HB 7634 amends the state's Mental Health Law to grant advanced practice registered nurses (APRNs) the same legal protection from lawsuits as physicians and surgeons when providing mental health services. Specifically, it ensures APRNs licensed in the state cannot be held liable in court for their professional actions under this law - except in cases of actual fraud or gross negligence - similar to existing protections for doctors. This directly affects APRNs working in mental healthcare settings, clarifying their legal standing during proceedings like patient discharges or treatment decisions. The bill takes effect immediately upon passage.
This bill clarifies the rules for when registered nurses and nurse practitioners can administer deep sedation and general anesthesia during elective, non-emergency procedures. It explicitly prohibits these providers from giving certain strong anesthesia medications for scheduled procedures unless there is an immediate emergency where delaying care would endanger a patient's life or safety. The law maintains that nurses can still provide lighter levels of sedation and ensures that students in anesthesia training programs can participate under supervision. Additionally, the bill requires the state Department of Health to create specific regulations by 2027 and report on how the new rules impact patient access, hospital operations, and safety incidents by 2028.
Requires the department of elementary and secondary education and DOH to adopt policies, rules and regulations for the administration of seizure rescue medications for children who have been medically identified as having epilepsy/seizure disorder.
HB 7740 clarifies the rules for when registered nurses and nurse practitioners can administer deep sedation or general anesthesia, specifically limiting these actions to emergency situations where delaying care would endanger a patient's health. The bill explicitly prohibits these providers from using general anesthetics for elective, scheduled procedures unless an urgent need arises, while still allowing them to perform minimal or moderate sedation as usual. To enforce these limits, the law requires that any nurse or nurse practitioner who is not a certified registered nurse anesthetist must not initiate, adjust, or maintain general anesthetic medications outside of critical care scenarios. Additionally, the bill mandates that hospitals report specific serious incidents, such as unplanned transitions to deep sedation that result in severe patient outcomes, to the Department of Health within 24 hours.
Directs middle and high schools which issue student identification cards to include on those cards on or before September 8, 2026, contact crisis telephone numbers for suicide prevention and substance use disorder prevention.
Ensures that more developmentally disabled adults can self-direct the care they need and want, by incorporating collective bargaining rights into the self-directed supports program.
Requires the department of elementary and secondary education and DOH to adopt policies, rules and regulations for the administration of seizure rescue medications for children who have been medically identified as having epilepsy/seizure disorder.
HB 7127 is a state budget bill allocating hundreds of millions of dollars in funding for Rhode Island's fiscal year ending June 30, 2027. It directs specific funding amounts to state agencies and programs, including Central Management, Health Benefits Exchange, Debt Service Payments, and infrastructure projects like building renovations and facility upgrades. The bill establishes concrete funding levels for departments such as Health and Human Services, Education, and Information Technology, with detailed allocations for both general revenue and restricted funds. This legislation directly affects state agencies and programs that will receive these designated funds to operate during the 2027 fiscal year.
Prohibits health insurance companies or other payors from including in physician participation agreements any provisions that restrict or prevent a physician from charging patients reasonable administrative or operational fees to support overhead.
Clarifies and updates language in the office of state medical examiners statute to address outdated or ambiguous language, outdated practices, outdated position titles/qualifications, and ensure compliance with federal HIPAA requirements.
