2022 -- H 7454

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LC004430

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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

     

     Introduced By: Representatives Cassar, Felix, Williams, Morales, Slater, Caldwell,
Craven, Hull, Fenton-Fung, and McGaw

     Date Introduced: February 11, 2022

     Referred To: House Health & Human Services

     It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness Insurance

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Policies" is hereby amended by adding thereto the following section:

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     27-18-71.1. Special enrollment - Pregnancy.

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     In addition to any qualifying event under federal law, rule or regulation that makes one

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eligible for a special enrollment period for enrollment in a qualified health plan in the state health

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insurance exchange established pursuant to the federal Patient Protection and Affordable Care Act

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(Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a pregnant

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individual at any time after the commencement of the pregnancy. Upon such enrollment, any

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qualified health plan in the state health insurance exchange shall ensure that coverage is effective

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as of the first of the month in which the individual receives certification of the pregnancy.

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     SECTION 2. Chapter 27-18.5 of the General Laws entitled "Individual Health Insurance

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Coverage" is hereby amended by adding thereto the following section:

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     27-18.5-10.1. Special enrollment - Pregnancy.

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     In addition to any qualifying event under federal law, rule or regulation that makes one

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eligible for a special enrollment period for enrollment in a qualified health plan in the state health

16

insurance exchange established pursuant to the federal Patient Protection and Affordable Care Act

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(Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a pregnant

18

individual at any time after the commencement of the pregnancy. Upon such enrollment, any

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qualified health plan in the state health insurance exchange shall ensure that coverage is effective

 

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as of the first of the month in which the individual receives certification of the pregnancy.

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     SECTION 3. Chapter 27-18.6 of the General Laws entitled "Large Group Health Insurance

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Coverage" is hereby amended by adding thereto the following section:

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     27-18.6-3.1. Special enrollment - Pregnancy.

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     In addition to any qualifying event under federal law, rule or regulation that makes one

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eligible for a special enrollment period for enrollment in a qualified health plan in the state health

7

insurance exchange established pursuant to the federal Patient Protection and Affordable Care Act

8

(Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a pregnant

9

individual at any time after the commencement of the pregnancy. Upon such enrollment, any

10

qualified health plan in the state health insurance exchange shall ensure that coverage is effective

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as of the first of the month in which the individual receives certification of the pregnancy.

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     SECTION 4. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service

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Corporations" is hereby amended by adding thereto the following section:

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     27-19-68.1. Special enrollment - Pregnancy.

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     In addition to any qualifying event under federal law, rule or regulation that makes one

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eligible for a special enrollment period for enrollment in a qualified health plan in the state health

17

insurance exchange established pursuant to the federal Patient Protection and Affordable Care Act

18

(Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a pregnant

19

individual at any time after the commencement of the pregnancy. Upon such enrollment, any

20

qualified health plan in the state health insurance exchange shall ensure that coverage is effective

21

as of the first of the month in which the individual receives certification of the pregnancy.

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     SECTION 5. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service

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Corporations" is hereby amended by adding thereto the following section:

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     27-20-57.1. Special enrollment - Pregnancy.

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     In addition to any qualifying event under federal law, rule or regulation that makes one

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eligible for a special enrollment period for enrollment in a qualified health plan in the state health

27

insurance exchange established pursuant to the federal Patient Protection and Affordable Care Act

28

(Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a pregnant

29

individual at any time after the commencement of the pregnancy. Upon such enrollment, any

30

qualified health plan in the state health insurance exchange shall ensure that coverage is effective

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as of the first of the month in which the individual receives certification of the pregnancy.

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     SECTION 6. Chapter 27-41 of the General Laws entitled "Health Maintenance

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Organizations" is hereby amended by adding thereto the following section:

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     27-41-75.1. Special enrollment - Pregnancy.

 

LC004430 - Page 2 of 4

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     In addition to any qualifying event under federal law, rule or regulation that makes one

2

eligible for a special enrollment period for enrollment in a qualified health plan in the state health

3

insurance exchange established pursuant to the federal Patient Protection and Affordable Care Act

4

(Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a pregnant

5

individual at any time after the commencement of the pregnancy. Upon such enrollment, any

6

qualified health plan in the state health insurance exchange shall ensure that coverage is effective

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as of the first of the month in which the individual receives certification of the pregnancy.

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     SECTION 7. This act shall take effect on January 1, 2023, and shall apply to all health

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insurance policies issued or renewed thereafter.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO INSURANCE - ACCIDENT AND SICKNESS INSURANCE POLICIES

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     This act would establish a special enrollment provision for pregnant women to obtain

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health insurance coverage at any time after the commencement of the pregnancy.

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     This act would take effect on January 1, 2023, and apply to all health insurance policies

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issued or renewed thereafter.

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LC004430 - Page 4 of 4