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HB 7361

AN ACT RELATING TO BEHAVIORAL HEALTHCARE, DEVELOPMENTAL DISABILITIES AND HOSPITALS -- QUALITY SELF-DIRECTED SUPPORTS ACT OF 2026

2026 Regular Session Introduced by David Bennett and 5 co-sponsors

Bill establishes self-directed support options enabling Rhode Island residents with developmental disabilities and behavioral healthcare needs greater control over their long-term care services and funding.

06/18/2026 Signed by Governor
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WeVote Research Nonpartisan
Bill Summary · HB 7361

Legislative bill overview

HB 7361, the Quality Self-Directed Supports Act of 2026, appears to establish or expand self-directed support options for individuals with developmental disabilities and those receiving behavioral healthcare services in Rhode Island. Self-directed supports allow individuals receiving long-term services and supports to have greater control over how their care is managed and funded, rather than relying solely on traditional provider-directed models.

Why is this important

Self-directed support programs can improve quality of life and autonomy for people with disabilities by enabling them to hire, train, and manage their own care workers and choose services that best meet their needs. However, implementation requires careful oversight of public funds, proper training for participants, and adequate support infrastructure to prevent fraud, exploitation, or service gaps.

Potential points of contention

  • Consumer autonomy vs. oversight: Balancing the freedom for individuals to self-direct with state's fiduciary responsibility to ensure public funds are properly used and that vulnerable populations are protected from exploitation
  • Implementation costs and capacity: Whether existing state agencies (likely BHDDH) have adequate resources, infrastructure, and staffing to support widespread self-direction, including fiscal intermediary services, participant training, and monitoring
  • Equity and access: Ensuring the program is accessible to individuals with varying cognitive abilities and those without family/caregiver support to help navigate self-direction decisions

Compiled from official sources — confirm details with the bill’s official record.

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