Healthcare (Insurance)

died · Rhode Island · Senate Mar 26, 2026

SB 2384: AN ACT RELATING TO FOOD AND DRUGS -- PRESCRIPTION DRUG COST PROTECTION

SB 2384 sets a legal limit on how much Rhode Island state programs, public employee health plans, and participating employer health plans can pay for certain prescription drugs. It prohibits these entities from purchasing or reimbursing drugs above a federal "maximum fair price" rate established by the U.S. Department of Health and Human Services. Any savings generated from this price cap must be used to lower costs for enrollees, with annual reports required to track how savings address health equity gaps. The bill applies to drugs covered under federal law (P.L. 117-169) and includes fines of $1,000 per violation for noncompliance.

Topics ✓ HealthcareSupports HealthcareSets price cap on prescription drugs to lower costs for enrollees, directly improving affordability and access to medications under state health programs.95% confidence

Sub-Topics Insurance Prescription Drugs

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died · Rhode Island · House May 12, 2026

HB 7466: AN ACT RELATING TO STATE AFFAIRS AND GOVERNMENT -- RHODE ISLAND INDIVIDUAL MARKET AFFORDABILITY ACT OF 2026

Enacts the RI individual market affordability act of 2026 to establish a program to help reduce out-of-pocket costs for low- and moderate-income consumers enrolled in individual health insurance coverage through the RI health benefits exchange.

Topics ✓ Budget & TaxesSupports Budget & TaxesEstablishes state-funded program to reduce health insurance costs for low/moderate-income residents, increasing government spending on public health affordability.95% confidence ✓ HealthcareSupports HealthcareReduces out-of-pocket costs for low/moderate-income individuals in state exchange plans, directly advancing affordability and access per bill summary.95% confidence

Sub-Topics Insurance

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died · Rhode Island · House Mar 3, 2026

HR 7430: HOUSE RESOLUTION RESPECTFULLY URGING THE UNITED STATES CONGRESS TO PROTECT PATIENTS AND TRADITIONAL MEDICARE FROM MEDICARE ADVANTAGE

This is a non-binding House resolution (not a bill) introduced by the Rhode Island House of Representatives. It expresses concerns about Medicare Advantage (MA) plans, which are private insurance options replacing traditional Medicare, noting issues like higher costs for patients during serious illness, narrower provider networks, and practices that allegedly prioritize insurer profits over patient care. The resolution urges federal lawmakers and agencies to take specific actions, including increasing transparency, auditing MA plans, regulating marketing, and prohibiting profit-driven practices like "cherry-picking" healthy enrollees. It does not create new laws but calls for administrative changes to protect Medicare beneficiaries.

Topics ✓ HealthcareSupports HealthcareUrges protection of traditional Medicare from Medicare Advantage plans, addressing patient costs and provider networks to safeguard healthcare access.95% confidence

Sub-Topics Insurance Medicare

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died · Rhode Island · Senate May 5, 2026

SB 2381: AN ACT RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

Requires health insurance plans to cover services provided by licensed certified professional midwives. Insurers would be required to report utilization and cost data annually and certain limited benefit policies would be exempt.

Topics ✓ HealthcareSupports HealthcareRequires insurance coverage for midwife services, expanding access to healthcare options and aligning with patient access indicators.95% confidence

Sub-Topics Insurance

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died · Rhode Island · House Feb 3, 2026

HB 7275: AN ACT RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

Requires health insurance plans to cover services provided by licensed certified professional midwives. Insurers would be required to report utilization and cost data annually and certain limited benefit policies would be exempt.

Topics ✓ HealthcareSupports HealthcareRequires insurers to cover certified midwife services, expanding maternal healthcare access and aligning with coverage expansion indicators.95% confidence

Sub-Topics Insurance

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passed · Rhode Island · Senate Jun 10, 2026

SB 2032: AN ACT RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

SB 2032 prohibits health insurance plans in Rhode Island from requiring patients to pay copays, deductibles, or other out-of-pocket costs for diagnostic or supplemental breast examinations. It specifically covers exams used to evaluate abnormalities (diagnostic) or screen for breast cancer in high-risk individuals (supplemental), based on medical history or risk factors. The law applies to all group and individual health insurance plans, including those offered by health maintenance organizations and nonprofit health corporations. The bill takes effect January 1, 2027, ensuring these exams are fully covered without cost-sharing for enrollees.

Topics ✓ HealthcareSupports HealthcareProhibits copays/deductibles for breast cancer screenings, improving access to diagnostic/supplemental exams for high-risk patients under insurance plans.95% confidence

Sub-Topics Insurance

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passed · Rhode Island · Senate Jun 9, 2026

SB 2010: AN ACT RELATING TO INSURANCE -- THE TRANSPARENCY AND ACCOUNTABILITY IN ARTIFICIAL INTELLIGENCE USE BY HEALTH INSURERS TO MANAGE COVERAGE AND CLAIMS ACT

SB 2010 requires health insurers in Rhode Island to disclose how they use artificial intelligence (AI) to manage claims and coverage decisions, particularly for denials of medically necessary care. Insurers must document AI-driven decisions for five years, report system details to regulators, and ensure licensed healthcare providers review and approve any AI-related denial of medically necessary care before finalizing it. The bill mandates transparency about AI models, training data, and performance metrics, while requiring annual reports to the governor and legislature on insurer AI usage. This directly affects health insurers, enrollees (policyholders), and healthcare providers involved in coverage decisions.

Topics ✓ HealthcareSupports HealthcareMandates insurer transparency in AI-driven coverage denials, requires provider review of medically necessary care denials, protecting patient access and rights.95% confidence ✓ TechnologySupports TechnologyMandates transparency and accountability for AI use in health insurance claims, requiring disclosure of AI models and provider review of denials, aligning with consumer protection regulations.95% confidence

Sub-Topics Insurance Artificial Intelligence

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