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.
Rep. Teresa Tanzi
Sponsored bills
Requires each healthcare entity/network plan to compile/report to health insurance commissioner a summary of how the healthcare entity/network plan requires its contracted providers to submit claims for in-network outpatient behavioral health services.
Includes the definition of "primary care services" and requires that all biennial reports shall include a review and recommendation of rates for primary care services on and after September 1, 2025.
Amends powers/duties of the office of the health insurance commissioner to increase total cost of care for services reimbursed under contracts after risk adjustment that exceeds the Consumer Price Index for all Urban Consumers percentage increase.
Amends the current law in order that a health insurer would not require a physician, to participate in "capitation," or any other "alternative payment model" that creates a financial incentive for a physician to limit medically necessary care.
Creates the Rhode Island Social Media Regulation act, which would not permit a Rhode Island resident who is a minor to be an account holder on a social media's platform unless the minor has the express consent of a parent or guardian.
Mandates that EOHHS assemble a network of equity zones where local multisector groups of nonprofits, service providers, advocates, community members, state agencies, and municipalities can address social factors of health at a local level.
Establishes a new chapter for privacy protections for location information derived from electronic devices. DBR would be responsible for promulgating rules and regulations to implement administer and enforce this chapter.
Requires that any covered entity that develops/provides online services, products, or features that children are reasonably likely to access shall consider the best interest of children when designing/developing such online service, product, or feature.
Precludes a person who pled nolo contendere or convicted of a misdemeanor offense and sentenced in accordance with the hate crime sentencing enhancement act for such misdemeanor, from purchasing, owning, carrying, transporting or having possession firearm