Chapter 225
2024 -- S 2709 SUBSTITUTE A
Enacted 06/24/2024

A N   A C T
RELATING TO COMMERCIAL LAW -- GENERAL REGULATORY PROVISIONS -- MEDICAL DEBT REPORTING

Introduced By: Senators Murray, Burke, Pearson, Lauria, and Valverde

Date Introduced: March 05, 2024

It is enacted by the General Assembly as follows:
     SECTION 1. Title 6 of the General Laws entitled "COMMERCIAL LAW — GENERAL
REGULATORY PROVISIONS" is hereby amended by adding thereto the following chapter:
CHAPTER 60
MEDICAL DEBT REPORTING
     6-60-1. Definitions.
     As used in this chapter, the following terms shall have the following meanings:
     (1) "Consumer" shall have the same meaning as such term is defined in § 19-14.9-3.
     (2) "Consumer reporting agency" shall have the same meaning as such term is defined in
§ 19-14.9-3.
     (3) "Debt collector" shall have the same meaning as such term is defined in § 19-14.9-3.
     (4) "Medical debt" means an obligation of a consumer to pay an amount for the receipt of
healthcare services as defined by § 27-81-3, products, or devices, owed to a healthcare facility or a
healthcare professional as defined by § 27-81-3.
     6-60-2. Medical debt reporting prohibited in contracts with collection entities.
     A healthcare provider as defined in § 27-81-3, or a healthcare facility authorized or licensed
under chapter 17 of title 23, or an emergency medical transportation service certified under chapter
4.1 of title 23, shall not furnish information regarding any portion of a medical debt to a consumer
reporting agency. In any contract entered into with a collection entity or debt collector for the
purchase or collection of medical debt, there shall be included a provision which that prohibits the
reporting of any portion of medical debt to a consumer reporting agency.
     6-60-3. Credit reporting agencies.
     No credit reporting agency shall acquire, record, or report any medical debt, in any manner.
A credit reporting agency shall not make a consumer report containing any adverse information
that the agency knows or should know is related to medical debt of a consumer.
     6-60-4. Medical debt collectors.
     (a) A creditor, debt collector, or collection agency shall not use any false, deceptive, or
misleading information or means when attempting to collect a medical debt or in an attempt to
obtain information about a consumer in relation to collection of a medical debt by making a false,
deceptive, or misleading representation that the medical debt will be included in a consumer credit
report or factored into a credit score.
     (b) Any correspondence from a creditor, debt collector, or collection agency to a consumer
shall include the following language: "The State of Rhode Island general laws prohibit credit
bureaus from reporting medical debt or factoring medical debt into a credit score."
     (c) No creditor or debt collector that knows or should have known about an internal review,
external review, or other appeal of a health insurance decision that is pending within sixty (60) days
of the consumer's receipt of the financial statement shall:
     (1) Provide information relative to unpaid charges for healthcare services to a consumer
reporting agency;
     (2) Communicate with the consumer regarding the unpaid charges for healthcare services
for the purpose of seeking to collect the charges; or
     (3) Initiate a lawsuit or arbitration proceeding against the consumer relative to unpaid
charges for healthcare services.
     (d) If a medical debt has already been reported to a consumer reporting agency and the
creditor or debt collector who reported the information learns of an internal review, external review,
or other appeal of a health insurance decision that is pending within sixty (60) days of the
consumer's receipt of the financial statement, such creditor or collector shall instruct the consumer
reporting agency to delete the information about the debt.
     6-60-5. Enforcement.
     Any consumer reporting agency or debt collector that fails to comply with the requirements
imposed under this chapter, and that does not achieve compliance within thirty (30) days of being
notified by the consumer of its noncompliance, is liable to that consumer in an amount equal to the
sum of ten dollars ($10.00) per day for each day of noncompliance. If the noncompliance persists
beyond the thirty (30) days following the consumer's notification, the consumer may notify the
attorney general, who may bring an action against the offending person or entity to enjoin that
person or entity from continuing the violation and for any other relief that the court deems
appropriate. In the case of any successful action to enforce any provision of this chapter, the costs
of the action together with reasonable attorneys' fees as determined by the court shall be borne by
the offending consumer reporting agency or debt collector.
     SECTION 2. This act shall take effect on January 1, 2025.
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LC005575/SUB A
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