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.
Prohibits dental insurers from refusing to honor directions to pay from insured, modifying benefits to be paid. Requires providers to accept payment by virtual credit card as unfair claims practices.
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.
Requires the EOHHS to amend the state Medicaid plan and secure sufficient state general revenue to increase Medicaid payment rates to an amount equal to one hundred thirty percent (130%) of Medicare rates for outpatient clinical pediatric services.
Maddy summarySB 2097 requires state agencies managing special accounts (like Medicaid funds, environmental programs, and veterans' benefits) to submit quarterly financial reports to the Executive Office of Health and Human Services starting October 1, 2026. It applies to most restricted receipt accounts but excludes specific funds such as the Rhode Island Statewide Opioid Abatement Account, HIV Care Grant Drug Rebates, and Veterans’ Home accounts. The bill aims to improve centralized oversight of state finances by standardizing reporting for these accounts. Agencies must comply unless federal law, court orders, or existing restrictions prevent it.
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.
Prohibits state and municipal officials or body from entering into and renewing any agreements that will be used to detain individuals for federal civil immigration violations.
Includes routine, scheduled or recommended immunizations to individuals between the ages of three (3) and eighteen (18) years, under the consent and reporting provisions required for pharmacy administered immunizations.
Maddy summaryThis bill allows pharmacists to prescribe medications that help people quit smoking, provided they have completed specific state-approved education on tobacco cessation therapies. It directly affects pharmacists and their employers by establishing new prescribing authority within their professional scope. The legislation requires pharmacists to complete education approved by the state board of pharmacy before they can use this new prescribing power. This change aims to expand access to smoking cessation treatments through pharmacies.
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.
