All Roll Calls
Yes: 165 • No: 12
Rhode IslandH73612026 Regular SessionHouseWALLET
AN ACT RELATING TO BEHAVIORAL HEALTHCARE, DEVELOPMENTAL DISABILITIES AND HOSPITALS -- QUALITY SELF-DIRECTED SUPPORTS ACT OF 2026 .
Sponsored By: Evan P. Shanley (Democratic)
Signed by Governor
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 1 benefits, 0 costs, 3 mixed.
Bargaining rights for self-directed caregivers
Self-directed caregivers can choose one statewide representative to bargain over pay, benefits, training, and payment rules. The State must meet within 30 days and negotiate in good faith, and any deal is put in writing. If talks stall, Rhode Island’s impasse process applies, and the certified group must fairly represent all caregivers. Members can allow dues to be taken from their payments. Caregivers may not strike or stop services together. Bargaining under this law is protected by a state antitrust shield.
Medicaid services protected during bargaining
Bargaining deals cannot cut federal Medicaid matching funds or reduce self-directed personal care services. Parts of any deal that need new state or federal money, or law changes, start only after those are passed. This protects Medicaid funding and services, but pay or benefit changes that need extra money wait for the budget.
How caregivers choose a representative
Petitions to certify a provider group go to the Labor Relations Board. An election happens when at least 10% of caregivers show interest. All self-directed caregivers vote by secret ballot, and a majority of votes cast picks the representative. Family and in‑home domestic caregivers are included and can be represented.
Provider groups get contacts, share costs
Within 90 days, the State must give each previously certified provider group contact info for all self-directed caregivers and update it every 60 days. When more than one group is on a certification ballot, those groups split the election costs equally.
Sponsors & Cosponsors
Sponsor
Evan P. Shanley
Democratic • House
Cosponsors
David A. Bennett
Democratic • House
Robert E. Craven, Sr.
Democratic • House
Jason Knight
Democratic • House
Scott A. Slater
Democratic • House
Joseph J. Solomon, Jr.
Democratic • House
Roll Call Votes
Senate vote • 6/10/2026
BEHAVIORAL HEALTHCARE--QUALITY SELF-DIRECTED SUPPORTS ACT 2026 In Concurrence
Yes: 35 • No: 3
House vote • 6/8/2026
HEALTHCARE - SUPPORTS ACT 2026 PASSAGE
Yes: 69 • No: 0
House vote • 6/8/2026
HEALTHCARE - SUPPORTS ACT 2026 PASSAGE
Yes: 61 • No: 9
Actions Timeline
Signed by Governor — Chapter 115
6/18/2026GovernorTransmitted to Governor
6/16/2026GovernorSenate passed Sub A in concurrence
6/10/2026SenatePlaced on Senate Calendar (06/10/2026)
6/8/2026SenateHouse passed Sub A
6/8/2026HousePlaced on House Calendar (06/08/2026)
6/5/2026HouseCommittee recommends passage of Sub A
6/5/2026Proposed Substitute
6/3/2026Scheduled for consideration (06/05/2026)
6/3/2026Committee recommended measure be held for further study
4/30/2026Scheduled for hearing and/or consideration (04/30/2026)
4/24/2026Committee postponed at request of sponsor (04/15/2026)
4/10/2026Scheduled for hearing and/or consideration
4/10/2026Introduced, referred to House Labor
1/28/2026House
Bill Text
H7361 - As Introduced
1/28/2026
H7361 - Substitute
1/28/2026
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