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SB 2834

AN ACT RELATING TO HEALTH AND SAFETY -- MATERNAL AND CHILD HEALTH SERVICES FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS -- EARLY INTERVENTION EXTENSION--BRIDGE TO PRESCHOOL

2026 Regular Session Introduced by Pete Appollonio and 10 co-sponsors

Extends Rhode Island early intervention eligibility past age 3 through Sept 1 after the third birthday, with insurance coverage and a plan to ensure smooth preschool transition.

06/11/2026 Senate passed Sub A
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WeVote Research Nonpartisan
Bill Summary · SB 2834

Summary of SB 2834 (Rhode Island, 2026) – Early Intervention Extension and Bridge to Preschool

Date Introduced: March 4, 2026
Committee: Senate Finance
Sponsor(s): Valverde, Mack, DiMario, DiPalma, Urso, Murray, Ujifusa, Appollonio, Zurier, Quezada, Gallo (with several co-sponsors)

Purpose and Intent
- To extend the duration of Rhode Island’s early intervention services for certain children with developmental delays or disabilities beyond the current age limit (three years old) and to create a plan for continuity of services as children transition to preschool/early childhood education.
- To ensure fewer service gaps for children who have spring/summer birthdays or other transitional timing issues.
- To require private health insurance plans to cover the extended early intervention services.

Key Provisions and Changes
1. Legislative Findings (Section 1)
- Affirms Rhode Island’s commitment to IDEA Part C (early intervention from birth to age 3) and Part B/Section 619 (preschool services).
- Notes that extending early intervention beyond age 3 can reduce gaps, improve educational outcomes, and lower long-term costs.
- Identifies examples of states already implementing extensions and the federal framework enabling extensions (34 C.F.R. § 303.211; § 303.734).

  1. Extension of Early Intervention Beyond Age 3 (Section 2)

    • Amends § 23-13-22 to require EOHHS and the Department of Education to create a plan to allow children to remain in early intervention through September 1 after their third birthday, as allowed by federal law (20 U.S.C. § 1435(c)).
    • By January 1, 2028, the plan must include extending to children who turn three between May 1 and August 31, allowing continued services until September 1 after their third birthday.
    • Regulations governing delivery of services will be issued by EOHHS (with transition from current Health Department regulations to EOHHS regulations, where applicable).
    • Requires a robust framework for:
      • Early identification and enrollment (as soon as possible after birth).
      • Timely service delivery (an initial early intervention program within 30 days if a need is identified and waiting lists exist).
      • Home visiting initiation upon identification of developmental concerns.
      • Public complaint procedures and adherence to Administrative Procedures Act.
      • A comprehensive, calendar-year-based array of services (educational, developmental, health, social).
    • Establishes an Implementation Advisory Committee to guide rollout:
      • Members include Part C and IDEA coordinators, provider agencies, LEAs, advocates, and parents of children who have transitioned to preschool.
      • Must meet for at least one year following the extension’s effective date.
      • Tasks include reducing administrative burdens, directing federal funds, and coordinating training/resources for providers and LEAs.
      • All meetings open to the public.
    • By September 30, 2031, requires a report evaluating the extension’s implementation, including uptake, impacts on children and families, providers, LEAs, and funding.
  2. Insurance Coverage for Early Intervention (Sections 3-6)

    • Extends required coverage for early intervention services under several Rhode Island health insurance mandates:
      • Section 27-18-64 (HMO/Health Insurance policies for dependents): Requires coverage for early intervention services with no deductibles or coinsurance; ensures services do not count toward annual or lifetime maximums; defines eligible ages (birth to 3 for Part C, and up to age 3 transitioning to Part C).
      • Sections 27-19-55 (Nonprofit Hospital Service Corporations) and 27-20-50 (Nonprofit Medical Service Corporations) mirror the above coverage requirements and limits (including a baseline benefit of $5,000 per dependent child per policy/calendar year, no deductibles/coinsurance, and reimbursement at or above the prevailing state/Medicaid rate).
      • 27-41-68 (Health Maintenance Organizations) also mirrors the same coverage structure and limits.
    • In each, the coverage applies to dependents from birth to age 3 certified for Part C or to those transitioning under § 23-13-22.
    • These sections ensure private insurers reimburse early intervention providers at rates equal to or greater than prevailing state/Medicaid rates, subject to stated exceptions (e.g., certain limited-benefit policies).
  3. Effective Date

    • The act takes effect upon passage.

Affected Parties and Potential Impacts
- Children: Those with developmental delays or disabilities who are currently served by Part C (birth–3) and who would benefit from continued services through September after turning 3.
- Families: Prospective continuation of services reduces gaps, supports smoother transitions to preschool, and expands insurance coverage certainty and financial protection.
- Service Providers: Early intervention providers, LEAs, and the state agencies (EOHHS, Department of Education) would see changes in service delivery, funding, and administrative processes.
- Insurers: Private health insurers would be required to cover extended early intervention services with specified payment rates and limits, impacting premiums and claims processing.
- State Agencies: EOHHs, DOE, and regulatory bodies would implement new regulations, oversee the extension, and report on outcomes by 2031.

Timeline and Reporting
- July 1, 2026: Initiation language for plan development begins.
- September 1 after third birthday extension window (for May–Aug birthdays): Target date for continued services to September 1 after third birthday starts being available.
- January 1, 2028: Full plan to allow extension for May–August third-birth children must be in place.
- September 30, 2031: Required evaluation report on the extension’s implementation and impacts.

Notes
- The bill references federal framework and existing state experiences in other jurisdictions.
- The “bridge to preschool” concept emphasizes continuity of services to minimize gaps and accelerate readiness for kindergarten.

Overall, SB 2834 seeks to ensure seamless service continuity for children aging out of traditional early intervention by extending eligibility beyond age three, while also mandating comprehensive planning, public reporting, and private insurance coverage to support the extended services.

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

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