2022 -- H 7135 | |
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LC003283 | |
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STATE OF RHODE ISLAND | |
IN GENERAL ASSEMBLY | |
JANUARY SESSION, A.D. 2022 | |
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A N A C T | |
RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES -- | |
PHYSICAL THERAPY COPAY | |
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Introduced By: Representatives Bennett, McGaw, Vella-Wilkinson, Shanley, and Noret | |
Date Introduced: January 20, 2022 | |
Referred To: House Health & Human Services | |
It is enacted by the General Assembly as follows: | |
1 | SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness Insurance |
2 | Policies" is hereby amended by adding thereto the following section: |
3 | 27-18-89. Physical therapists. |
4 | (a) An individual or group health insurance plan or policy delivered, issued for delivery, or |
5 | renewed in this state on or after January 1, 2023, shall not impose a copayment, coinsurance, or |
6 | office visit deductible amount charged to the insured for services rendered by a physical therapist |
7 | licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible |
8 | amount charged to the insured for the services of a primary care physician or osteopath licensed |
9 | under chapter 37 of title 5. |
10 | (b) An insurer shall state clearly the availability of physical therapy coverage under its plan |
11 | and all related limitations, conditions, and exclusions. |
12 | SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service |
13 | Corporations" is hereby amended by adding thereto the following section: |
14 | 27-19-81. Physical therapists. |
15 | (a) An individual or group health insurance plan or policy delivered, issued for delivery, or |
16 | renewed in this state on or after January 1, 2023, shall not impose a copayment, coinsurance, or |
17 | office visit deductible amount charged to the insured for services rendered by a physical therapist |
18 | licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible |
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1 | amount charged to the insured for the services of a primary care physician or osteopath licensed |
2 | under chapter 37 of title 5. |
3 | (b) An insurer shall state clearly the availability of physical therapy coverage under its plan |
4 | and all related limitations, conditions, and exclusions. |
5 | SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service |
6 | Corporations" is hereby amended by adding thereto the following section: |
7 | 27-20-77. Physical therapists. |
8 | (a) An individual or group health insurance plan or policy delivered, issued for delivery, or |
9 | renewed in this state on or after January 1, 2023, shall not impose a copayment, coinsurance, or |
10 | office visit deductible amount charged to the insured for services rendered by a physical therapist |
11 | licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible |
12 | amount charged to the insured for the services of a primary care physician or osteopath licensed |
13 | under chapter 37 of title 5. |
14 | (b) An insurer shall state clearly the availability of physical therapy coverage under its plan |
15 | and all related limitations, conditions, and exclusions. |
16 | SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance |
17 | Organizations" is hereby amended by adding thereto the following section: |
18 | 27-41-94. Physical therapists. |
19 | (a) An individual or group health insurance plan or policy delivered, issued for delivery, or |
20 | renewed in this state on or after January 1, 2023, shall not impose a copayment, coinsurance, or |
21 | office visit deductible amount charged to the insured for services rendered by a physical therapist |
22 | licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible |
23 | amount charged to the insured for the services of a primary care physician or osteopath licensed |
24 | under chapter 37 of title 5. |
25 | (b) An insurer shall state clearly the availability of physical therapy coverage under its plan |
26 | and all related limitations, conditions, and exclusions. |
27 | SECTION 5. This act shall take effect upon passage. |
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LC003283 | |
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EXPLANATION | |
BY THE LEGISLATIVE COUNCIL | |
OF | |
A N A C T | |
RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES -- | |
PHYSICAL THERAPY COPAY | |
*** | |
1 | This act would limit copays, coinsurance or office deductibles for services of a physical |
2 | therapist to the amount authorized for the services of a primary care physician or osteopath. |
3 | This act would take effect upon passage. |
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LC003283 | |
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