly Hospital ("Westerly Hospital") (collectively "the Transacting Parties") Final RIAG YNHHSC Report 12.31.2023