Healthcare (Insurance)

died · Rhode Island · Senate Apr 7, 2026

SB 3091: AN ACT RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE RHODE ISLAND HEALTH CARE REFORM ACT OF 2004 -- HEALTH INSURANCE OVERSIGHT

Charges the office of the health insurance commissioner to incorporate uncompensated care as a formula-driven numeric adjustment in the methodology used to establish any affordability standard or rate cap, applicable to hospital contracts.

Topics ✓ HealthcareSupports HealthcareBill incorporates uncompensated care into rate-setting methodology, protecting hospitals financially and supporting healthcare access.85% confidence

Sub-Topics Hospitals Insurance

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died · Rhode Island · House Apr 14, 2026

HB 8310: AN ACT RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES -- HEALTHCARE PROVIDER CREDENTIALING

This bill requires healthcare entities and health plans to process provider credentialing applications within 30 calendar days for new applications and 10 business days for providers already credentialed with Medicare. It also mandates that minor demographic updates, such as address changes, be completed within 5 business days. The bill includes provisions for automated status updates every 15 days, written explanations for denials, and retroactive reimbursement if payers miss deadlines. Additionally, it establishes a conditional approval process for resident graduates and requires the health insurance commissioner to enforce timelines through quarterly reporting.

Topics ✓ HealthcareSupports HealthcareBill improves healthcare provider credentialing efficiency, enhancing patient access and protecting provider rights through streamlined processes and timely reimbursements.85% confidence

Sub-Topics Insurance Medical Licensing Medicare

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signed · Rhode Island · Senate Jun 22, 2026

SB 3060: AN ACT RELATING TO INSURANCE -- PHARMACY BENEFIT MANAGERS ACT

Requires pharmacy benefit managers to apply for certificate of authority from the office of health insurance commissioner to operate such a business in this state and empowers the commissioner to oversee pharmacy benefit managers and penalize violations.

Topics ✓ HealthcareSupports HealthcareBill regulates pharmacy benefit managers to protect consumers and ensure oversight, strengthening healthcare system integrity.75% confidence

Sub-Topics Insurance Prescription Drugs

in committee · Rhode Island · Senate Mar 4, 2026

SB 2884: AN ACT RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE RHODE ISLAND HEALTH CARE REFORM ACT OF 2004--HEALTH INSURANCE OVERSIGHT

Requires health insurance commissioner to conduct a review of health insurance benefit mandates, including an analysis of the impact on premium costs, conducted every 5 yrs and report findings and recommendations to governor, senate president and speaker.

Topics ✓ HealthcareSupports HealthcareBill establishes oversight of health insurance benefit mandates to analyze impact on costs, promoting transparency and potentially protecting consumer access to healthcare benefits.75% confidence

Sub-Topics Insurance

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died · Rhode Island · Senate Apr 14, 2026

SB 3023: AN ACT RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

Mandates health insurance coverage by eliminating out-of-pocket costs for lung cancer screenings in order to enable patients to get the critical care they need without delay.

Topics ✓ HealthcareSupports HealthcareBill mandates health insurance coverage by eliminating out-of-pocket costs for lung cancer screenings, improving patient access to critical care.95% confidence

Sub-Topics Insurance

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died · Rhode Island · House Apr 9, 2026

HB 7940: AN ACT RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

HB 7940 prohibits insurance companies and health plans in Rhode Island from denying coverage or imposing restrictions based on protected characteristics like race, gender identity, sexual orientation, pregnancy, disability, or reproductive health needs. It specifically bans discrimination in coverage for gender-affirming care and reproductive services (including abortion, contraception, and lactation support), and requires insurers to provide clear grievance procedures for discrimination complaints. The bill applies to all health insurance plans offered by licensed insurers, hospitals, and health plans in the state, directly affecting both insurers' policies and policyholders' access to care. It expands existing anti-discrimination rules to include new categories like gender expression and pregnancy-related conditions while maintaining medical necessity as a valid coverage criterion.

Topics ✓ HealthcareSupports HealthcareProhibits insurance discrimination based on protected characteristics, mandates coverage for gender-affirming care and reproductive services, protecting patient access to healthcare.95% confidence

Sub-Topics Insurance Women's Health

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died · Rhode Island · House Apr 14, 2026

HB 7921: AN ACT RELATING TO BUSINESSES AND PROFESSIONS -- PHARMACISTS TEST-AND-TREAT AUTHORITY ACT

Authorizes pharmacists to order, perform and interpret CLIA-waived tests authorized by statewide protocol and prescribe medications, and permits coverage by all health insurance carriers.

Topics ✓ HealthcareSupports HealthcareAuthorizes pharmacists to order tests, prescribe meds, and mandates insurance coverage, expanding patient access to healthcare services and aligning with support indicators.95% confidence

Sub-Topics Insurance

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died · Rhode Island · Senate Apr 16, 2026

SB 2468: AN ACT RELATING TO INSURANCE -- BENEFIT DETERMINATION AND UTILIZATION REVIEW ACT

Limits the use by insurers of step therapy, a protocol that establishes a specific sequence in which prescription drugs for a specified medical condition are covered by an insurer, by allowing medical providers to request step therapy exceptions.

Topics ✓ HealthcareSupports HealthcareLimits insurer step therapy restrictions, enabling providers to bypass coverage sequences and improve patient access to necessary medications.95% confidence

Sub-Topics Insurance Prescription Drugs

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died · Rhode Island · House Feb 26, 2026

HB 7749: AN ACT RELATING TO COURTS AND CIVIL PROCEDURE -- PROCEDURE GENERALLY -- EVIDENCE

HB 7749 repeals the collateral source rule in medical malpractice cases, meaning defendants would no longer be allowed to introduce evidence of insurance or workers' compensation benefits the plaintiff received to reduce the damage award. This directly affects plaintiffs and defendants in medical malpractice lawsuits, as it would prevent courts from lowering awarded damages based on payments already received by the plaintiff from third parties (like health insurance or disability programs). The bill removes the current mechanism where defendants could show such benefits to reduce damages, and plaintiffs could counter with their own contributions to secure those benefits. If enacted, plaintiffs would receive full damage awards without deductions for pre-existing insurance benefits, while defendants could not offset payments through collateral sources.

Topics ✓ HealthcareSupports HealthcareRepeals collateral source rule in medical malpractice, preventing defendants from reducing damages based on insurance/compensation, thereby protecting patient compensation rights in healthcare lawsuits.85% confidence

Sub-Topics Insurance

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died · Rhode Island · House May 5, 2026

HB 8183: AN ACT RELATING TO STATE AFFAIRS AND GOVERNMENT --THE RHODE ISLAND HEALTH CARE REFORM ACT OF 2004 -- HEALTH INSURANCE OVERSIGHT

This bill allocates an additional $117,600 to implement rate increases recommended by Rhode Island's health insurance commissioner. It directly affects the state's health insurance oversight office, providing funding to support commissioner-approved premium adjustments for insurers. The key mechanism is a budgetary allocation to cover these rate changes, ensuring the commissioner's recommendations can be executed. This is a procedural funding measure, not a substantive policy change.

Topics ✓ HealthcareSupports HealthcareAllocates $117,600 to fund health insurance rate increases per commissioner's recommendations, directly supporting oversight implementation and premium adjustments.95% confidence

Sub-Topics Insurance

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