Healthcare (Insurance)

died · Rhode Island · Senate May 5, 2026

SB 2460: AN ACT RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

Amends the current law on health insurance coverage for fertility diagnostic care, standard fertility preservation services, and fertility treatment and requires coverage for any medically necessary ovulation-enhancing drugs and medical services.

Topics ✓ HealthcareSupports HealthcareMandates insurance coverage for fertility treatments and related services, expanding patient access to reproductive healthcare under insurance policies.95% confidence

Sub-Topics Insurance

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died · Rhode Island · Senate Mar 24, 2026

SB 2467: AN ACT RELATING TO INSURANCE -- INSURANCE COVERAGE FOR MENTAL ILLNESS AND SUBSTANCE USE DISORDERS

SB 2467 prohibits health insurance companies from requiring prior approval (preauthorization) for in-network mental health and substance use disorder services, including both inpatient and outpatient care. This directly affects patients seeking these specific treatments through in-network providers, removing a common administrative barrier. The law takes effect on January 1, 2027, and aligns with existing requirements ensuring mental health coverage is treated equally to physical health coverage under insurance plans. It does not apply to out-of-network services or change other coverage rules like cost-sharing parity.

Topics ✓ HealthcareSupports HealthcareRemoves preauthorization barriers for mental health/substance use coverage, improving patient access and aligning with parity laws to strengthen mental health services.95% confidence

Sub-Topics Insurance Mental Health Substance Abuse

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died · Rhode Island · House Mar 12, 2026

HB 7939: AN ACT RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

Raises the age of eligibility for mobile response and stabilization services from eighteen (18) to twenty-one (21) and establishes a minimum rate for commercial health insurance reimbursement for such services.

Topics ✓ HealthcareSupports HealthcareEstablishes minimum commercial health insurance reimbursement rate for mobile response services, ensuring fair provider payment and improving access to care for 18-21 year olds.90% confidence

Sub-Topics Insurance Mental Health

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died · Rhode Island · Senate May 5, 2026

SB 2561: AN ACT RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES -- REGULATE HEALTH INSURANCE PRIOR AUTHORIZATION REQUIREMENTS FOR REHABILITATIVE AND HABILITATIVE SERVICES ACT

Limits prior authorization requirements for rehabilitative and habilitative services. Also prohibits prior authorization for the first twelve (12) visits of a new episode of care and for ninety (90) days following a chronic pain diagnosis.

Topics ✓ HealthcareSupports HealthcareLimits prior authorization barriers for rehab/habilitative services, improving patient access to care per bill's explicit language.95% confidence

Sub-Topics Insurance

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died · Rhode Island · House Mar 12, 2026

HB 7943: AN ACT RELATING TO INSURANCE -- INSURANCE COVERAGE FOR MENTAL ILLNESS AND SUBSTANCE USE DISORDERS

HB 7943 prohibits health insurers from requiring preauthorization for in-network mental health or substance use disorder services, directly affecting insured patients seeking these treatments within their plan's network. The bill mandates that coverage for mental health and substance use disorders must meet the same terms as medical care, eliminating annual/lifetime dollar limits and ensuring cost-sharing parity with primary care visits. Key provisions include banning non-quantitative treatment restrictions that are stricter than those for medical conditions and requiring insurers to use American Society of Addiction Medicine criteria for substance use disorder coverage. The law takes effect January 1, 2027, and applies specifically to in-network services as defined in the bill.

Topics ✓ HealthcareSupports HealthcareProhibits preauthorization and mandates parity for mental health/substance use coverage, eliminating barriers and ensuring equal treatment as medical care.95% confidence

Sub-Topics Insurance Mental Health Substance Abuse

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died · Rhode Island · House Mar 24, 2026

HB 7486: AN ACT RELATING TO HEALTH AND SAFETY -- PRIMARY CARE TRAINING SITES PROGRAM

Allows the office of health insurance commissioner (OHIC) as the state agency that has the authority to designate patient-centered medical home (PCMH) care to obtain maximal health outcomes.

Topics ✓ HealthcareSupports HealthcareDesignates PCMH sites to improve primary care coordination and outcomes, advancing patient-centered healthcare delivery per bill summary.95% confidence

Sub-Topics Insurance Primary Care

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died · Rhode Island · House Mar 12, 2026

HB 7485: AN ACT RELATING TO HEALTH AND SAFETY -- EMERGENCY MEDICAL TRANSPORTATION SERVICES

HB 7485 increases reimbursement rates for ambulance services under both individual and group health insurance plans. It creates a Mobile Integrated Healthcare Community Paramedicine Program administered by the Department of Health, allowing approved ambulance services to provide community-based healthcare. The bill requires all out-of-network ambulance services participating in the program to follow state and federal rules prohibiting surprise medical billing. This directly affects ambulance service agencies, health insurers, and patients receiving emergency transportation services in Rhode Island.

Topics ✓ HealthcareSupports HealthcareIncreases ambulance reimbursement rates, creates community healthcare paramedicine program, and prohibits surprise billing - expands access and protects patients in emergency medical services.95% confidence

Sub-Topics Insurance

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died · Rhode Island · House Apr 14, 2026

HB 7862: AN ACT RELATING TO INSURANCE -- HEALTHCARE ACCESSIBILITY AND QUALITY ASSURANCE ACT

HB 7862, the Healthcare Accessibility and Quality Assurance Act, prohibits insurance companies from unilaterally changing contracts with healthcare providers, such as altering payment rates or service terms without agreement. This directly affects healthcare providers (like doctors and hospitals) and insurance companies by requiring mutual consent for any contract modifications. The key provision prevents insurers from imposing changes alone, aiming to stabilize provider relationships and maintain consistent healthcare access. The bill was introduced to the House Corporations committee on February 27, 2026, and remains in early legislative stages.

Topics ✓ HealthcareSupports HealthcareProhibits insurers from unilaterally changing provider contracts, stabilizing relationships and ensuring consistent healthcare access for providers and patients.95% confidence

Sub-Topics Insurance

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died · Rhode Island · Senate Apr 7, 2026

SB 2464: AN ACT RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE RHODE ISLAND HEALTH CARE REFORM ACT OF 2004 -- HEALTH INSURANCE OVERSIGHT

SB 2464 requires Rhode Island's health insurance commissioner to produce annual reports on insurer practices, including fee schedules, provider credentialing processes, and data disclosure methods for healthcare facilities. The bill mandates that a professional-provider-health-plan work group (part of an advisory council) compile specific data to help consumers compare quality and costs of care. These reports, due by January 1, 2027, will cover topics like insurance dispute resolution, real-time enrollment verification, and the impact of "silent PPOs" on providers. The legislation directly affects health insurers, medical providers, and consumers by increasing transparency in health insurance operations and pricing.

Topics ✓ HealthcareSupports HealthcareMandates insurer transparency reports and consumer data tools to improve care comparison and oversight, advancing patient access and rights through accountability measures.95% confidence

Sub-Topics Insurance Medical Licensing Prescription Drugs

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died · Rhode Island · Senate Mar 24, 2026

SB 2564: AN ACT RELATING TO INSURANCE -- INSURANCE COVERAGE FOR MENTAL ILLNESS AND SUBSTANCE USE DISORDERS

Provides that for treatment of mental health and substance use disorders, payors would rely upon criteria which reflect generally accepted standards of care when developing coverage.

Topics ✓ HealthcareSupports HealthcareBill mandates insurers use accepted standards for mental health/substance use disorder coverage, expanding access and protecting patient rights per healthcare topic indicators.95% confidence

Sub-Topics Insurance Mental Health

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