2008 -- H 7906 SUBSTITUTE A

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LC01091/SUB A

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STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2008

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A N A C T

RELATING TO STATUTES AND STATUTORY CONSTRUCTION

     

     

     Introduced By: Representative Gordon D. Fox

     Date Introduced: February 26, 2008

     Referred To: House Judiciary

It is enacted by the General Assembly as follows:

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     SECTION 1. Sections 11-41.1-9 and 11-41.1-14 of the General Laws in Chapter 11-41.1

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entitled "Grocery and Laundry Carts, Milk Cases, Egg Baskets, and Bakery Containers" are

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hereby amended to read as follows:

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     11-41.1-9. Unlawful removal of shopping carts, dairy cases, dispenser cases, egg

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baskets, poultry boxes, bakery containers, and plastic bulk a shopping cart or dairy case or

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dispenser case or merchandise containers. --It is a violation of this chapter for any person not

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in lawful possession of a shopping cart or dairy case or dispenser case or egg basket or poultry

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box or bakery container, or plastic bulk merchandise container to remove an egg basket, poultry

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box, or plastic bulk merchandise container from the premises, parking area or any other area of

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any processor, distributor, retailer, or food service establishment.  

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     11-41.1-14. Purchase of shopping carts, dairy cases, dispenser cases, egg baskets,

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bakery containers or plastic bulk merchandise containers for recycling, shredding, or

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destruction - Verification of seller's identity - Proof of ownership record. – (a)  Any person or

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entity purchasing shopping carts, dairy cases, dispenser cases, egg baskets, bakery containers or

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plastic bulk merchandise containers, who is in the business of recycling, shredding, or destruction

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of shopping carts, dairy cases, dispenser cases, egg baskets, bakery containers or plastic bulk

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merchandise containers shall obtain a proof of ownership record from a person selling five (5) or

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more shopping carts, dairy cases, dispenser cases, egg baskets, bakery containers or plastic bulk

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merchandise containers that shows that the person selling the carts, cases, baskets, or containers

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has lawful possession or ownership of the carts, cases, baskets, or containers, and shall also verify

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the seller's identity by a driver's license or other government-issued photo identification. The

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proof of ownership record shall include all of the following information:  

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     (1) The name, address, telephone number, and signature of the seller or the seller's

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authorized representative.  

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     (2) The name and address of the buyer or consignee if not sold.  

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     (3) A description of the product including number of units.  

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     (4) The date of the transaction.  

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     (b) The information required to be collected by this section shall be kept for one year

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from the date of purchase or delivery, whichever is later.  

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      SECTION 2. Section 11-47-9 of the General Laws in Chapter 11-47 entitled

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"Weapons" is hereby amended to read as follows:

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     11-47-9. Persons exempt from restrictions. -- The provisions of section 11-47-8 shall

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not apply to sheriffs, deputy sheriffs, the superintendent and members of the state police,

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members of the Rhode Island airport police department, members of the Rhode Island state

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marshals, Rhode Island state fire marshal, chief, deputy state fire marshals, deputy state fire

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marshals assigned to the bomb squad, and those assigned to the investigation unit, correctional

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officers, all within the department of corrections, members of the city or town police force,

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capitol police investigators of the department of attorney general appointed pursuant to

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section 42-9-8.1, the witness protection coordinator for the witness protection review board as set

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forth in chapter 30 of title 12 and subject to the minimum qualifications of section 42-9-8.1, the

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director, assistant director, and other inspectors and agents at the Rhode Island state fugitive task

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force appointed pursuant to section 12-6-7.2, railroad police while traveling to and from official

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assignments or while on assignments, conservation officers, or other duly appointed law

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enforcement officers, nor to members of the Army, Navy, Air Force, and Marine Corps of the

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United States, the National Guard, or organized reserves, when on duty, nor to members of

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organizations by law authorized to purchase or receive firearms from the United States or this

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state, provided these members are at or going to or from their places of assembly or target

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practice, nor to officers or employees of the United States authorized by law to carry a concealed

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firearm, nor to any civilian guard or criminal investigator carrying sidearms or a concealed

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firearm in the performance of his or her official duties under the authority of the commanding

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officer of the military establishment in the state of Rhode Island where he or she is employed by

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the United States, nor to any civilian guard carrying sidearms or a concealed firearm in the

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performance of his or her official duties under the authority of the adjutant general where he or

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she is employed guarding a national guard facility, provided, that the commanding officer of the

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military establishment shall have on file with the attorney general of this state a list of the names

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and addresses of all civilian guards and criminal investigators so authorized, nor to duly

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authorized military organizations when on duty, nor to members when at or going to or from their

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customary places of assembly,  nor to any individual employed in the capacity of warden,

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associate warden, major, captain, lieutenant, sergeant, correctional officer or investigator at any

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project owned or operated by a municipal detention facility corporation, including the Donald W.

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Wyatt Detention Facility, nor to the regular and/or ordinary transportation of pistols as

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merchandise, nor to any person while carrying a pistol unloaded and securely wrapped from the

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place of purchase to his or her home or place of business, or in moving goods from one place of

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abode or business to another. Persons exempted by the provisions of this section from the

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provisions of section 11-47-8 shall have the right to carry concealed firearms everywhere within

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this state; provided, that this shall not be construed as giving the right to carry concealed firearms

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to a person transporting firearms as merchandise or as household or business goods.  

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      SECTION 3. Section 14-1-6 of the General Laws in Chapter 14-1 entitled

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"Proceedings in Family Court" is hereby amended to read as follows:

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     14-1-6. Retention of jurisdiction. -- (a)  When the court shall have obtained jurisdiction

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over any child prior to the child having attained the age of eighteen (18)  years by the filing of a

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petition alleging that the child is wayward or delinquent pursuant to section 14-1-5, the child

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shall, except as specifically provided in this chapter, continue under the jurisdiction of the court

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until he or she becomes nineteen (19) years of age, unless discharged prior to turning nineteen

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(19). When the court shall have obtained jurisdiction over any child prior to the child's eighteenth

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(18th) birthday by the filing of a petition alleging that the child is dependent, neglected and abused

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pursuant to sections 14-1-5 and 40-11-7, the child shall, except as specifically provided in this

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chapter, continue under the jurisdiction of the court until he or she becomes eighteen (18) years of

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age; provided, that prior to an order of discharge or emancipation being entered, the court shall

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require the department of children, youth, and families to provide a description of the transition

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services afforded the child in placement or a detailed explanation as to the reason those services

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were not offered; provided further that any youth who comes within the jurisdiction of the court

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by the filing of a wayward or delinquent petition based upon an offense which was committed

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prior to July 1, 2007, including youth who are adjudicated and committed to the Rhode Island

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Training School and who are placed in a temporary community placement as authorized by the

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family court, may continue under the jurisdiction of the court until he or she turns twenty-one

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(21) years of age.  

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     (b)  In any case where the court shall not have acquired jurisdiction over any person prior

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to the person's eighteenth (18th) birthday by the filing of a petition alleging that the person had

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committed an offense, but a petition alleging that the person had committed an offense which

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would be punishable as a felony if committed by an adult has been filed before that person attains

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the age of nineteen (19) years of age, that person shall, except as specifically provided in this

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chapter, be subject to the jurisdiction of the court until he or she becomes nineteen (19) years of

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age, unless discharged prior to turning nineteen (19).  

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     (c)  In any case where the court shall not have acquired jurisdiction over any person prior

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to the person attaining the age of nineteen (19) years by the filing of a petition alleging that the

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person had committed an offense prior to the person attaining the age of eighteen (18) years

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which would be punishable as a felony if committed by an adult, that person shall be referred to

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the court which would have had jurisdiction over the offense if it had been committed by an adult.

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The court shall have jurisdiction to try that person for the offense committed prior to the person

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attaining the age of eighteen (18) years and, upon conviction, may impose a sentence not

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exceeding the maximum penalty provided for the conviction of that offense.  

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     (d)  In any case where the court has certified and adjudicated a child in accordance with

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the provisions of sections 14-1-7.2 and 14-1-7.3, the jurisdiction of the court shall encompass the

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power and authority to sentence the child to a period in excess of the age of nineteen (19) years.

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However, in no case shall the sentence be in excess of the maximum penalty provided by statute

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for the conviction of the offense.  

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     (e)  Nothing in this section shall be construed to affect the jurisdiction of other courts

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over offenses committed by any person after he or she reaches the age of eighteen (18) years.  

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      SECTION 4. Sections 27-4-4, 27-4-24.4 and 27-4-24.5 of the General Laws in

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Chapter 27-4 entitled "Life Insurance Policies and Reserves" are hereby amended to read as

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follows:

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     27-4-4. Penalty for unlawful discrimination. -- Any life insurance company, and any

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officer or agent of any life insurance company, violating any of the provisions of sections 27-4-

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1 and 27-4-3 shall be subject to penalties determined in accordance with section 42-14-1 42-14-

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16.  

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     27-4-24.4. Hearing on decisions of commissioner. -- Any organization or insurer

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aggrieved by any order or decision of the commissioner, or by any rule or regulation promulgated

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and adopted by the commissioner, may, within thirty (30) days after notice of the order or

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decision to the organization or insurer, make written request to the commissioner for a hearing on

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the order or decision.  The commissioner shall provide a hearing and issue a decision in

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accordance with the Administrative Procedures Act, chapter 42-35-1 42-35.  

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     27-4-24.5. Judicial review of orders and decisions. -- Any final order or decision of the

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commissioner, including any order made after a hearing under the provisions of section 27-4-

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24.3 or 27-4-24.4, shall be subject to review in accordance with the Administrative Procedures

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Act, chapter 42-35-1 42-35.  

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      SECTION 5. Section 27-5-3.7 of the General Laws in Chapter 27-5 entitled "Fire

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Insurance Policies and Reserves" is hereby amended to read as follows:

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     27-5-3.7. Hurricane deductibles, triggers and policyholder notice. -- (a)  The

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provisions of this section shall be applicable to policies issuing or renewing on or after July 1,

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2008.  

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     (b)  In all instances where an insurance company licensed to do business in this state

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offers or includes any deductible and/or mitigation measure related to such deductible for any

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type of personal lines residential property insurance on dwelling houses, the insurance company

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shall provide prominent and clear notice to insureds, that shall be included in the policy issuance

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or renewal package and shall fully disclose all details pertaining to any such deductible and/or

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mitigation measure.  

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     (c)  The insurer may apply a deductible specific to windstorm coverage where:  

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     (i) The deductible is specifically approved by the director and shall not exceed five

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percent (5%) of the insured value.  

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     (ii) The deductible shall be applicable to losses due to a hurricane during the period

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commencing with the issuance of a hurricane warning bulletin for any part of the state by the

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National Hurricane Center and concluding twenty-four (24) hours after the termination of the last

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hurricane warning bulletin for any part of the state.  

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     (iii) The deductible, whether it is a flat dollar deductible or a percentage deductible shall

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be presented by at least two (2) examples that illustrate the application of the deductible to the

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insured. Nothing herein shall prohibit the insurer from providing any additional information to the

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insured to assist in the insured's understanding of the deductible to be applied to the insured's

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policy.  

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     (iv) The deductible set forth above shall not be applied to any insured, if the insured has

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installed approved mitigation measures to protect against windstorm damage and the insurer has

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either inspected the property or the insured has submitted satisfactory proof of installation of the

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approved mitigation measures. The insurance commissioner, in consultation with the state

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building code commissioner, shall adopt and may amend or revise a list of mitigation measures,

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based so far as reasonably feasible on national standards for such measures and practices in other

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comparable states. The list of mitigation measures adopted by the insurance commissioner shall

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be considered approved mitigation measures for purposes of this subdivision.  

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     (d)  Premium credits shall be applied to policies with deductibles as set forth in

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subsection 27-5-3.7(c).  

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     (e)  An insurer may require mitigation measures to protect against windstorm damage

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only after specific approval of the substance of such mitigation measures by the director;  

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     (i) Mitigation measures to be taken by an insured are clearly explained, including a

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complete illustration of the dollar impact upon the premiums to be charged to insureds if the

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requested mitigation activities are undertaken;  

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     (ii) No mandatory deductible for windstorm damage shall be included in the policy;  

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     (iii) An insurer shall write the requested coverage at the premium rate that includes the

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premium credit to be realized with the completion of the mitigation efforts;  

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     (iv) The insurer shall affirmatively state the length of time during which discount given

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for the mitigation efforts will apply; and  

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     (v) No insurer shall subsequently non-renew an insured who has taken the mitigation

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steps requested by the insurer for reasons of the insurers exposure to catastrophe loss, unless for

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non-payment of premium, fraud, breach by the insured of a provision of the policy, reversal or a

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lack of maintenance of the mitigation steps, or insurer solvency concerns or adverse loss history.  

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     (f)  Penalties for failure to comply with the provisions of this section shall be

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administered by the director in accordance with the provisions of section 42-14-16.  

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     (g)  The department of business regulation shall have authority to adopt such rules,

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including emergency rules, as may be necessary or desirable to effectuate the purposes of this

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section.  

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      SECTION 6. Section 27-10.2-2 of the General Laws in Chapter 27-10.2 entitled

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"Motor Vehicle Body Replacement Parts" is hereby amended to read as follows:

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     27-10.2-2. Aftermarket parts - Time limit prohibition. [Effective January 1, 2008.] --

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(a)  Whenever an insurance company, in adjusting a first party claim for motor vehicle physical

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damage, intends to specify the use of aftermarket parts, it shall notify the insured in writing. Any

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auto body repair shop conducting business in the state of Rhode Island shall not use non-original

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equipment manufactured (OEM) parts, also referred to as aftermarket parts, in the repair of any

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person's automobile, without that person giving the repairer his or her express written consent.  

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     (b)  No insurance company may require the use of aftermarket parts when negotiating

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repairs with any repairer unless the repairer has written consent from the vehicle owner to install

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aftermarket parts. The provisions of this section shall apply only to automobiles which are less

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than thirty (30) months beyond the date of manufacture.  

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     (c)  For any automobile which is less than thirty (30) months beyond the date of

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manufacturer manufacture, the insurer and the auto body repairs shop must provide a written

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notice to the vehicle owner that: (i) he or she may require the insurer to pay for and the auto body

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shop to install "original equipment manufacturer parts " or "OEM parts" in the repair of a motor

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vehicle body replacement; or (ii) he or she may require the insurer to pay for and the auto body

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shop to install "non-original equipment manufacturer parts" (non-"OEM parts") in the repair of a

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motor vehicle body replacement. To comply with this provision, written notice may be provided

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on the appraisal written on behalf of the insurer and the estimate prepared by the auto body repair

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shop.  

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      SECTION 7. Section 31-47.3-3 of the General Laws in Chapter 31-47.3 entitled "The

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Diesel Emissions Reduction Act" is hereby amended to read as follows:

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     31-47.3-3. Reducing emissions from school buses. -- (a)  Purpose. To reduce health

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risks from diesel particulate matter (DPM) to Rhode Island school children by significantly

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reducing tailpipe emissions from school buses, and preventing engine emissions from entering the

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passenger cabin of the buses.  

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     (b)  Requirements for Rhode Island school buses:  

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     (i) By September 1, 2010, no full-size school bus with an engine model year 1993 or

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older may be used to transport school children in Rhode Island; and,   

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     (ii) Providing there is sufficient federal or state monies, by September 1, 2010, all full-

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sized school buses transporting children in Rhode Island must be retrofitted with a closed

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crankcase ventilation system and either: (A) be equipped with a level 1, level 2, or level 3 device

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verified by the US Environmental Protection Agency or the California Air Resources Board; or

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(B) be equipped with an engine of model year 2007 or newer; or (C) achieve the same or higher

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diesel PM reductions through the use of an alternative fuel such as compressed natural gas

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verified by CARB/EPA to reduce DPM emissions at a level equivalent to or higher than

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subsection (B) above.  

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     (c)  Financial assistance to defray costs of pollution reductions called for in (b)(ii):  

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     (i) DEM shall work with the Rhode Island department of transportation or other

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authorized transit agencies to maximize the allocation of federal congestion mitigation and air

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quality (CMAQ) money for Rhode Island for diesel emissions reductions in federal FY 2008 and

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thereafter until the retrofit goals in this act are met. The (CMAQ) program is jointly administered

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by the federal highway administration (FHWA) and the federal transit administration (FTA), and

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was reauthorized by congress in 2005 under the safe, accountable, flexible, and efficient

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transportation equity act: A legacy for users (SAFETEA-LU). The (SAFETEA-LU) requires

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states and MPOs to give priority in distributing CMAQ funds to diesel engine retrofits, and other

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cost-effective emission reduction and congestion mitigation activities that benefit air quality.  

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     (ii) Drawing upon any available federal or state monies, the director shall establish and

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implement a system of providing incentives consistent with this section to municipalities,

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vendors, or school bus owners for the purchase and installation of any CARB/EPA-verified

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emission control retrofit device together with the purchase and installation of closed crankcase

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ventilation system (CCV) retrofit device. In 2007, the per-unit incentive shall not exceed one

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thousand two hundred fifty dollars ($1,250) for a level 1 device plus a CCV, or two thousand five

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hundred dollars ($2,500) for a level 2 device plus a CCV, or for model years 2003-2006 five

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thousand dollars ($5,000) for a level 3 device plus a CCV. Incentive levels may be reevaluated

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annually, with the goal of maintaining competition in the market for retrofit devices. To the

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extent practicable, in kind services will also be utilized to offset some of the costs. Incentive

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recipients must also certify that newly purchased or retrofitted buses with a level 3 technology

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will operate in the state of Rhode Island for a minimum of four (4) years.  

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     (d)  Priority community provision:  

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     (i) When penalty funds, state SEP funds, federal funds, or funds from other state or non-

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state sources become available, these should first be allocated toward further offsetting costs of

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achieving "best available" emissions control in "priority communities";  

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     (ii) The "best available" standard is attained by all new buses (MY2007 and newer) and

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by diesel buses model year 2003 to 2006, inclusive that has been retrofitted with level 3-verified

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diesel particulate filters and closed crankcase ventilation systems, by diesel buses model year

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1994 to 2002, inclusive that has been retrofitted with at least level 2-verified diesel particulate

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filters and closed crankcase ventilation systems or could be achieved with a natural gas bus that

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achieves the same or better standards of cleanliness as a 2007 diesel bus standard; and  

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     (iii) "Priority communities" (to be identified by the Rhode Island DEM) are Rhode Island

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communities that have high levels of ambient air pollution and high incidence of childhood

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respiratory impacts.  

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     (e) To achieve the pressing public health and environmental goals of this act, DEM shall

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identify opportunities to achieve maximize PM reductions from diesel powered heavy duty

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vehicle or equipment that is owned by, operated by, or on behalf of, or leased by, or operating

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under a contact to a state agency or state or regional public authority (except vehicles that are

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specifically equipped for emergency response) and diesel powered waste collection and recycling

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vehicles that are owned, leased, or contracted to perform the removal or transfer or municipal,

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commercial or residential waste, or recycling services. No later than January 1, 2008, DEM shall

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present a report to the general assembly, governor, house committee on environment and natural

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resources, and the senate committee on environment and agriculture on such opportunities to

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maximum PM reductions from the aforementioned fleets including legislative changes, regulatory

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changes, funding sources, contract requirements, procurement requirements, and other

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mechanisms that will bring about maximum PM reductions from these two priority fleets. This

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report shall explore funding sources beyond CMAQ, including but not limited to Diesel

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Reductions Emissions Reduction Act (DERA) funds under the Federal Energy Act.   

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     (f) Severability. If any clause, sentence, paragraph, section or part of this act shall be

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adjudged by any court of competent jurisdiction to be invalid and after exhaustion of all further

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judicial review, the judgment shall not affect, impair or invalidate the remainder thereof, but shall

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be confined in its operation to the clause, sentence, paragraph, section or part of this act directly

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involved in the controversy in which the judgment shall have been rendered.  

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      SECTION 8. Section 40-8-19 of the General Laws in Chapter 40-8 entitled "Medical

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Assistance" is hereby amended to read as follows:

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     40-8-19. Rates of payment to nursing facilities. -- (a)  Rate reform. The rates to be paid

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by the state to nursing facilities licensed pursuant to chapter 17 of title 23, and certified to

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participate in the Title XIX Medicaid program for services rendered to Medicaid-eligible

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residents, shall be reasonable and adequate to meet the costs which must be incurred by

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efficiently and economically operated facilities in accordance with 42 U.S.C.  1396a(a)(13). The

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department of human services shall promulgate or modify the principles of reimbursement for

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nursing facilities currently in effect on July 1, 2003 to be consistent with the provisions of this

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section and Title XIX, 42 U.S.C.  1396 et seq., of the Social Security Act.  

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     (b)  Rate reform. Subject to the phase-in provisions in subsections (c) and (d), the

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department shall, on or before October 1, 2005, modify the principles of reimbursement for

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nursing facilities to include the following elements:  

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     (1) Annual base years;  

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     (2) Four (4) cost centers: direct labor, property, other operating, and pass through items;  

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     (3) Re-array of costs of all facilities in the labor and other operating cost centers every

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three (3) years beginning with calendar year 2002;  

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     (4) A ceiling maximum for allowable costs in the direct labor cost center to be

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established by the department between one hundred ten percent (110%) and one hundred twenty-

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five percent (125%) of the median for all facilities for the most recent array year.  

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     (5) A ceiling maximum for allowable costs in the other operating cost center to be

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established by the department between ninety percent (90%) and one hundred fifteen percent

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(115%) of the median for all facilities for the most recent array year;  

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     (6) Adjustment of costs and ceiling maximums by the increase in the National Nursing

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Home Price Index ("NNHPI") for the direct labor cost center and the other operating cost center

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for year between array years; such adjustments to be applied on October 1st of each year

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beginning October 1, 2003 for the direct labor cost center and October 1, 2005 for the other

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operating cost center, except for the fiscal year beginning July 1, 2006 for which the price index

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shall be applied on February 1, 2007 and for the fiscal year beginning October 1, 2007 for which

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the adjustment of costs and ceiling maximums shall be one and one-tenth percent (1.1%) percent.

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  (7) Application of a fair rental value system to be developed by the department for

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calculating allowable reimbursement for the property cost center;  

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     (8) Such quality of care and cost containment incentives as may be established by

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departmental regulations.  

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     (c)  Phase I Implementation. The department shall file a state plan amendment with the

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U.S. Department of Health and Human Services on or before August 1, 2003 to modify the

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principles of reimbursement for nursing facilities, to be effective on October 1, 2003, or as soon

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thereafter as is authorized by an approved state plan amendment, to establish the direct labor cost

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center and the pass through items cost center utilizing calendar year 2002 cost data, and to apply

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the ceiling maximums in subsections (b)(4) and (b)(5). Nursing facilities whose allowable 2002

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direct labor costs are below the median in the direct labor cost center may make application to the

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department for a direct labor cost interim payment adjustment equal to twenty-five percent (25%)

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of the amount such allowable 2002 direct labor costs are below the median in the direct labor cost

10-23

center, provided that the interim payment adjustment granted by the department on or after

10-24

October 1, 2003 must be expended by the facility on expenses allowable within the direct labor

10-25

cost center, and any portion of the interim payment not expended on allowable direct labor cost

10-26

center expenses shall be subject to retroactive adjustment and recoupment by the department

10-27

upon the department's determination of a final direct labor payment adjustment after review of the

10-28

facility's actual direct labor expenditures. The final direct labor payment adjustment will be

10-29

included in the facility's October 1, 2004 rate until the facility's next base year.  

10-30

     (d)  Phase II Implementation. The department shall file a state plan amendment with the

10-31

U.S. Department of Health and Human Services to modify the principles of reimbursement for

10-32

nursing facilities, to be effective on September 1, 2004, or as soon thereafter as is authorized by

10-33

an approved state plan amendment, to establish a fair rental value system for calculating

10-34

allowable reimbursement for the property cost center in accordance with subsection (b)(7);

11-1

provided, however, that no facility shall receive a payment as of September 1, 2004 for property-

11-2

related expenses pursuant to the fair rental value system that is less than the property-related

11-3

payment they would have received for the other property-related ("OPR") cost center system in

11-4

effect as of June 30, 2004.  

11-5

      SECTION 9. Section 42-7.2-5 of the General Laws in Chapter 42-7.2 entitled "Office

11-6

of Health and Human Services " is hereby amended to read as follows:

11-7

     42-7.2-5. Duties of the secretary. -- The secretary shall be subject to the direction and

11-8

supervision of the governor for the oversight, coordination and cohesive direction of state

11-9

administered health and human services and in ensuring the laws are faithfully executed, not

11-10

withstanding any law to the contrary. In this capacity, the Secretary of Health and Human

11-11

Services shall be authorized to:  

11-12

     (a) (1) Coordinate the administration and financing of health care benefits, human

11-13

services and programs including those authorized by the Medicaid State Plan under Title XIX of

11-14

the US Social Security Act. However, nothing in this section shall be construed as transferring to

11-15

the secretary the powers, duties or functions conferred upon the departments by Rhode Island

11-16

public and general laws for the administration of federal/state programs financed in whole or in

11-17

part with Medicaid funds or the administrative responsibility for the preparation and submission

11-18

of any state plans, state plan amendments, or authorized federal waiver applications.  

11-19

     (b) (2) Serve as the governor's chief advisor and liaison to federal policymakers on

11-20

Medicaid reform issues as well as the principal point of contact in the state on any such related

11-21

matters.  

11-22

     (c) (3) Review and ensure the coordination of any new departmental waiver requests and

11-23

renewals as well as any initiatives and proposals requiring amendments to the Medicaid state plan

11-24

with the potential to affect the scope, amount or duration of publicly-funded health care services,

11-25

provider payments or reimbursements, or access to or the availability of benefits and services as

11-26

provided by Rhode Island general and public laws. The secretary shall consider whether any such

11-27

waivers or amendments are legally and fiscally sound and consistent with the state's policy and

11-28

budget priorities. The secretary shall also assess whether a proposed waiver or amendment is

11-29

capable of obtaining the necessary approvals from federal officials and achieving the expected

11-30

positive consumer outcomes. Department directors shall, within the timelines specified, provide

11-31

any information and resources the secretary deems necessary in order to perform the reviews

11-32

authorized in this section;  

11-33

     (d) (4) Beginning in 2006, prepare and submit to the governor, the chairpersons of the

11-34

house and senate finance committees, the caseload estimating conference, and to the joint

12-1

legislative committee for health care oversight, by no later than February 1 of each year, a

12-2

comprehensive overview of all Medicaid expenditures outcomes, and utilization rates. The

12-3

overview shall include, but not be limited to, the following information:  

12-4

     (1) (i) Expenditures under Titles XIX and XXI of the social security act Social Security

12-5

Act, as amended;  

12-6

     (2) (ii) Expenditures, outcomes and utilization rates by population and sub-population

12-7

served (e.g. families with children, children with disabilities, children in foster care, children

12-8

receiving adoption assistance, adults with disabilities, and the elderly);  

12-9

     (3) (iii) Expenditures, outcomes and utilization rates by each state department or other

12-10

municipal or public entity receiving federal reimbursement under Titles XIX and XXI of the

12-11

social security act Social Security Act, as amended; and  

12-12

     (4) (iv) Expenditures, outcomes and utilization rates by type of service and/or service

12-13

provider.  

12-14

     The directors of the departments, as well as local governments and school departments,

12-15

shall assist and cooperate with the secretary in fulfilling this responsibility by providing whatever

12-16

resources, information and support shall be necessary.  

12-17

     (e) (5) Resolve administrative, jurisdictional, operational, program, or policy conflicts

12-18

among departments and their executive staffs and make necessary recommendations to the

12-19

governor.  

12-20

     (f) (6) Assure continued progress toward improving the quality, the economy, the

12-21

accountability and the efficiency of state-administered health and human services. In this

12-22

capacity, the secretary shall:  

12-23

     (1) (i) Direct implementation of reforms in the human resources practices of the

12-24

departments that streamline and upgrade services, achieve greater economies of scale and

12-25

establish the coordinated system of the staff education, cross- training, and career development

12-26

services necessary to recruit and retain a highly-skilled, responsive, and engaged health and

12-27

human services workforce;  

12-28

     (2) (ii) Encourage the departments to utilize consumer-centered approaches to service

12-29

design and delivery that expand their capacity to respond efficiently and responsibly to the

12-30

diverse and changing needs of the people and communities they serve;  

12-31

     (3) (iii) Develop all opportunities to maximize resources by leveraging the state's

12-32

purchasing power, centralizing fiscal service functions related to budget, finance, and

12-33

procurement, centralizing communication, policy analysis and planning, and information systems

12-34

and data management, pursuing alternative funding sources through grants, awards and

13-1

partnerships and securing all available federal financial participation for programs and services

13-2

provided through the departments; and  

13-3

     (4) (iv) Improve the coordination and efficiency of health and human services legal

13-4

functions by centralizing adjudicative and legal services and overseeing their timely and judicious

13-5

administration.  

13-6

     (g) (7) Prepare and integrate comprehensive budgets for the health and human services

13-7

departments and any other functions and duties assigned to the office. The budgets shall be

13-8

submitted to the state budget office by the secretary, for consideration by the governor, on behalf

13-9

of the state's health and human services in accordance with the provisions set forth in section 35-

13-10

3-4 of the Rhode Island general laws.  

13-11

     (h) (8) Utilize objective data to evaluate health and human services policy goals, resource

13-12

use and outcome evaluation and to perform short and long-term policy planning and

13-13

development.  

13-14

     (i) (9) Establishment of an integrated approach to interdepartmental information and data

13-15

management that will facilitate the transition to consumer-centered system of state administered

13-16

health and human services.  

13-17

     (j) (10) At the direction of the governor or the general assembly, conduct independent

13-18

reviews of state-administered health and human services programs, policies and related agency

13-19

actions and activities and assist the department directors in identifying strategies to address any

13-20

issues or areas of concern that may emerge thereof. The department directors shall provide any

13-21

information and assistance deemed necessary by the secretary when undertaking such

13-22

independent reviews.  

13-23

     (k) (11) Provide regular and timely reports to the governor and make recommendations

13-24

with respect to the state's health and human services agenda.  

13-25

     (l) (12) Employ such personnel and contract for such consulting services as may be

13-26

required to perform the powers and duties lawfully conferred upon the secretary.  

13-27

     (m) (13) Implement the provisions of any general or public law or regulation related to

13-28

the disclosure, confidentiality and privacy of any information or records, in the possession or

13-29

under the control of the executive office or the departments assigned to the executive office, that

13-30

may be developed or acquired for purposes directly connected with the secretary's duties set forth

13-31

herein.  

13-32

     (n) (14) Hold the director of each health and human services department accountable for

13-33

their administrative, fiscal and program actions in the conduct of the respective powers and duties

13-34

of their agencies.  

14-1

      SECTION 10. Section 42-14.5-3 of the General Laws in Chapter 42-14.5 entitled

14-2

"The Rhode Island Health Care Reform Act of 2004 – Health Insurance Oversight " is hereby

14-3

amended to read as follows:

14-4

     42-14.5-3. Powers and duties. [Contingent effective date; see notes under section 42-

14-5

14.5-1.] --The health insurance commissioner shall have the following powers and duties:  

14-6

     (a) To conduct an annual public meeting or meetings, separate and distinct from rate

14-7

hearings pursuant to section 42-62-13, regarding the rates, services and operations of insurers

14-8

licensed to provide health insurance in the state the effects of such rates, services and operations

14-9

on consumers, medical care providers and patients, and the market environment in which such

14-10

insurers operate. Notice of not less than ten (10) days of said hearing(s) shall go to the general

14-11

assembly, the governor, the Rhode Island Medical Society, the Hospital Association of Rhode

14-12

Island, the director of health, and the attorney general. Public notice shall be posted on the

14-13

department's web site and given in the newspaper of general circulation, and to any entity in

14-14

writing requesting notice.  

14-15

     (b) To make recommendations to the governor and the joint legislative committee on

14-16

health care oversight regarding health care insurance and the regulations, rates, services,

14-17

administrative expenses, reserve requirements, and operations of insurers providing health

14-18

insurance in the state, and to prepare or comment on, upon the request of the co-chairs of the joint

14-19

committee on health care oversight or upon the request of the governor, draft legislation to

14-20

improve the regulation of health insurance. In making such recommendations, the commissioner

14-21

shall recognize that it is the intent of the legislature that the maximum disclosure be provided

14-22

regarding the reasonableness of individual administrative expenditures as well as total

14-23

administrative costs. The commissioner shall also make recommendations on the levels of

14-24

reserves including consideration of: targeted reserve levels; trends in the increase or decrease of

14-25

reserve levels; and insurer plans for distributing excess reserves.  

14-26

     (c) To establish a consumer/business/labor/medical advisory council to obtain

14-27

information and present concerns of consumers, business and medical providers affected by

14-28

health insurance decisions. The council shall be involved in the planning and conduct of the

14-29

public meeting in accordance with subsection (a) above. The advisory council shall assist in the

14-30

design of an insurance complaint process to ensure that small businesses that experience

14-31

extraordinary rate increases in a given year could request and receive a formal review by the

14-32

department. The advisory council shall assess views of the health provider community relative to

14-33

insurance rates of reimbursement, billing and reimbursement procedures, and the insurers' role in

14-34

promoting efficient and high quality health care. The advisory council shall issue an annual report

15-1

of findings and recommendations to the governor and the joint legislative committee on health

15-2

care oversight. The advisory council is to be diverse in interests and shall include representatives

15-3

of community consumer organizations; small businesses, other than those involved in the sale of

15-4

insurance products; and hospital, medical, and other health provider organizations. Such

15-5

representatives shall be nominated by their respective organizations. The advisory council shall

15-6

be co-chaired by the health insurance commissioner and a community consumer organization or

15-7

small business member to be elected by the full advisory council.  

15-8

     (d) To establish and provide guidance and assistance to a subcommittee ("The

15-9

Professional Provider-Health Plan Work Group") of the advisory council created pursuant to

15-10

subsection (c) above, composed of health care providers and Rhode Island licensed health plans.

15-11

This subcommittee shall develop a plan to implement the following activities:  

15-12

     (i) By January 1, 2006, a method whereby health plans shall disclose to contracted

15-13

providers the fee schedules used to provide payment to those providers for services rendered to

15-14

covered patients;  

15-15

     (ii) By April 1, 2006, a standardized provider application and credentials verification

15-16

process, for the purpose of verifying professional qualifications of participating health care

15-17

providers;  

15-18

     (iii) By September 1, 2006, a uniform health plan claim form to be utilized by

15-19

participating providers;  

15-20

     (iv) By March 15, 2007, a report to the legislature on proposed methods for health

15-21

maintenance organizations as defined by section 27-41-1, and nonprofit hospital or medical

15-22

service corporations as defined by chapters 27-19 and 27-20, to make facility-specific data and

15-23

other medical service-specific data available in reasonably consistent formats to patients

15-24

regarding quality and costs. This information would help consumers make informed choices

15-25

regarding the facilities and/or clinicians or physician practices at which to seek care. Among the

15-26

items considered would be the unique health services and other public goods provided by

15-27

facilities and/or clinicians or physician practices in establishing the most appropriate cost

15-28

comparisons.   

15-29

     (v) By December 1, 2006, contractual disclosure to participating providers of the

15-30

mechanisms for resolving health plan/provider disputes; and  

15-31

     (vi) By February 1, 2007, a uniform process for confirming in real time patient insurance

15-32

enrollment status, benefits coverage, including co-pays and deductibles.  

15-33

     (vii) By December 1, 2007, a report to the legislature on the temporary credentialing of

15-34

providers seeking to participate in the plan's network and the impact of said activity on health

16-1

plan accreditation;  

16-2

     (viii) By February 1, 2008, a report to the legislature on the feasibility of occasional

16-3

contract renegotiations between plans and the providers in their networks.  

16-4

     (ix) By May 1, 2008, a report to the legislature reviewing impact of silent PPOs on

16-5

physician practices.   

16-6

     A report on the work of the subcommittee shall be submitted by the health insurance

16-7

commissioner to the joint legislative committee on health care oversight on March 1, 2006,

16-8

March 1, 2007, and March 1, 2008.  

16-9

     (e) To enforce the provisions of Title 27 and Title 42 as set forth in section 42-14-5(d).  

16-10

     (f) There is hereby established the Rhode Island Affordable Health Plan Reinsurance

16-11

Fund. The fund shall be used to effectuate the provisions of sections 27-18.5-8 and 27-50-17.  

16-12

     (g) To examine and study the impact of changing the rating guidelines and/or merging the

16-13

individual health insurance market as defined in section chapter 27-18.5 and the small employer

16-14

health insurance market as defined in chapter 27-50 in accordance with the following:  

16-15

     (i) The study shall forecast the likely rate increases required to effect the changes

16-16

recommended pursuant to the preceding subsection (g) in the direct pay market and small

16-17

employer health insurance market over the next five (5) years, based on the current rating

16-18

structure, and current products.  

16-19

     (ii) The study shall include examining the impact of merging the individual and small

16-20

employer markets on premiums charged to individuals and small employer groups.  

16-21

     (iii) The study shall include examining the impact on rates in each of the individual and

16-22

small employer health insurance markets and the number of insureds in the context of possible

16-23

changes to the rating guidelines used for small employer groups, including: community rating

16-24

principles; expanding small employer rate bands bonds beyond the current range; increasing the

16-25

employer group size in the small group market; and/or adding rating factors for broker and/or

16-26

tobacco use.  

16-27

     (iv) The study shall include examining the adequacy of current statutory and regulatory

16-28

oversight of the rating process and factors employed by the participants in the proposed new

16-29

merged market.  

16-30

     (v) The study shall include assessment of possible reinsurance mechanisms and/or federal

16-31

high-risk pool structures and funding to support the health insurance market in Rhode Island by

16-32

reducing the risk of adverse selection and the incremental insurance premiums charged for this

16-33

risk, and/or by making health insurance affordable for a selected at-risk population.  

16-34

     (vi) The health insurance commissioner shall establish an insurance market merger task

17-1

force to assist with the study. The task force shall be chaired by the health insurance

17-2

commissioner and shall include, but not be limited to, representatives of the general assembly, the

17-3

business community, small employer carriers as defined in section 27-50.3 27-50-3, carriers

17-4

offering coverage in the individual market in Rhode Island, health insurance brokers and

17-5

members of the general public.  

17-6

     (vii) For the purposes of conducting this study, the commissioner may contract with an

17-7

outside organization with expertise in fiscal analysis of the private insurance market. In

17-8

conducting its study, the organization shall, to the extent possible, obtain and use actual health

17-9

plan data. Said data shall be subject to state and federal laws and regulations governing

17-10

confidentiality of health care and proprietary information.  

17-11

     (viii) The task force shall meet no later than October 1, 2007 and the commissioner shall

17-12

file a report with the speaker of the house of representatives and the president of the senate no

17-13

later than January 1, 2008.  

17-14

      SECTION 11. Section 42-46-2 of the General Laws in Chapter 42-46 entitled "Open

17-15

Meetings" is hereby amended to read as follows:

17-16

     42-46-2. Definitions. -- As used in this chapter:  

17-17

     (a) (1) "Meeting" means the convening of a public body to discuss and/or act upon a

17-18

matter over which the public body has supervision, control, jurisdiction, or advisory power. As

17-19

used herein, the term "meeting" expressly includes, without limiting the generality of the

17-20

foregoing, so-called "workshop," "working," or "work" sessions.  

17-21

     (b) (2) "Open call" means a public announcement by the chairperson of the committee

17-22

that the meeting is going to be held in executive session and the chairperson must indicate which

17-23

exception of section 42-46-5 is being involved.  

17-24

     (c) (3) "Public body" means any department, agency, commission, committee, board,

17-25

council, bureau, or authority or any subdivision thereof of state or municipal government or any

17-26

library that funded at least twenty-five percent (25%) of its operational budget in the prior budget

17-27

year with public funds, and shall include all authorities defined in section 42-35-1(b). For

17-28

purposes of this section, any political party, organization, or unit thereof meeting or convening is

17-29

not and should not be considered to be a public body; provided, however, that no such meeting

17-30

shall be used to circumvent the requirements of this chapter.  

17-31

     (d) (4) "Quorum", unless otherwise defined by applicable law, means a simple majority

17-32

of the membership of a public body.  

17-33

     (e) (5) "Prevailing plaintiff" includes those persons and entities deemed "prevailing

17-34

parties" pursuant to 42 U.S.C.  1988.  

18-1

     (f) (6) "Open forum" means the designated portion of an open meeting, if any, on a

18-2

properly posted notice reserved for citizens to address comments to a public body relating to

18-3

matters affecting the public business.  

18-4

      SECTION 12. Section 42-72-5 of the General Laws in Chapter 42-72 entitled

18-5

"Department of Children, Youth, and Families" is hereby amended to read as follows:

18-6

     42-72-5. Powers and scope of activities. -- (a)  The department is the principal agency

18-7

of the state to mobilize the human, physical and financial resources available to plan, develop,

18-8

and evaluate a comprehensive and integrated statewide program of services designed to ensure

18-9

the opportunity for children to reach their full potential. The services include prevention, early

18-10

intervention, out-reach, placement, care and treatment, and after-care programs; provided,

18-11

however, that the department notifies the state police and cooperates with local police

18-12

departments when it receives and/or investigates a complaint of sexual assault on a minor and

18-13

concludes that probable cause exists to support the allegations(s). The department also serves as

18-14

an advocate for the needs of children.  

18-15

     (b)  To accomplish the purposes and duties, as set forth in this chapter, the director is

18-16

authorized and empowered:  

18-17

     (1) To establish those administrative and operational divisions of the department that the

18-18

director determines is in the best interests of fulfilling the purposes and duties of this chapter;  

18-19

     (2) To assign different tasks to staff members that the director determines best suit the

18-20

purposes of this chapter;  

18-21

     (3) To establish plans and facilities for emergency treatment, relocation and physical

18-22

custody of abused or neglected children which may include, but are not limited to,

18-23

homemaker/educator child case aides, specialized foster family programs, day care facilities,

18-24

crisis teams, emergency parents, group homes for teenage parents, family centers within existing

18-25

community agencies, and counseling services;  

18-26

     (4) To establish, monitor, and evaluate protective services for children including, but not

18-27

limited to, purchase of services from private agencies and establishment of a policy and

18-28

procedure manual to standardize protective services;  

18-29

     (5) To plan and initiate primary and secondary treatment programs for abused and

18-30

neglected children;  

18-31

     (6) To evaluate the services of the department and to conduct periodic comprehensive

18-32

needs assessment;  

18-33

     (7) To license, approve, monitor, and evaluate all residential and non-residential child

18-34

care institutions, group homes, foster homes, and programs;  

19-1

     (8) To recruit and coordinate community resources, public and private;  

19-2

     (9) To promulgate rules and regulations concerning the confidentiality, disclosure and

19-3

expungement of case records pertaining to matters under the jurisdiction of the department;  

19-4

     (10) To establish a minimum mandatory level of twenty (20) hours of training per year

19-5

and provide ongoing staff development for all staff; provided, however, all social workers hired

19-6

after June 15, 1991, within the department shall have a minimum of a bachelor's degree in social

19-7

work or a closely related field, and must be appointed from a valid civil service list;  

19-8

     (11) To establish procedures for reporting suspected child abuse and neglect pursuant to

19-9

chapter 11 of title 40;  

19-10

     (12) To promulgate all rules and regulations necessary for the execution of departmental

19-11

powers pursuant to the Administrative Procedures Act, chapter 35 of title 42;  

19-12

     (13) To provide and act as a clearinghouse for information, data and other materials

19-13

relative to children;  

19-14

     (14) To initiate and carry out studies and analysis which will aid in solving local, regional

19-15

and statewide problems concerning children;  

19-16

     (15) To represent and act on behalf of the state in connection with federal grant programs

19-17

applicable to programs for children in the functional areas described in this chapter;  

19-18

     (16) To seek, accept, and otherwise take advantage of all federal aid available to the

19-19

department, and to assist other agencies of the state, local agencies, and community groups in

19-20

taking advantage of all federal grants and subventions available for children;  

19-21

     (17) To review and coordinate those activities of agencies of the state and of any political

19-22

subdivision of the state which affect the full and fair utilization of community resources for

19-23

programs for children, and initiate programs that will help assure utilization;  

19-24

     (18) To administer the pilot juvenile restitution program, including the overseeing and

19-25

coordinating of all local community based restitution programs, and the establishment of

19-26

procedures for the processing of payments to children performing community service; and  

19-27

     (19) To adopt rules and regulations which:  

19-28

     (i) For the twelve (12) month period beginning on October 1, 1983, and for each

19-29

subsequent twelve (12) month period, establish specific goals as to the maximum number of

19-30

children who will remain in foster care for a period in excess of two (2) years; and  

19-31

     (ii) Are reasonably necessary to implement the child welfare services and foster care

19-32

programs;  

19-33

     (20) May establish and conduct seminars for the purpose of educating children regarding

19-34

sexual abuse;  

20-1

     (21) To establish fee schedules by regulations for the processing of requests from

20-2

adoption placement agencies for adoption studies, adoption study updates, and supervision related

20-3

to interstate and international adoptions. The fee shall equal the actual cost of the service(s)

20-4

rendered, but in no event shall the fee exceed two thousand dollars ($2,000);  

20-5

     (22) To be responsible for the education of all children who are placed, assigned, or

20-6

otherwise accommodated for residence by the department in a state operated or supported

20-7

community residence licensed by a Rhode Island state agency. In fulfilling this responsibility the

20-8

department is authorized to enroll and pay for the education of students in the public schools or,

20-9

when necessary and appropriate, to itself provide education in accordance with the regulations of

20-10

the board of regents for elementary and secondary education either directly or through contract;  

20-11

     (23) To develop multidisciplinary service plans, in conjunction with the department of

20-12

health, at hospitals prior to the discharge of any drug-exposed babies. The plan requires the

20-13

development of a plan using all health care professionals.  

20-14

     (24) To be responsible for the delivery of appropriate mental health services to seriously

20-15

emotionally disturbed children and children with functional developmental disabilities.

20-16

Appropriate mental health services may include hospitalization, placement in a residential

20-17

treatment facility, or treatment in a community based setting. The department is charged with the

20-18

responsibility for developing the public policy and programs related to the needs of seriously

20-19

emotionally disturbed children and children with functional developmental disabilities.  

20-20

     In fulfilling its responsibilities the department shall:  

20-21

     (i) Plan a diversified and comprehensive network of programs and services to meet the

20-22

needs of seriously emotionally disturbed children and children with functional developmental

20-23

disabilities;  

20-24

     (ii) Provide the overall management and supervision of the state program for seriously

20-25

emotionally disturbed children and children with functional developmental disabilities;  

20-26

     (iii) Promote the development of programs for preventing and controlling emotional or

20-27

behavioral disorders in children;  

20-28

     (iv) Coordinate the efforts of several state departments and agencies to meet the needs of

20-29

seriously emotionally disturbed children and children with functional developmental disabilities

20-30

and to work with private agencies serving those children;  

20-31

     (v) Promote the development of new resources for program implementation in providing

20-32

services to seriously emotionally disturbed children and children with functional developmental

20-33

disabilities.  

20-34

     The department shall adopt rules and regulations, which are reasonably necessary to

21-1

implement a program of mental health services for seriously emotionally disturbed children.  

21-2

     Each community, as defined in chapter 7 of title 16, shall contribute to the department, at

21-3

least in accordance with rules and regulations to be adopted by the department, at least its average

21-4

per pupil cost for special education for the year in which placement commences, as its share of

21-5

the cost of educational services furnished to a seriously emotionally disturbed child pursuant to

21-6

this section in a residential treatment program which includes the delivery of educational services.

21-7

  "Seriously emotionally disturbed child" means any person under the age of eighteen (18)

21-8

years or any person under the age of twenty-one (21) years who began to receive services from

21-9

the department prior to attaining eighteen (18) years of age and has continuously received those

21-10

services thereafter who has been diagnosed as having an emotional, behavioral or mental disorder

21-11

under the current edition of the Diagnostic and Statistical Manual and that disability has been on-

21-12

going for one year or more or has the potential of being ongoing for one year or more, and the

21-13

child is in need of multi-agency intervention, and the child is in an out-of-home placement or is at

21-14

risk of placement because of the disability.  

21-15

     A child with a "functional developmental disability" means any person under the age of

21-16

eighteen (18) years or any person under the age of twenty-one (21) years who began to receive

21-17

services from the department prior to attaining eighteen (18) years of age and has continuously

21-18

received those services thereafter.  

21-19

     The term "functional developmental disability" includes autism spectrum disorders and

21-20

means a severe, chronic disability of a person which:  

21-21

     (a) Is attributable to a mental or physical impairment or combination of mental physical

21-22

impairments;  

21-23

     (b) Is manifested before the person attains age eighteen (18);  

21-24

     (c) Is likely to continue indefinitely;  

21-25

     (d) Results in age- appropriate substantial functional limitations in three (3) or more of

21-26

the following areas of major life activity.  

21-27

     (i) Self-care;  

21-28

     (ii) Receptive and expressive language;  

21-29

     (iii) Learning;  

21-30

     (iv) Mobility;  

21-31

     (v) Self-direction;  

21-32

     (vi) Capacity for Independent Living; and  

21-33

     (vii) Economic self-sufficiency; and  

21-34

     (e) Reflects the person's need for a combination and sequence of special,

22-1

interdisciplinary, or generic care, treatment, or other services which are of life-long or extended

22-2

duration and are individually planned and coordinated.  

22-3

     (25) To provide access to services to any person under the age of eighteen (18) years or

22-4

any person under the age of twenty-one (21) years who began to receive child welfare services

22-5

from the department prior to attaining eighteen (18) years of age, has continuously received those

22-6

services thereafter and elects to continue to receive such services after attaining the age of

22-7

eighteen (18) years.  

22-8

     (26) To develop and maintain, in collaboration with other state and private agencies, a

22-9

comprehensive continuum of care in this state for children in the care and custody of the

22-10

department or at risk of being in state care. This continuum of care should be family-centered and

22-11

community-based with the focus of maintaining children safely within their families or, when a

22-12

child cannot live at home, within as close proximity to home as possible based on the needs of the

22-13

child and resource availability. The continuum should include community-based prevention,

22-14

family support and crisis intervention services as well as a full array of foster care and residential

22-15

services, including residential services designed to meet the needs of children who are seriously

22-16

emotionally disturbed, children who have a functional developmental disability and youth who

22-17

have juvenile justice issues. The director shall make reasonable efforts to provide a

22-18

comprehensive continuum of care for children in the care and custody of the DCYF, taking into

22-19

account the availability of public and private resources and financial appropriations and the

22-20

director shall submit an annual report to the general assembly as to the status of his or her efforts

22-21

in accordance with the provisions of subsection 42-72-4(b)(13).  

22-22

     (27) To administer funds under the John H. Chafee Foster Care Independence and

22-23

Educational And Training Voucher (ETV) Programs of Title IV-E of the Social Security Act, and

22-24

the DCYF Higher Education Opportunity Grant Program as outlined in RIGL section 42-72.8, in

22-25

accordance with rules and regulations as promulgated by the director of the department.  

22-26

     (c)  In order to assist in the discharge of his or her duties, the director may request from

22-27

any agency of the state information pertinent to the affairs and problems of children.

22-28

     (d)  Funding for these clients shall include funds that are transferred to the Department of

22-29

Human Services as part of the Managed Health Care program transfer. However, the expenditures

22-30

relating to these clients shall not be part of the Department of Human Services' Caseload

22-31

estimated for the semi-annual Caseload Estimating Conference. The expenditures shall be

22-32

accounted for separately.  

22-33

     (e)  The assembly has included funding in the FY 2008 Department of Children, Youth

22-34

and Families budget in the amount of $10.5 million from all sources of funds and $6.0 million

23-1

from general revenues to provide a managed system to care for children serviced between 18 to

23-2

21 years of age. The department shall manage this caseload to this level of funding.  

23-3

     (27) To administer funds under the John H. Chafee Foster Care Independence and

23-4

Educational And Training Voucher (ETV) Programs of Title IV-E of the Social Security Act, and

23-5

the DCYF Higher Education Opportunity Grant Program as outlined in RIGL section 42-72.8, in

23-6

accordance with rules and regulations as promulgated by the director of the department.  

23-7

     SECTION 13. Section 42-141-5 of the General Laws in Chapter 42-141entitled

23-8

"Affordable Energy" is hereby amended to read as follows:

23-9

     42-141-5. Affordable energy fund. -- (a)  Fund established..   

23-10

     (1) A special account is hereby established in the state treasury to be called the

23-11

"affordable energy fund."  

23-12

     (2) Money remaining in the fund at the end of a fiscal year shall remain available for

23-13

expenditure in successive fiscal years.  

23-14

     (3) The fund shall be used for only those purposes enumerated in subsection (d).  

23-15

     (b)  Financing of the fund. The fund shall consist of the following sources:  

23-16

     (1) Sums the legislature may appropriate;  

23-17

     (2) Moneys received from federal, state, private donor or other sources for the purpose of

23-18

energy affordability by low income households;  

23-19

     (3) Fees required pursuant to subsection (c); and  

23-20

     (4) Any interest earned on the moneys in the fund.  

23-21

     (c) Affordable energy fees.   

23-22

     (1) An affordable energy fee in an amount set forth in this subsection shall be imposed on

23-23

gross receipts of electricity and gas companies and gross receipts on the sale of heating fuels not

23-24

used for residential heating. The fee shall be remitted to the division of taxation according to the

23-25

applicable schedule for the remission of the gross receipts tax as provided for in chapter 44-13 or

23-26

the sales and use as provided for in chapter 44-18. The fees shall be as follows:  

23-27

     (i) Gas. Effective January 1, 2009, one-quarter of one percent (0.25%) of the gross

23-28

receipts tax of gas companies subject to the provisions of chapter 44-13 "Public Service

23-29

Corporation Tax". Effective January 1, 2010, one-half of one percent (0.50%) of the gross

23-30

receipts of gas companies subject to the provisions of chapter 44-13 "Public Service Corporation

23-31

Tax". Effective January 1, 2011 three-quarters of one percent (0.75%) of the gross receipts of gas

23-32

companies subject to the provisions of chapter 44-13 "Public Service Corporation Tax". Effective

23-33

January 1, 2012 and each January 1 thereafter one percent (1%) of the gross receipts of gas

23-34

companies subject to the provisions of chapter 44-13, "Public Service Corporation Tax".  

24-1

     (ii) Electricity. Effective January 1, 2009, one-quarter of one percent (0.25%) of the gross

24-2

receipts tax of electric companies subject to the provisions of chapter 44-13 "Public Service

24-3

Corporation Tax". Effective January 1, 2010, one-half of one percent (0.50%) of the gross

24-4

receipts of electric companies subject to the provisions of chapter 44-13 "Public Service

24-5

Corporation Tax". Effective January 1, 2011, three-quarters of one percent (0.75%) of the gross

24-6

receipts of electric companies subject to the provisions of chapter 44-13 "Public Service

24-7

Corporation Tax". Effective January 1, 2012 and each January 1 thereafter, one percent (1%) of

24-8

the gross receipts of electric companies subject to the provisions of chapter 44-13, "Public

24-9

Service Corporation Tax".  

24-10

     (iii) Heating fuel other than natural gas and electricity. Effective January 1, 2009, one-

24-11

half percent (.50%) of gross receipts from the sales and use of heating fuel subject to the

24-12

provisions of chapter 44-18 "Sales and Use Taxes - Liability and Computation". Effective

24-13

January 1, 2010, one percent (1.0%) of gross receipts from the sales and use of heating fuel

24-14

subject to the provisions of chapter 44-18 "Sales and Use Taxes - Liability and Computation".

24-15

Effective January 1, 2011, one and one-half percent (1.5%) of gross receipts from the sales and

24-16

use of heating fuel subject to the provisions of chapter 44-18. Effective January 1, 2012 and each

24-17

January 1 thereafter two percent (2%) of gross receipts from the sales and use of heating fuel

24-18

subject to the provisions of chapter 44-18. "Sales and Use Taxes - Liability and Computation".  

24-19

     (2) Every person from whom an affordable energy fee is due shall be liable for the fee

24-20

until it has been paid to the state.  

24-21

     (d)  Purposes of the fund.   

24-22

     (1) The commissioner may use money from the fund to:  

24-23

     (i) Support weatherization and energy conservation educational programs and

24-24

weatherization and energy conservation services for low-income and very low income

24-25

households;  

24-26

     (ii) Compensate electric and gas distribution companies for revenues lost due to the

24-27

reductions in distribution and customer charges, in accordance with a plan approved by the

24-28

commission, to very low income households, and if feasible to low income households, which

24-29

shall, as a first priority, be used to provide up to a fifty percent (50%) reduction in the distribution

24-30

and customer charges for a reasonable and prudent use by very low-income households of gas

24-31

and electricity that does not exceed average use for comparable dwelling units.  

24-32

     (iii) Defray the cost of heating fuel delivered to very low income households by an

24-33

amount not to exceed twenty-five percent (25%) of the allowable cost of heating fuel and a total

24-34

usage by the household, supported assistance from all sources overseen by the commissioner, that

25-1

is reasonable and prudent and does not exceed average use for comparable dwelling units.  

25-2

     (iv) Provide supplemental funds as may be necessary to augment the LIHEAP program in

25-3

order to accomplish the purposes of this chapter; it is not the purpose of the fund to reduce the

25-4

amount of assistance a household would otherwise receive from LIHEAP and other sources in the

25-5

absence of the fund or to subsidize utility rates in effect as of July 1, 2006, and provided for by

25-6

law.  

25-7

     (2) If the commissioner determines it is in the public interest to allocate funds for the

25-8

purposes set forth in subparagraph (1)(ii) above, the commissioner shall notify the commission of

25-9

the amount of funds to be allocated for a specified period. The commission shall then direct the

25-10

electric and/or gas distribution companies to file amendments to the appropriate tariffs to

25-11

implement rate reductions designed to provide the rate reduction consistent with the amount

25-12

allocated for the period designated, which amendments are subject to the review and approval of

25-13

the commission. Once approval is given, the allocated funds shall be transferred to the gas and/or

25-14

electric distribution company. Any funds held after transfer shall accumulate interest at the

25-15

customer deposit rate ("interest"). If, at the end of the rate reduction period, there are any unused

25-16

dollars from the fund, such dollars shall be returned to the affordable energy fund with interest.

25-17

Likewise, if at the end of the rate reduction period, there were not enough funds allocated to

25-18

cover the rate reduction as designed, the shortfall will be reimbursed from the affordable energy

25-19

fund with interest; provided, however, if there are no additional funds available from the fund,

25-20

such shortfall or uncovered balance of such shortfall will be recovered with interest from all

25-21

customers in a manner and over the period approved by the commission.  

25-22

     (e)  Administration and records of the fund.   

25-23

     (1) The commissioner shall administer the fund in accordance with this chapter.  

25-24

     (2) The commissioner in consultation with the department shall adopt procedures

25-25

governing the expenditure of, and accounting for, money expended from the fund.  

25-26

     (3) The commissioner is responsible for insuring that there are adequate moneys available

25-27

in the fund to carry out the purposes of this section.  

25-28

     (4) The commissioner shall maintain accounting records showing the income and

25-29

expenses of the fund.  

25-30

     (f)  Expenditure of fund money. Disbursements may be made from the fund for the

25-31

following purposes:  

25-32

     (1) Necessary administrative expenses, personnel expenses and equipment costs of the

25-33

office related to this section which shall not exceed ten percent (10%) of the revenue of the fund;

25-34

  (2) All costs to effectuate the purposes of the fund as set forth in subsection (d).  

26-1

     (g)  Report to the legislature. The commissioner shall submit a report to the legislature

26-2

not later than the tenth (10th) day following the convening of each regular session of the

26-3

legislature. The report may include information considered significant by the commissioner but

26-4

must include:  

26-5

     (1) The amount of money expended under section 42-141-5 during the preceding fiscal

26-6

year;  

26-7

     (2) The amount and source of money received during the preceding fiscal year;  

26-8

     (3) A detailed summary of activities funded by the fund during the preceding fiscal year;  

26-9

     (4) The projected cost to the fund for affordable energy programs in the next fiscal year.  

26-10

      SECTION 14. Section 44-1-7.1 of the General Laws in Chapter 44-1 entitled "State Tax

26-11

Officials" is hereby amended to read as follows:

26-12

     44-1-7.1. Interest on overpayments. -- (a)  Notwithstanding any general or specific

26-13

statute to the contrary, overpayments of state taxes or surcharges that are remitted to the tax

26-14

division in accordance with section 39-21.1-14, shall bear interest at the rate provided in

26-15

section 44-1-7 from the date the tax was paid, or from the date including any extensions of the

26-16

date the tax became due, whichever of the dates occurs later.  

26-17

     (a) Each January 1 the tax administrator shall compute the rate of interest to be in effect

26-18

for that calendar year by reference to the prime rate, which was in effect on October 1 of the

26-19

preceding year. The term “prime rate” shall mean the predominant prime rate quoted by

26-20

commercial banks to large businesses as determined by the board of governors of the Federal

26-21

Reserve System.

26-22

      (b) Notwithstanding any general or specific statute to the contrary, overpayments of state

26-23

taxes or surcharges that are remitted to the tax division pursuant to section 39-21.1-14, shall bear

26-24

interest at the prime rate as defined in section 44-1-7.1(a) from the date the tax or the surcharge

26-25

that is referenced in this provision was paid, or from the date including any extensions of the date

26-26

the tax became due, whichever of the dates occurs later.  

26-27

     (c) If any overpayment of state tax is refunded within ninety (90) days after the last date

26-28

prescribed (or permitted by extension of time) for filing the return of the tax, or within ninety (90)

26-29

days after the return is in fact filed, no interest shall be allowed under this section on the

26-30

overpayment.  

26-31

     (d) For the purposes of this section, if any overpayment of state tax results from a carry-

26-32

back of a net operating loss, the overpayment is deemed not to have been made prior to the close

26-33

of the taxable year in which the net operating loss arises.  

26-34

     (e) If any overpayment of a surcharge referenced in subsection (b) of this section is

27-1

refunded within ninety (90) days after notification of overpayment of the surcharge, no interest

27-2

shall be allowed under this section on the overpayment.  

27-3

      SECTION 15. Section 44-11-14 of the General Laws in Chapter 44-11 entitled

27-4

"Business Corporation Tax" is hereby amended to read as follows:

27-5

     44-11-14. Allocation of income from business partially within state. -- (a)  In the case

27-6

of a taxpayer deriving its income from sources both within and outside of this state or engaging in

27-7

any activities or transactions both within and outside of this state for the purpose of profit or gain,

27-8

its net income shall be apportioned to this state by means of an allocation fraction to be computed

27-9

as a simple arithmetical mean of three (3) fractions:  

27-10

     (1) The first of these fractions shall represent that part held or owned within this state of

27-11

the average net book value of the total tangible property (real estate and tangible personal

27-12

property) held or owned by the taxpayer during the taxable year, without deduction on account of

27-13

any encumbrance thereon;  

27-14

     (2) The second fraction shall represent that part of the taxpayer's total receipts from sales

27-15

or other sources during the taxable year which is attributable to the taxpayer's activities or

27-16

transactions within this state during the taxable year; meaning and including within that part, as

27-17

being thus attributable, receipts from:  

27-18

     (i) Gross sales of its tangible personal property (inventory sold in the ordinary course of

27-19

business) where:  

27-20

     (A) Shipments are made to points within this state; or  

27-21

     (B) Shipments are made from an office, store, warehouse, factory or other place of

27-22

storage in this state and the taxpayer is not taxable in the state of the purchase and the taxpayer is

27-23

not taxable in the state of the purchase.  

27-24

     (ii) Gross income from services performed within the state;  

27-25

     (iii) Gross income from rentals from property situated within the state;  

27-26

     (iv) Net income from the sale of real and personal property, other than inventory sold in

27-27

the ordinary course of business as described in paragraph (i) of this subdivision, or other capital

27-28

assets located in the state;  

27-29

     (v) Net income from the sale or other disposition of securities or financial obligations;

27-30

and  

27-31

     (vi) Gross income from all other receipts within the state;  

27-32

     (3) The third fraction shall represent that part of the total wages, salaries, and other

27-33

compensation to officers, employees, and agents paid or incurred by the taxpayer during the

27-34

taxable year which is attributable to services performed in connection with the taxpayer's

28-1

activities or transactions within this state during the taxable year.  

28-2

     (b)  Notwithstanding any of the provisions of this section, revenue and expenses subject

28-3

to the gross earnings tax pursuant to chapter 13 of this title shall not be included in the calculation

28-4

described in this section.  

28-5

     SECTION 16. Sections 5-56.1-8 and 5-56.1-9 of the General Laws in Chapter 5-56.1

28-6

entitled "Designers of Individual Sewage Disposal Systems" are hereby amended to read as

28-7

follows:

28-8

     5-56.1-8. Denial, suspension and revocation of licenses - Censure. -- (a) The licensing

28-9

authority may deny, suspend or revoke a designer's license if the person or licensed designer fails

28-10

to comply with the requirements prescribed in this chapter or any regulation promulgated under

28-11

this chapter or where the person or licensed designer:

28-12

     (1) Provided incorrect, incomplete or misleading information in obtaining a designer's

28-13

license; or

28-14

     (2) Demonstrated gross or repeated negligence, incompetence or misconduct in the

28-15

representation of site conditions in an application to the department of environmental

28-16

management, design of an ISDS, or inspection or certification of an installation of an ISDS; or

28-17

     (3) Committed a felony involving moral turpitude; or

28-18

     (4) Failed or neglected to comply with continuing education requirements

28-19

established by the licensing authority.

28-20

     (b) An action to suspend or revoke a designer's license pursuant to subsection (a) of this

28-21

section may not be taken until after the licensed designer has an opportunity to have a hearing

28-22

before the licensing authority. This hearing shall be held within thirty (30) days of written notice

28-23

of intent to suspend or revoke the license.

28-24

     (c) The licensing authority shall appoint a review panel consisting of five (5)

28-25

members at least three (3) of whom shall be licensed designers not employed by the

28-26

licensing authority, for the purpose of reviewing and hearing disciplinary actions

28-27

contemplated under subsection (b) of this section. The review board shall make

28-28

recommendations to the licensing authority to suspend or revoke licenses. All final

28-29

decisions shall be made by the licensing authority.

28-30

     (d) Any person aggrieved by the denial of an application for a license pursuant to § 5-

28-31

56.1-4 or a denial, suspension or revocation of a license pursuant to this section may request a

28-32

formal hearing pursuant to § 42-17.1-2(u) § 42-17.1-2(21) which shall be granted, if requested, in

28-33

writing by the aggrieved applicant or licensee within ten (10) days of the denial, suspension or

29-1

revocation.

29-2

     (e) The licensing authority may publicly censure any licensed designer whose

29-3

license was suspended or revoked.

29-4

      5-56.1-9. Penalties. -- The penalties for noncompliance with any section of this chapter

29-5

shall be the same as stated in §§ 42-17.1-2(v) § 42-17.1-2(22) and chapter 17.6 of title 42 42-

29-6

17.6.

29-7

     SECTION 17. Section 16-67.1-3 of the General Laws in Chapter 16-67.1 entitled "Rhode

29-8

Island High School Dropout Prevention Act of 2007" is hereby amended to read as follows:

29-9

     16-67.1-3. Defining the age and protocol for a student to leave school. -- (a) Children

29-10

who have completed sixteen (16) years of life and who have not yet attained eighteen (18) years

29-11

of age may not withdraw from school before graduation unless:

29-12

     (1) The student, the student's parent(s)/guardian and an administrator agree to the

29-13

withdrawal;

29-14

     (2) At the exit interview, the student and the student's parent(s)/guardian provide written

29-15

acknowledgement of the withdrawal that meets the requirements of subsection (D) paragraph

29-16

(4)(D) of this subsection;

29-17

     (3) The school principal provides written consent for the student to withdraw from

29-18

school; and/or

29-19

     (4) The withdrawal is due to:

29-20

     (A) Due to documented financial hardship and the need of the individual to be employed

29-21

to support the individual's family or a dependent;

29-22

     (B) Due to documented illness;

29-23

     (C) By order of a court that has jurisdiction over the student; and

29-24

     (D) Accompanied by a written acknowledgement of a withdrawal under subsection (b)(2)

29-25

subdivision (2) of this subsection which must include a statement that the student and the

29-26

student's parent(s)/guardian understand that withdrawal from school is likely to reduce the

29-27

student's future earnings and increase the student's likelihood of being unemployed in the future;

29-28

     (b) If a child of the age described in subsection (a) is habitually absent from school and

29-29

the school is unable to contact the parent(s)/guardian, the school may withdraw the child from

29-30

enrollment provided that its attempts to contact the parent(s)/guardian by telephone, regular and

29-31

registered mail, and home visit are documented. If a child who has been withdrawn from

29-32

enrollment under this subsection returns to school, or if the school mistakenly withdraws the child

29-33

from enrollment, the child shall promptly be re-enrolled.

29-34

     SECTION 18. Section 23-81-6 of the General Laws in Chapter 23-81 entitled "Rhode

30-1

Island Coordinated Health Planning Act of 2006" is hereby amended to read as follows:

30-2

     23-81-6. Funding. -- The department of health may apply for and receive private and/or

30-3

public funds to carry out the requirements of this act chapter.

30-4

     SECTION 19. Section 28-53-8 of the General Laws in Chapter 28-53 entitled "Rhode

30-5

Island Uninsured Employers Fund" is hereby amended to read as follows:

30-6

     28-53-8. Limitations on payments to injured employees. -- (a) Where the director

30-7

determines by experience or other appropriate accounting and actuarial methods that the reserves

30-8

in the fund are insufficient to pay all claims presented or pending, the director shall petition the

30-9

workers' compensation court for an order to make appropriate, proportionate reductions in the

30-10

payments being made to injured employees by the fund or to suspend all payments to injured

30-11

employees until such time as the reserves maintained by the fund are sufficient to resume the

30-12

payment of benefits. The matter shall be heard by the chief judge. If the court determines that the

30-13

monies held by the fund are insufficient to fully pay all claims as they fall due, the court shall

30-14

issue an order directing that a proportionate reduction be made in the payments made to those

30-15

employees receiving benefits from the fund. In considering the fund's request for relief, the court

30-16

shall give due weight to the policy of the workers' compensation act that benefits are to be paid

30-17

weekly and that the unwarranted reduction or interruption in the employee's weekly

30-18

compensation benefit will impose financial hardship upon the injured worker.

30-19

     (b) The chief judge shall hear the director's petition within twenty-one (21) days of the

30-20

date the matter is filed with the court. The petition shall set forth the names and addresses of each

30-21

employee who may be affected by the reduction in benefits and the court shall provide notice to

30-22

each employee. The attorney general shall appear on behalf of the employees receiving benefits

30-23

from the fund and shall take such action as he or she feels is necessary to protect the rights of the

30-24

injured employees.

30-25

     (c) In the event that the court determines that a reduction or suspension of payments is

30-26

necessary to maintain the fiscal integrity of the fund, the court shall schedule a mandatory review

30-27

date to determine whether the financial status of the fund warrants a continuation of the order

30-28

reducing such payments and shall reinstitute payments only upon finding that the reserves

30-29

maintained by the fund are sufficient to pay all future claims as they fall due.

30-30

     SECTION 20. Section 39-2-5 of the General Laws in Chapter 39-2 entitled "Duties of

30-31

Utilities and Carriers" is hereby amended to read as follows:

30-32

     39-2-5. Exceptions to anti-discrimination provisions. -- The provisions of §§ 39-2-2 -

30-33

39-2-4 shall be subject to the following exceptions:

30-34

     (1) A public utility may issue or give free transportation or service to its employees and

31-1

their families, its officers, agents, surgeons, physicians, and attorneys at law, and to the officers,

31-2

agents, and employees, and their families of any other public utility.

31-3

     (2) With the approval of the division any public utility may give free transportation or

31-4

service, upon such conditions as the public utility may impose, or grant special rates therefor to

31-5

the state, to any town or city, or to any water or fire district, and to the officers thereof, for public

31-6

purposes, and also to any special class or classes of persons, not otherwise referred to in this

31-7

section, in cases where the same shall seem to the division just and reasonable, or required in the

31-8

interests of the public, and not unjustly discriminatory.

31-9

     (3) With the approval of the division any public utility operating a railroad or street

31-10

railway may furnish to the publishers of newspapers and magazines, and to their employees,

31-11

passenger transportation in return for advertising in the newspapers or magazines at full rates.

31-12

     (4) With the approval of the division any public utility may exchange its service for the

31-13

service of any other public utility furnishing a different class of service.

31-14

     (5) Nothing in this section or any other provision of the law shall be construed to prohibit

31-15

the giving by any public utility, free or reduced rate service to an elderly person as defined by the

31-16

division.

31-17

     (6) Any motor carrier of persons, as defined in chapter 13 of this title, may elect to file a

31-18

tariff providing for a rate reduction of twenty-five percent (25%) below its one-way fare tariff

31-19

applying to any person who is sixty-five (65) years of age or older and any person assisting and

31-20

traveling with a blind passenger who is not required to pay any fare pursuant to the provisions of

31-21

§ 39-2-13 for bus rides between the hours of ten o'clock (10:00) a.m. and three o'clock (3:00) p.m.

31-22

of each day. In such event, the reduced fare shall be paid in part by the passenger and in part by

31-23

the state. That part of the reduced fare payable by the state shall be one half (1/2) of the reduced

31-24

fare adjusted upward to end in the nearest zero (0) or five cents (.05), and that part payable by the

31-25

passenger shall be the balance of the reduced fare. Payments by the state under this section shall

31-26

be paid monthly under procedures agreed upon by the department of transportation and the

31-27

carrier.

31-28

     (7) [Deleted by P.L. 2004, ch. 378, § 4, and by P.L. 2004, ch. 504, § 4.]

31-29

     (8) Any person, firm, or corporation or any officer, agent, servant, or employee thereof

31-30

who shall violate the provisions of subsection (7) of this section by fraudulently obtaining a

31-31

telecommunications device shall, upon conviction, be fined not exceeding five hundred dollars

31-32

($500) or be imprisoned for a term not exceeding one year.

31-33

     (9) (i) Nothing in this section or any other provision of the general laws shall be

31-34

construed to prohibit the commission from taking actions to enable the state to participate in a

32-1

federal communications commission telephone lifeline program. The commission may set a

32-2

subscriber funded monthly residence basic exchange lifeline telephone service credit in an

32-3

amount not to exceed the federal subscriber line access charge or the monthly basic service

32-4

charge, whichever is less, for those persons who receive supplemental social security income

32-5

(SSI), aid to families with dependent children (AFDC), general public assistance (GPA), aid from

32-6

the Rhode Island medical assistance program, or food stamps issued pursuant to the Food Stamp

32-7

Act of 1964 as amended (public law 88-525 and amendments made thereto, 7 U.S.C. § 2011 et

32-8

seq.), assistance from the low-income home energy assistance program (LIHEAP) as

32-9

administered by the department of administration, division of planning, and effective April 1,

32-10

1993, assistance from the Rhode Island pharmaceutical assistance program administered by the

32-11

department of elderly affairs. The public utilities commission may promulgate regulations to

32-12

implement this section. The department of human services and the department of administration,

32-13

division of planning shall certify subscriber eligibility for the programs in accordance with public

32-14

utilities commission and federal communications commission guidelines.

32-15

     (ii) The department of human services shall report monthly to the governor and to the

32-16

house of representatives fiscal advisor the number of persons newly eligible for the lifeline

32-17

telephone service credit hereunder solely by virtue of their eligibility to receive food stamp

32-18

assistance and the department of administration, division of planning shall, also, report monthly

32-19

to the governor and to the house of representatives fiscal advisor the number of persons newly

32-20

eligible for the lifeline telephone service credit hereunder solely by virtue of their participation in

32-21

the low-income home energy assistance program (LIHEAP).

32-22

     (10) Nothing in this section or any other provision of the general laws shall be construed

32-23

to prohibit any public utility with the approval of the commission, from forgiving arrearages of

32-24

any person in accordance with the provisions of subsection 39-2-1(e) 39-2-1(d).

32-25

     (11) Nothing in this section or any other provision of the law shall be construed to

32-26

prohibit any utility company from cutting, disconnecting, or removing mains, poles,

32-27

wires, conduits, or fixtures free of charge to nonprofit housing development corporations

32-28

prior to moving a building to be used as affordable housing for at least a ten (10) year

32-29

period.

32-30

     (12) Nothing in this section or any other provision of the general laws shall be construed

32-31

to prohibit any telecommunications provider with the approval of the commission, from offering

32-32

any person, firm or corporation a reduced rate, provided such rate covers all costs.

32-33

     (13) A gas or electric distribution company may provide discounts to low income

32-34

customers in accordance with the affordable energy plan provisions of subsection 42-

33-1

141-5(d). Nothing contained herein shall prohibit the continuation of any low income

33-2

discounts approved by the commission prior to January 1, 2006, and in effect as of that

33-3

date.

33-4

     SECTION 21. Section 39-18-9 of the General Laws in Chapter 39-18 entitled "Rhode

33-5

Island Public Transit Authority" is hereby amended to read as follows:

33-6

     39-18-9. Revenues. -- The authority is hereby authorized and empowered to fix and

33-7

revise from time to time, such schedules of service and such rates of fare and charges for service

33-8

furnished or operated as it determines to be reasonable. The schedules of service, rates of fare,

33-9

and charges for service shall not be subject to supervision or regulation by any commission,

33-10

board, bureau, or agency of the state or of any municipality or other political subdivision of the

33-11

state; except as provided in § 39-18-4. Provided, however, if there are any changes in frequency

33-12

of services of more than fifteen percent (15%), providers of service, rates of service, other than

33-13

system wide changes, and charges for service shall be presented for comment at least one public

33-14

hearing scheduled in an accessible location in each county affected, and the hearing shall be

33-15

scheduled in two (2) sessions, one during daytime business hours and one during evening hours.

33-16

The revenues derived from the authority's operations and any other funds or property received or

33-17

to be received by the authority (including, without limitation, any funds or other property

33-18

received or to be received by the authority pursuant to § 39-18-4(10) 39-18-4(a)(10), in whole or

33-19

in part, at any time and from time to time, may be pledged to, and charged with, the payment of

33-20

the principal of and the interest on some or all of the authority's bonds as provided for in the

33-21

resolution authorizing the issuance of the bonds or in the trust agreement securing the bonds. The

33-22

pledge shall be valid and binding from the time when the pledge is made; the revenues, funds, or

33-23

other property so pledged, and thereafter received by the authority, shall immediately be subject

33-24

to the lien of the pledge without any physical delivery thereof or further act, and the lien of any

33-25

pledge shall be valid and binding as against all parties having claims of any kind in tort, contract,

33-26

or otherwise against the authority, irrespective of whether the parties have notice thereof. Neither

33-27

the resolution nor any trust agreement by which a pledge is created need be filed or recorded

33-28

except in the records of the authority.

33-29

     SECTION 22. Section 42-17-1 of the General Laws in Chapter 42-17 entitled

33-30

"Department of Agriculture and Conservation" is hereby repealed.

33-31

     42-17-1. Department established - Responsibilities. -- There shall be a department of

33-32

agriculture and conservation. The head of the department shall be the director of agriculture and

33-33

conservation who shall carry out, except as otherwise provided in this title, the provisions of

33-34

chapters 1 to 3, inclusive, 6, 9 to 12, inclusive, 14, 15, and 17 to 19, inclusive of title 2; chapters

34-1

2, 4, 5, 8, and 12 of title 4; chapters 1 to 6, inclusive, 9 to 13, inclusive, 18, 19, 21, 24 to 32,

34-2

inclusive, and 34 of title 20; chapters 2, 4 to 7, inclusive, 17, 18, and 20 of title 21; and any and

34-3

all other general laws and public laws heretofore carried out by the existing director of agriculture

34-4

and conservation and department of agriculture and conservation.

34-5

     SECTION 23. Section 42-17.1-2.3 of the General Laws in Chapter 42-17.1 entitled

34-6

"Department of Environmental Management" is hereby amended to read as follows:

34-7

     42-17.1-2.3. Watershed-based management. -- (a) In order to accomplish the duties

34-8

and responsibilities for the protection, development, planning, and utilization of the natural

34-9

resources of the state, the director is authorized: (1) to plan, coordinate, integrate, manage,

34-10

exercise and/or implement the powers set forth in this chapter on a watershed basis for the

34-11

purposes of preserving and/or improving ecosystem functionality, protecting public health, safety

34-12

and welfare, and providing for the use of natural resources, including for recreational and

34-13

agricultural purposes; (2) to work in conjunction with the Rhode Island rivers council and in

34-14

cooperation with federal, interstate, state, local and private agencies and community organizations

34-15

and watershed groups and associations and persons to effectuate watershed-based management,

34-16

as appropriate and desirable; (3) to cooperate with the coastal resources management council in

34-17

the preparation and adoption of a marine resources development plan as provided for in § 46-23-

34-18

6(1)(v)(A); and (4) to coordinate and administer the activities of the department to achieve the

34-19

purposes of systems level planning by the state; and within areas subject to the jurisdiction of the

34-20

coastal resources management council, to administer its programs and exercise its powers and

34-21

duties consistent with the marine resources development plan and in those areas which are not

34-22

subject to the jurisdiction of the coastal resources management council to administer its programs

34-23

and exercise its powers and duties in a manner that contributes to meeting the purposes and goals

34-24

of the marine resources development plan.

34-25

     (b) Cumulative effects and potential cumulative effects of regulatory actions, including,

34-26

but not limited to, the issuance of permits and approvals, on a geographic basis, shall be

34-27

incorporated, subject to the limitations set forth in subsection 42-17.1-2(n) 42-17.1-2(14), to the

34-28

extent practicable and reasonable by the department into watershed-based management and

34-29

planning.

34-30

     SECTION 24. Section 42-64-7.9 of the General Laws in Chapter 42-64 entitled "Rhode

34-31

Island Economic Development Corporation" is hereby amended to read as follows:

34-32

     42-64-7.9. Orders as to pretreatment of sewage. -- (a) Without limiting the generality

34-33

of the foregoing, the authority vested in the Rhode Island economic development corporation

34-34

shall include the authority to limit, reject, or prohibit any direct or indirect discharge of pollutants

35-1

or combination of pollutants as defined by applicable federal or state law, into any treatment

35-2

facility operated by the corporation, to require that any person or class of user shall submit any

35-3

and all discharges into the corporation's wastewater collection and treatment system to those

35-4

pretreatment standards and requirements as prescribed by the corporation.

35-5

     (b) The corporation shall adopt rules, regulations and permit requirements for

35-6

pretreatment. The corporation shall adopt rules, regulations and permit requirements necessary to

35-7

ensure compliance by all parties with:

35-8

     (1) Applicable federal and state laws

35-9

     (2) State and federal discharge permit limitations for the corporation's wastewater

35-10

treatment facility

35-11

     (3) Necessary and appropriate local limitations.

35-12

     (c) The Rhode Island economic development corporation shall have the authority to

35-13

issue or deny permits to any person for the direct or indirect discharge of any pollutants into any

35-14

corporation wastewater treatment facility and to require the development of a compliance

35-15

schedule by each discharger to insure compliance with any pretreatment required by the

35-16

corporation. No person shall discharge any pollutant into the corporation's wastewater facility

35-17

except as in compliance with the provisions of this section and any rules and regulations

35-18

promulgated under this chapter and pursuant to all terms and conditions of a permit.

35-19

     (d) The Rhode Island economic development corporation may, by regulation, order,

35-20

permit or otherwise require any person who discharges into any wastewater treatment facility

35-21

owned by the corporation to:

35-22

     (1) Establish and maintain records as required by federal or state statute, or by rule,

35-23

regulation, compliance order, or permit terms;

35-24

     (2) Make any and all reports as required by federal or state statute or by rule, regulation,

35-25

compliance order or permit terms;

35-26

     (3) Install, calibrate, use and maintain any and all monitoring equipment or testing

35-27

procedures including, where appropriate, biological monitoring methods;

35-28

     (4) Sample any discharges and effluents in accordance with the methods and at the

35-29

locations and at the intervals and in a manner as the corporation may prescribe, and

35-30

     (5) Provide any other information relating to discharges into the facilities of the

35-31

corporation that the corporation may reasonably require to insure compliance with prescribed

35-32

pretreatment. The information shall include, but is not limited to, those records, reports and

35-33

procedures required by applicable federal and state laws.

35-34

     (e) Notwithstanding any other provision of this section, the Rhode Island economic

36-1

development corporation shall have the authority, and shall accordingly prescribe the appropriate

36-2

procedures, to immediately and effectively halt or prevent any discharge of pollutants into the

36-3

facilities of the corporation which reasonably appears to present an imminent danger to human

36-4

health or the environment. The Rhode Island economic development corporation shall also have

36-5

the authority and shall prescribe the appropriate procedures, which shall include notice to the

36-6

affected discharger and an opportunity to respond, to hold or prevent any discharge into the

36-7

facilities of the corporation, which presents or may present a threat to the operation of the

36-8

wastewater collection and/or treatment system. Procedures prescribed under this subsection,

36-9

which comply in form to those provided in § 42-17.1-2(u) 42-17.1-2(21) shall be deemed to be

36-10

appropriate.

36-11

     SECTION 25. Section 42-125-6 of the General Laws in Chapter 42-125 entitled "Rhode

36-12

Island Greenways Act of 1995" is hereby amended to read as follows:

36-13

     42-125-6. Powers and duties. -- The council has the following powers:

36-14

     (1) To be entitled to ask for and receive from any commission, board, officer or agency of

36-15

the state any information, cooperation, assistance, and advice as shall be reasonable and proper in

36-16

view of the nature of the council's functions;

36-17

     (2) To assess and evaluate the current programs and policies of the state as they relate to

36-18

the creation and maintenance of systems of greenways throughout the state and to make

36-19

recommendations regarding the coordination of activities within state government to create and

36-20

maintain systems of greenways as part of the state's twenty-first century infrastructure;

36-21

     (3) To make any recommendations that may be necessary to the state planning

36-22

council to maintain a greenways element of the state guide plan as described in § 42-11-

36-23

10;

36-24

     (4) To make recommendations to the executive director of the Rhode Island economic

36-25

development corporation regarding the inclusion of greenways in programs to promote tourism

36-26

and encourage the location and development of recreational facilities as provided for in § 42-63-

36-27

2(a) [repealed];

36-28

     (5) To make recommendations to the director of the department of environmental

36-29

management regarding the inclusion of greenways in (1) the department's cooperation with the

36-30

Rhode Island economic development corporation in planning and promotional functions relating

36-31

to recreation as provided for in § 42-17.1-2(f) 42-17.1-2(6), and (2) the department's general

36-32

functions relating to parks and recreation, preservation of wetlands and habitat, and planning and

36-33

development as provided for in § 42-17.1-4;

36-34

     (6) To make recommendations to the director of the department of transportation

37-1

regarding the inclusion of greenways in plans and implementation programs for transportation as

37-2

provided for in § 42-13-1;

37-3

     (7) To provide advice and assistance to political subdivisions, businesses, citizen groups,

37-4

and nonprofit organizations regarding the creation and maintenance of greenways;

37-5

     (8) To foster public involvement in greenways planning and development;

37-6

     (9) To apply for, contract for, and expend federal and other grants or assistance,

37-7

appropriate to the purposes of this chapter, and

37-8

     (10) To approve and submit an annual report within ninety (90) days after the end of the

37-9

fiscal year to the governor, the speaker of the house of representatives, the president of the senate,

37-10

and the secretary of state of its activities during that fiscal year. The report shall provide: an

37-11

operating statement summarizing meetings or hearings held, including meeting minutes, subjects

37-12

addressed, decisions rendered, studies conducted, policies developed, and programs administered

37-13

or initiated; a consolidated financial statement of all funds received and expended including the

37-14

source of the funds, a listing of any staff supported by these funds, and a summary of any clerical,

37-15

administrative or technical support received; a summary of performance during the previous

37-16

fiscal year including accomplishments, shortcomings and remedies; a synopsis of any legal

37-17

matters related to the authority of the council; a summary of any training courses held pursuant to

37-18

subsection 42-125-6(11), a briefing on anticipated activities in the upcoming fiscal year; and

37-19

findings and recommendations for improvements. The report shall be posted as prescribed in §

37-20

42-20-8.2. The director of the department of administration shall be responsible for the

37-21

enforcement of this provision.

37-22

     (11) To conduct a training course for newly appointed and qualified members and new

37-23

designees of ex officio members within six (6) months of their qualification or designation. The

37-24

course shall be developed by the chair of the council, approved by the council, and conducted by

37-25

the chair of the council. The council may approve the use of any council or staff members of

37-26

other individuals to assist with training. The course shall include instruction in the following

37-27

areas: the provisions of chapter 42-125; § 42-11-10; subsections 42-17.1-2(f) 42-17.1-2(6), and

37-28

(2); § 42-17.1-4; § 42-13-1; chapter 42-46; chapter 36-14; chapter 38-2; and the council's

37-29

operating procedures. The director of the department of administration shall, within ninety (90)

37-30

days of the effective date of this act [May 3, 2006], prepare and disseminate training materials

37-31

relating to the provisions of chapters 42-46, 36-14 and 38-2.

37-32

     SECTION 26. Section 42-141-12 of the General Laws in Chapter 42-141 entitled

37-33

"Affordable Energy" is hereby amended to read as follows:

37-34

     42-141-12. Transitional provision. -- Effective September 1, 2006, in order to provide

38-1

for transitional assistance to very low-income customers during fiscal year 2007, notwithstanding

38-2

any law or order to the contrary, the following provisions shall apply to eligibility for restoration

38-3

of gas and/or electric service to a very low-income customer who has been terminated from

38-4

service in calendar year 2006; the very low-income customer shall pay eighteen percent (18%) of

38-5

the customer's unpaid balance and shall agree to remain current with payments for current usage

38-6

and to pay one thirty-sixth (1/36) of one-half (1/2) of the remaining balance per month through

38-7

June 2007; a very low income customer who complies with the provisions of this section shall be

38-8

transitioned to the provision of subsection 39-2-1(e)(ii) 39-2-1(d)(1)(ii) and (iii) effective July 1,

38-9

2007, and the monthly payments on the remaining balance that have been made pursuant to such

38-10

agreement shall be credited to the requirements of subdivision 39-2-1(e)(iv) 39-2-1(d)(1)(iv) for

38-11

the forgiveness of arrearages. A very low-income customer who elects to use the provisions of

38-12

this section and who fails to comply with the terms of the agreement for the restoration of service

38-13

under the provisions of this section shall be ineligible to apply for restoration of service under the

38-14

provisions of subdivision 39-2-1(e) 39-2-1(d) and shall be subject to termination of service

38-15

effective April 15, 2007, and any unpaid balance shall be due in full and shall be payable in

38-16

accordance with the rules of the commission. The provisions of this section shall be repealed

38-17

effective July 2, 2007.

38-18

     SECTION 27. Section 45-2-50 of the General Laws in Chapter 45-2 entitled "General

38-19

Powers" is hereby amended to read as follows:

38-20

     45-2-50. Town of Exeter -- Municipal court. -- (a) The town council of the town of

38-21

Exeter may establish a municipal court and confer upon that court original jurisdiction,

38-22

notwithstanding any other provisions of the general laws, to hear and determine causes involving

38-23

the violation of any ordinance, including, but not limited to, municipal code violations, animal

38-24

regulation violations, traffic and parking violations, minimum housing ordinances of the town and

38-25

any violation of the provisions of chapter 24.3 of this title, entitled the "Rhode Island Housing

38-26

Maintenance and Occupancy Code"; provided, however, that any defendant found guilty of any

38-27

offense, excluding violations of the minimum housing ordinances or chapter 24.3 of this title

38-28

within the jurisdiction of the court, may within seven (7) days of the conviction, file an appeal

38-29

from the conviction to the superior court and be entitled in the latter court to a trial de novo; and

38-30

provided further, however, that any defendant found guilty of any violation of a minimum

38-31

housing ordinance or of chapter 24.3 of this title, may within seven (7) days of conviction, file an

38-32

appeal from the conviction to the fourth division of the district court and be entitled to a trial de

38-33

novo in accordance with §§ 8-8-3(a)(4) and 8-8-3.2.

38-34

     (b) With respect to violations of either municipal ordinances dealing with minimum

39-1

housing or chapter 24.3 et seq., of this title dealing with housing maintenance and occupancy, the

39-2

town council may also confer upon the municipal court, in furtherance of the court's jurisdiction,

39-3

the power to proceed according to equity:

39-4

     (1) To restrain, prevent, enjoin, abate, or correct a violation;

39-5

     (2) To order the repair, vacation, or demolition of any dwelling existing in violation; or

39-6

     (3) To otherwise compel compliance with all of the provisions of those ordinances and

39-7

statues statutes.

39-8

     (c) The town council of the town of Exeter is authorized and empowered to appoint a

39-9

judge of the municipal court. The judge shall serve for a term of two (2) years, or concurrent with

39-10

the term of each appointing council. The town council of the town is authorized and empowered

39-11

to enact ordinances governing the personnel, operation, and procedure to be followed in the court

39-12

and to establish a schedule of fees and costs, and to otherwise provide for the operation and

39-13

management of the court. The municipal court may impose sentences not to exceed thirty (30)

39-14

days in jail and impose fines not in excess of five hundred dollars ($500), or both. The court is

39-15

empowered to administer oaths, compel the attendance of witnesses, and punish persons for

39-16

contempt, and to authorize and execute search warrants to the extent the warrants could be

39-17

authorized and executed by a justice of the district court.

39-18

     SECTION 28. Section 46-12-38 of the General Laws in Chapter 46-12 entitled "Water

39-19

Pollution" is hereby amended to read as follows:

39-20

     46-12-38. Licensing of underground storage tank tightness testing. -- (a) Definitions.

39-21

As used in this section and in conjunction with this chapter these terms shall be construed to

39-22

mean:

39-23

     (1) "Test" means a tank tightness test capable of detecting a five hundredths (.05) gallon

39-24

per hour leak from any portion of an underground storage tank (including but not limited to

39-25

piping) that routinely contains petroleum products or hazardous materials while accounting for

39-26

effects such as thermal expansion or contraction of the petroleum product or hazardous materials,

39-27

vapor pockets, tank deformation, evaporation or condensation, the location of the water table, or

39-28

other conditions that could affect test results and which have been approved, in writing, by the

39-29

director for use in the state of Rhode Island.

39-30

     (2) "Tester" means an individual who performs tightness tests on underground storage

39-31

tanks.

39-32

     (3) "Testing business" means a person who employs or subcontracts with testers

39-33

in the regular course of business.

39-34

     (b) Authority of the director. The director shall promulgate rules and regulations

40-1

consistent with this chapter and with chapter 13.1 of title 46 entitled "Groundwater Protection"

40-2

for the licensing of testers and testing businesses. Nothing in this section shall limit the director's

40-3

powers and duties as set forth in this chapter.

40-4

     (c) License requirement and fee.

40-5

     (1) No person shall test underground storage tanks or operate a testing business without a

40-6

license issued by the director in accordance with this section.

40-7

     (2) The director shall charge an annual fee of one hundred dollars ($100) to each tester to

40-8

whom he or she issues a license. No licensure shall be issued unless the tester and testing business

40-9

have paid the license fee. The director shall deposit the fees collected into the water and air

40-10

protection program account created pursuant to § 42-17.1-2(z) 42-17.1-2(26).

40-11

     (3) The results of any test performed by or on behalf of an unlicensed tester or testing

40-12

business shall be considered null and void. Where it is determined that test(s) have been

40-13

performed by an unlicensed tester or testing business, the owner or operator of the underground

40-14

storage tank(s) shall, within ten (10) days of discovery, either have the underground storage

40-15

tank(s) retested by a duly licensed tester or testing business, or have the underground storage

40-16

tank(s) emptied and removed from the ground as if they had failed the test(s). Any unlicensed

40-17

tester or testing business that conducts business in the state of Rhode Island shall be strictly liable

40-18

for the cost of any retesting performed in accordance with this section.

40-19

     (4) No license shall be issued unless the tester and/or testing business shall demonstrate

40-20

that they, jointly or severally, possess liability insurance in an amount satisfactory to the director

40-21

for any environmental harm, property damage and bodily injury resulting from tank tightness

40-22

testing activities, including, but not limited to, performance of tests; the collection, calculation

40-23

and analysis of test data; handling, calibration, operation and maintenance of testing equipment;

40-24

and the preparation of test results. The amount of liability insurance shall be established by the

40-25

director.

40-26

     (5) The rules and regulations promulgated by the director in accordance with this section

40-27

may, without limitation, require that testers hold and maintain certain certifications, and/or pass

40-28

written or practical examinations as a prerequisite to licensure. The director may assess a

40-29

reasonable fee to cover the cost of any examination administered by or on behalf of the

40-30

department of environmental management.

40-31

     (d) Revocation of license. The director shall revoke the license of any tester or testing

40-32

business who fails to comply with this section or with the rules and regulations promulgated

40-33

hereunder after the director has provided the party with notice and the opportunity to be heard in

40-34

accordance with chapter 35 of title 42.

41-1

     SECTION 29. Section 46-12.5.1-12 of the General Laws in Chapter 46-12.5.1 entitled

41-2

"Oil Pollution Control" is hereby amended to read as follows:

41-3

     46-12.5.1-12. Notices of violations and compliance orders. -- (a) The director shall

41-4

follow the procedures provided in § 42-17.1-2(u) 42-17.1-2(21) in issuing any notice of violation

41-5

or compliance order authorized pursuant to this chapter or any rules, regulations, or permits

41-6

promulgated thereunder.

41-7

     (b) Where an order of the director does not otherwise specify, the person against

41-8

whom an order is entered shall, within seventy-two (72) hours of the receipt of the order

41-9

and before proceeding to install a system or means to contain, abate, control, and remove

41-10

the discharged oil, submit to the director a plan or a statement describing the system or

41-11

means that the person intends to implement.

41-12

     SECTION 30. Sections 46-12.9-5 and 46-12.9-6 of the General Laws in Chapter 46-12.9

41-13

entitled "Rhode Island Underground Storage Tank Financial Responsibility Act" are hereby

41-14

amended to read as follows:

41-15

     46-12.9-5. Purpose of fund. -- (a) The purpose of the fund shall be to facilitate the

41-16

clean-up of releases from leaking underground storage tanks, underground storage tank systems,

41-17

including those located on sites or government sites in order to protect the environment including

41-18

drinking water supplies and public health and to take necessary action to proactively prevent such

41-19

releases.

41-20

     (b) The fund shall provide reimbursement to responsible parties for the eligible costs

41-21

incurred by them as a result of releases of certain petroleum from underground storage tanks or

41-22

underground storage tank systems as provided herein. Monies in the fund shall be dispensed only

41-23

upon the order of the review board or its designee for the following purposes.

41-24

     (1) The fund shall pay not more than one million dollars ($1,000,000) per incident and up

41-25

to two million dollars ($2,000,000) in the aggregate for damages of eligible costs, as defined in

41-26

regulations promulgated hereunder and, as further defined in § 46-12.9-3 excluding legal costs

41-27

and expenses, incurred by a responsible party as a result of a release of petroleum from an

41-28

underground storage tank or underground storage tank system; provided, however, that a

41-29

responsible party shall be responsible for the first twenty thousand dollars ($20,000) of said

41-30

eligible costs;

41-31

     (2) Reimbursement for any third party claim including, but not limited to, claims for

41-32

bodily injury, property damage and damage to natural resources which are asserted against a

41-33

responsible party and which have arisen as a result of a release of petroleum from an underground

41-34

storage tank or underground storage tank system in an amount not to exceed one million dollars

42-1

($1,000,000) for each release as set forth in subsection (2) (b)(1) of this section; provided, that

42-2

such claims are found by the review board to be justified, reasonable, related to the release of

42-3

petroleum and not excessive or spurious in nature; and

42-4

     (3) Eligible costs incurred by the department in carrying out the investigative, remedial

42-5

and corrective action activities at sites of a petroleum release associated with an underground

42-6

storage tank or underground storage tank system where the responsible party fails to comply with

42-7

an order of the department to take such corrective action. In the event of such failure, the

42-8

department may access the fund to perform the ordered work and shall proceed to recover from

42-9

the responsible party on behalf of the fund any amount expended from the fund by the

42-10

department.

42-11

     (4) Nothing contained in this chapter shall be construed to prevent subrogation by the

42-12

state of Rhode Island against any responsible party other than the owner and/or operator for all

42-13

sums of money which the fund shall be obligated to pay hereunder plus reasonable attorneys' fees

42-14

and costs of litigation and such right of subrogation is hereby created.

42-15

     (5) Eligible costs incurred by the department to support the fund, including, but not

42-16

limited to, all personnel support to process and review of claims in order to formulate

42-17

recommendations for reimbursement for consideration by the review board, and providing

42-18

meeting space for board meetings; provided, however, that no more than five hundred and fifty

42-19

thousand dollars ($550,000) shall be dispensed from the fund for administrative purposes during

42-20

any fiscal year. The department shall directly access the fund, pursuant to the limits set forth in §

42-21

46-12.9-5(1) above subdivision 46-12.9-5(b)(1), to pay for such expenses.

42-22

     (6) Grants to any third party for purposes of removal of underground storage tanks and/or

42-23

replacement of underground storage tanks with other fuel storage and distribution systems,

42-24

including aboveground storage tanks, when such removal and/or replacement will minimize the

42-25

potential future exposure of the fund to major expenses related to reimbursement of costs incurred

42-26

in response or remediation should a future release occur. Grants under this section shall be limited

42-27

to fifty thousand dollars ($50,000) per site and shall be in addition to any eligible reimbursement

42-28

for clean up expenses at that site.

42-29

     46-12.9-6. Eligibility. -- (a) In order to be eligible for reimbursement from the fund for

42-30

eligible costs a responsible party must be subject to financial responsibility as required by the

42-31

EPA (40 CFR part 280 subpart H) and:

42-32

     (1) Have substantially complied with all state technical requirements for underground

42-33

storage tanks and underground storage tank systems as promulgated by the department of

42-34

environmental management pursuant to chapter 12 of this title and chapter 17.1 of title 42,

43-1

including, but not limited to, requirements for registration, proper installation, spill containment,

43-2

line leak detection, corrosion protection, leak detection, tank tightness testing, inventory control,

43-3

closure and leak or spill reporting;

43-4

     (2) Have incurred an eligible cost in excess of the deductible amount specified in § 46-

43-5

12.9-5(2) 46-12.9-5(b)(1) whether for clean-up or related matters or for claims of third parties as

43-6

set forth in § 46-12.9-3 resulting from a release of petroleum, subject to the motor and special

43-7

fuels tax from an underground storage tank or underground storage tank system. In order to apply

43-8

for reimbursement from the fund, it shall not be necessary that the third party and the responsible

43-9

party complete adjudication of any claim before submission to the review board; provided,

43-10

however, that all such claims shall be reasonably verified and must be demonstrated to the

43-11

reasonable satisfaction of the review board in order to be considered eligible for reimbursement.

43-12

     (b) Notwithstanding the financial responsibility requirement of this section, responsible

43-13

parties may be eligible for reimbursement of eligible costs incurred for government sites provided

43-14

that:

43-15

     (1) A city, town, the state or a state agency is the responsible party for a release at the

43-16

government site and was the owner of the site at the time of the release;

43-17

     (2) A city, town, the state or a state agency is the responsible party and owner of the

43-18

government site at the time of application on which a release occurred prior to the city, town or

43-19

state agency's ownership, provided that the government entity purchased the property prior to

43-20

March 1, 1998; or

43-21

     (3) A city, town, the state or a state agency was the responsible party at the time of the

43-22

release and the government site is owned by a successor in interest at the time of application.

43-23

     (c) Notwithstanding the requirement that the released petroleum be subject to the motor

43-24

and special fuels tax, underground storage tanks containing petroleum products for which the

43-25

motor and special fuels tax is inapplicable including, but not limited to, underground storage

43-26

tanks used for the distribution of No. 2 heating oil, used/waste oil, kerosene or other materials as

43-27

deemed appropriate by the review board may be eligible for reimbursement with the following

43-28

exceptions:

43-29

     (1) Underground storage tanks containing heating or fuel oils used solely for onsite

43-30

consumption shall not be eligible.

43-31

     (2) Underground storage tanks exempted from the department's "regulations for

43-32

underground storage facilities used for petroleum products and hazardous materials" under

43-33

Section 5.03 and Section 9.01 (A-D) shall not be eligible.

43-34

     SECTION 31. Section 46-25-25 of the General Laws in Chapter 46-25 entitled

44-1

"Narragansett Bay Commission" is hereby amended to read as follows:

44-2

     46-25-25. Orders as to pretreatment of sewage. -- (a) Without limiting the generality

44-3

of the foregoing, the authority hereby vested in the commission shall include the authority to

44-4

limit, reject, or prohibit any direct or indirect discharge of pollutants or combination of pollutants,

44-5

as defined by applicable federal or state law, into the facilities of the project; to require that any

44-6

person or class of user shall cause pollutants from his or her property, prior to their entry into the

44-7

facilities of the project, to be submitted to such pretreatment standards and requirements as the

44-8

commission may prescribe by rule or regulation. The commission shall prescribe such rules and

44-9

regulations for pretreatment as in the opinion of the commission:

44-10

     (1) Are required by applicable federal or state law,

44-11

     (2) Are required under the terms of the project's federal permit(s), or

44-12

     (3) Are necessary and appropriate for the project.

44-13

     (b) The commission shall have the authority to issue or deny permits to any person for

44-14

the direct or indirect discharge of any pollutants into the facilities of the project; to require the

44-15

development of a compliance schedule by each person to insure compliance with such

44-16

pretreatment as the commission may prescribe. No person shall discharge any pollutant into the

44-17

facilities, except as in compliance with the provisions of this section, and any rules and

44-18

regulations promulgated hereunder, and pursuant to the terms and conditions of a permit.

44-19

     (c) The commission may, by regulation, order, permit, or otherwise require any person

44-20

who discharges into the facilities of the project to:

44-21

     (1) Establish and maintain such records;

44-22

     (2) Make such reports;

44-23

     (3) Install, calibrate, use, and maintain such monitoring equipment or methods, including

44-24

where appropriate, biological monitoring methods;

44-25

     (4) Sample such discharges and effluents, in accordance with such methods, at such

44-26

locations, at such intervals, and in such manner as the commission shall prescribe; and

44-27

     (5) Provide such other information relating to discharges into the facilities of the project

44-28

as the commission may reasonably require to insure compliance with prescribed pretreatment.

44-29

The information shall include, but not be limited to, those records, reports, and procedures

44-30

required by applicable federal law.

44-31

     (d) Notwithstanding any other provision of this section, the commission shall have the

44-32

authority, and shall prescribe the appropriate procedures, after informal notice to the discharger,

44-33

immediately and effectively to halt or prevent any discharge of pollutants into the facilities of the

44-34

project which reasonably appears to present an imminent endangerment to the health or welfare

45-1

of persons. Halting or preventing may include, but shall not be limited to, physically plugging

45-2

and/or blocking the discharger's connection to the facilities of the project. The commission shall

45-3

also have the authority, and shall prescribe the appropriate procedures, which shall include notice

45-4

to the affected discharger and an opportunity to respond, to hold, or prevent any discharge into

45-5

the facilities of the project which presents or may present an endangerment to the environment or

45-6

which threatens to interfere with the operation of the project. Procedures prescribed under this

45-7

subsection which comply in form with those provided in § 42-17.1-2(u) 42-17.1-2(21) shall be

45-8

deemed to be appropriate.

45-9

     SECTION 32. Section 23-1-46 of the General Laws in Chapter 23-1 entitled "Department

45-10

of Health" is hereby amended to read as follows:

45-11

     23-1-46. Insurers. -- (a) Beginning in the fiscal year 2007, each insurer licensed or

45-12

regulated pursuant to the provisions of chapters 18, 19, 20, and 41 of title 27 shall be assessed a

45-13

child immunization assessment and an adult immunization assessment for the purposes set forth

45-14

in this section. The department of health shall make available to each insurer, upon its request,

45-15

information regarding the department of health's immunization programs and the costs related to

45-16

the program. Further, the department of health shall submit to the general assembly an annual

45-17

report on the immunization programs and cost related to the programs, on or before February 1 of

45-18

each year. Annual assessments shall be based on direct premiums written in the year prior to the

45-19

assessment and for the child immunization program shall not include any Medicare Supplement

45-20

Policy (as defined in § 27-18-2.1(g) 27-18.2-1(g)), Medicaid or Medicare premiums. Adult

45-21

influenza immunization program annual assessments shall include contributions related to the

45-22

program costs from Medicare, Medicaid and Medicare Managed Care. As to accident and

45-23

sickness insurance, the direct premium written shall include, but is not limited to, group, blanket,

45-24

and individual policies. Those insurers assessed greater than ten thousand dollars ($10,000) for

45-25

the year shall be assessed four (4) quarterly payments of twenty-five percent (25%) of their total

45-26

assessment. Beginning July 1, 2001, the annual rate of assessment shall be determined by the

45-27

Director director of Health health in concurrence with the Primary Payors primary payors, those

45-28

being insurers assessed at greater than ten thousand dollars ($10,000) for the previous year. This

45-29

rate shall be calculated by the projected costs for advisory committee on immunization practices

45-30

the Advisory Committee on Immunization Practices (ACIP) recommended and state mandated

45-31

vaccines after the federal share has been determined by the centers for disease control and

45-32

prevention Centers for Disease Control and Prevention. The primary payors shall be informed of

45-33

any recommended change in rates at least six (6) months in advance, and rates shall be adjusted

45-34

no more frequently than one time annually. For the childhood vaccine program the director of the

46-1

department of health shall deposit these amounts in the “childhood immunization account”. These

46-2

assessments shall be used solely for the purposes of the “childhood immunization programs” and

46-3

no other. For the adult immunization program the director of the department of health shall

46-4

deposit these amounts in the “adult immunization account”.

46-5

     (b) Any funds collected in excess of funds needed to carry-out ACIP recommendations

46-6

shall be deducted from the subsequent year's assessments.

46-7

     SECTION 33. Section 23-1.8-2.1 of the General Laws in Chapter 23-1.8 entitled

46-8

"Commission on the Deaf and Hard-of-Hearing" is hereby amended to read as follows:

46-9

     23-1.8-2.1. Sign language interpreter referral service. -- The commission shall

46-10

administer the sign language interpreter referral service for all certified licensee, licensee,

46-11

grandparent licensee, and special licensee interpreters, as provided in chapter 71 of title 5, who

46-12

hold a valid interpreter for the deaf license issued by the state board of examiners of interpreters

46-13

for the deaf pursuant to § 5-71-9 or § 5-71-12 [repealed] or hold a valid license, certificate, or

46-14

equivalent issued with another state with reciprocity pursuant to § 5-71-10. The commission shall

46-15

not impose any limits on the practice of certified licensees, licensees, grandparent licensees, or

46-16

special licensees beyond those imposed by the state board of examiners for interpreters for the

46-17

deaf. Prior to January 1, 1998 the commission's sign language interpreter referral service shall be

46-18

open to all interpreters for the deaf who meet or exceed qualifications for license in § 5-71-9, 5-

46-19

71-10, 5-71-11 [repealed], or 5-71-12 [repealed]. The commission shall refer any complaints

46-20

regarding the conduct or performance of any interpreter utilizing their referral service to the state

46-21

board of examiners for interpreters for the deaf for appropriate action pursuant to § 5-71-13. The

46-22

commission shall upon receipt of notice of revocation or suspension of a license by the state

46-23

board of examiners for interpreters for the deaf, immediately cease to refer customers to that

46-24

licensee, unless and until the license is restored.

46-25

     SECTION 34. Sections 23-3-1 and 23-3-25 of the General Laws in Chapter 23-3 entitled

46-26

"Vital Records" are hereby amended to read as follows:

46-27

     23-3-1. Definitions. -- As used in this chapter:

46-28

     (1) “Community of resident” means the city or town within the state of a person's home

46-29

address at the time of his or her marriage or death, or of his or her mother's home address at the

46-30

time of his or her birth.

46-31

     (2) “Dead body” means a lifeless human body or parts of a lifeless human body or its

46-32

bones from the state of which it reasonably may be concluded that death recently occurred.

46-33

     (3) “Fetal death” means death prior to the complete expulsion or extraction from its

46-34

mother of a product of human conception, irrespective of the duration of pregnancy; the death is

47-1

indicated by the fact that after the expulsion or extraction the fetus does not breathe or show any

47-2

other evidence of life such as beating of the heart, pulsation of the umbilical cord, or definite

47-3

movement of the voluntary muscles.

47-4

     (4) “Filing” means the presentation of a certificate, report, or other record provided for in

47-5

this chapter, of a birth, death, fetal death, adoption, marriage, or divorce for registration by the

47-6

division of vital records.

47-7

     (5) “Final disposition” means the burial, interment, cremation, or other disposition of a

47-8

dead body or fetus.

47-9

     (6) “Institution” means any establishment, public or private, which provides in-patient

47-10

medical, surgical, or diagnostic care or treatment, or nursing, custodial or domiciliary care to two

47-11

(2) or more unrelated individuals, or to which persons are committed by law.

47-12

     (7) “Live birth” means the complete expulsion or extraction from its mother of a product

47-13

of human conception, irrespective of the duration of pregnancy, which, after that expulsion or

47-14

extraction, breathes or shows any other evidences of life such as beating of the heart, pulsation of

47-15

the umbilical cord, or definite movement of the voluntary muscles, whether or not the umbilical

47-16

cord has been cut or the placenta is attached.

47-17

     (8) “Physician” means a person authorized or licensed to practice medicine pursuant to

47-18

chapter 37 of title 5.

47-19

     (9) “Registration” means the acceptance by the division of vital records and the

47-20

incorporation in its official records of certificates, reports, or other records provided for in this

47-21

chapter, or births, deaths, fetal deaths, adoptions, marriages, or divorces.

47-22

     (10) “Signing” or “Signature” means the application of either a hand signature to a paper

47-23

record or an electronic process approved by the state registrar of vital records.

47-24

     (11) (10) “System of vital records” means the registration, collection, preservation,

47-25

amendment, and certification of vital statistics records, and activities related to them including the

47-26

tabulation, analysis, and publication of statistical data derived from those records.

47-27

     (12) (11) “Vital records” means records of birth, death, fetal death, marriage, divorce, and

47-28

data related to those records.

47-29

     (12) “Signing” or “Signature” means the application of either a hand signature to a paper

47-30

record or an electronic process approved by the state registrar of vital records.

47-31

     23-3-25. Fees for copies and searches. -- (a) The state registrar shall charge fees for

47-32

searches and copies as follows:

47-33

     (1) For a search of two (2) consecutive calendar years under one name and for issuance of

47-34

a certified copy of a certificate of birth, fetal death, death, or marriage, or a certification of birth,

48-1

or a certification that the record cannot be found, the fee is twenty dollars ($20.00). For each

48-2

duplicate copy of a certificate or certification issued at the same time, the fee is fifteen dollars

48-3

($15.00).

48-4

     (2) For each additional calendar year search, if applied for at the same time or within

48-5

three (3) months of the original request and if proof of payment for the basic search is submitted,

48-6

the fee is two dollars ($2.00).

48-7

     (3) For providing expedited service, the additional handling fee is seven dollars ($7.00).

48-8

     (4) For processing of adoptions, legitimations, or paternity determinations as specified in

48-9

§§ 23-3-14 and 23-3-15, there shall be a fee of fifteen dollars ($15.00).

48-10

     (5) For making authorized corrections, alterations, and additions, the fee is ten dollars

48-11

($10.00); provided, no fee shall be collected for making authorized corrections or alterations and

48-12

additions on records filed before one year of the date on which the event recorded has occurred.

48-13

     (6) For examination of documentary proof and the filing of a delayed record, a fee of

48-14

twenty dollars ($20.00); and in addition to that fee, the fee is twenty dollars ($20.00); for the

48-15

issuance of a certified copy of a delayed record.

48-16

     (b) Fees collected under this section by the state registrar shall be deposited in the

48-17

general fund of this state, according to the procedures established by the state treasurer.

48-18

     (c) The local registrar shall charge fees for searches and copies of records as follows:

48-19

     (1) For a search of two (2) consecutive calendar years under one name and for issuance of

48-20

a certified copy of a certificate of birth, fetal death, death, delayed birth, or marriage, or a

48-21

certification of birth or a certification that the record cannot be found, the fee is twenty dollars

48-22

($20.00). For each duplicate copy of a certificate or certification issued at the same time, the fee

48-23

is fifteen dollars ($15.00).

48-24

     (2) For each additional calendar year search, if applied for at the same time or within

48-25

three (3) months of the original request and if proof of payment for the basic search is submitted,

48-26

the fee is two dollars ($2.00).

48-27

     (d) Fees collected under this section by the local registrar shall be deposited in the city or

48-28

town treasury according to the procedures established by the city or town treasurer except that six

48-29

dollars ($6.00) of the certified copy fees shall be submitted to the state registrar for deposit in the

48-30

general fund of this state.

48-31

     SECTION 35. Section 23-4-6 of the General Laws in Chapter 23-4 entitled "Office of

48-32

State Medical Examiners" is hereby amended to read as follows:

48-33

     23-4-6. State medical examiners commission. -- (a) There is established the state

48-34

medical examiners commission. The commission shall hear and determine appeals to decisions

49-1

by chief medical examiners regarding the undertaking of investigations, inquests, and autopsies,

49-2

and shall advise the chief medical examiner on matters of public concern.

49-3

     (b) The commission shall consist of twelve (12) members, three (3) of whom shall be ex

49-4

officio members, viz., the director of health, the attorney general, the superintendent of state

49-5

police, and nine (9) citizens of the state to be appointed by the governor with the advice and

49-6

consent of the senate for the term of three (3) years. The governor shall give due consideration to

49-7

any recommendations for nominations submitted to him or her by the president of the Rhode

49-8

Island Medical Society, the president of the Rhode Island Society of Pathologists, the president of

49-9

the Rhode Island Bar Association, the vice president of Brown University Division of Biological

49-10

and Medical Sciences and the president of the Rhode Island Funeral Directors Association. Each

49-11

citizen member shall hold office for the term of his or her appointment and until his or her

49-12

successor is appointed. Vacancies for citizen members shall be filled by appointment for the

49-13

unexpired term only.

49-14

     (c) The director of health and the attorney general shall be the chairperson and vice

49-15

chairperson, respectively, of the commission. The chief medical examiner of the office of state

49-16

medical examiners shall serve as the executive secretary of the commission, and the expenses of

49-17

the commission shall be a responsibility of the department of health. The board may elect from

49-18

among its members such other officers as it deems necessary. Seven (7) members of the board

49-19

shall constitute a quorum and the vote of a majority of those present and voting shall be required

49-20

for action. The commission shall meet at the call of its chairperson and at least four (4) times each

49-21

year, the time and the place for each meeting to be fixed by the chairperson.

49-22

     (d) Members of the commission shall be removable by the governor pursuant to the

49-23

provisions of § 36-1-7 of the general laws and for cause only, and removal solely for partisan or

49-24

personal reasons unrelated to capacity or fitness for the office shall be unlawful.

49-25

     (e) Within ninety (90) days after the end of each fiscal year, the commission shall

49-26

approve and submit an annual report to the governor, the speaker of the house of representatives,

49-27

the president of the senate, and the secretary of state, of its activities during that fiscal year. The

49-28

report shall provide an operating statement summarizing meetings or hearings held, including

49-29

meeting minutes, subjects addressed, decisions rendered, appeals considered and their disposition,

49-30

rules or regulations promulgated, studies conducted, policies and plans developed, approved, or

49-31

modified, and programs administered or initiated; a consolidated financial statement of all funds

49-32

received and expended including the source of the funds, a listing of any staff supported by these

49-33

funds, and a summary of any clerical, administrative or technical support received; a summary of

49-34

performance during the previous fiscal year including accomplishments, shortcomings and

50-1

remedies; a synopsis of hearing, complaints, suspensions, or other legal matters related to the

50-2

authority of the commission; a summary of any training courses held pursuant to this chapter; a

50-3

briefing on anticipated activities in the upcoming fiscal year; and findings and recommendations

50-4

for improvements. The report shall be posted electronically on the websites of the general

50-5

assembly and the secretary of state pursuant to the provisions of § 42-20-8.2. The director of the

50-6

department of administration shall be responsible for the enforcement of the provisions of this

50-7

subsection.

50-8

     (f) To The commission shall conduct a training course for newly appointed and qualified

50-9

members within six (6) months of their qualification or designation. The course shall be

50-10

developed by the chair of the commission, be approved by the commission, and be conducted by

50-11

the chair of the commission. The commission may approve the use of any commission and/or

50-12

staff members and/or individuals to assist with training. The training course shall include

50-13

instruction in the following areas: the provisions of chapters 42-46, 36-14 and 38-2; and the

50-14

commission's rules and regulations. The director of the department of administration shall, within

50-15

ninety (90) days of the effective date of this act [June 16, 2006], prepare and disseminate training

50-16

materials relating to the provisions of chapters 42-46, 36-14, and 38-2.

50-17

     SECTION 36. Section 23-4-14.1 of the General Laws in Chapter 23-4 entitled "Office of

50-18

State Medical Examiners" is hereby repealed.

50-19

     23-4-14.1. Quality Improvement — Reporting to the governor and legislature. —

50-20

The office of the state medical examiners shall issue a status report to the governor and the

50-21

general assembly on or before September 15, 2005 and March 15, 2006 on efforts and outcomes

50-22

during the prior six (6) month period. Said report shall include, but may not be limited to, the

50-23

following areas of quality improvement:

50-24

     ? Volume of investigations

50-25

     ? Turnaround time for investigations

50-26

     ? Organ/Tissue donation activities

50-27

     ? External reviews of the OSME, including progress toward national accreditation

50-28

     ? Budget and staffing

50-29

     ? Plans for continued quality and performance improvement.

50-30

     SECTION 37. Section 23-4.8-3 of the General Laws in Chapter 23-4.8 entitled "Spousal

50-31

Notice for Abortion" is hereby amended to read as follows:

50-32

     23-4.8-3. Exceptions. -- The requirements of § 23-4.8-2 shall not apply if:

50-33

     (1) The woman having the abortion furnishes to the physician who is to perform the

50-34

abortion or the physician's authorized agent prior to the abortion being performed a written

51-1

statement that she has given notice to her husband of the proposed abortion or a written statement

51-2

that the fetus was not fathered by her husband;

51-3

     (2) The woman or and her husband are living separate and apart or either spouse has filed

51-4

a petition or complaint for divorce in a court of competent jurisdiction;

51-5

     (3) The physician who is to perform the abortion or his or her authorized agent receives

51-6

the written affirmation of the husband that he has been notified of the proposed abortion; or

51-7

     (4) There is an emergency requiring immediate action. In the case of an emergency, the

51-8

woman's attending physician shall certify in writing on the patient's medical record that an

51-9

emergency exists and the medical basis for his or her opinion.

51-10

      SECTION 38. Sections 23-6-14, 23-6-20 and 23-6-24 of the General Laws in Chapter

51-11

23-6 entitled "Prevention and Suppression of Contagious Diseases" are hereby amended to read

51-12

as follows:

51-13

     23-6-14. Exceptions. -- A physician or other health care provider may secure a test

51-14

sample for the presence of HIV without consent under the following conditions:

51-15

     (1) When the person to be tested is under one year of age;

51-16

     (2) When the person to be tested is between one and thirteen (13) years of age and

51-17

appears to be symptomatic for HIV;

51-18

     (3) When the person to be tested is a minor under the care and authority of the

51-19

department of children, youth, and families, and the director of that department certifies that an

51-20

HIV test is necessary to secure health or human services for that person;

51-21

     (4) When a person (the complainant) can document significant exposure to blood or other

51-22

bodily fluids of another person (the individual to be tested), during the performance of the

51-23

complainant's occupation, providing:

51-24

     (i) The complainant completes an incident report within forty-eight (48) hours of the

51-25

exposure, identifying the parties to the exposure, witnesses, time, place, and nature of the event;

51-26

     (ii) The complainant submits to a baseline HIV test and is negative on that test for the

51-27

presence of HIV, within seventy-two (72) hours of the exposure;

51-28

     (iii) There has been a significant percutaneous or mucus membrane exposure, i.e.,

51-29

needlestick, bite, splash over open wound, broken skin, or mucus membrane, by blood or bodily

51-30

fluids of the person to be tested of a type and in sufficient concentration to permit transmission of

51-31

HIV if present in those fluids; and

51-32

     (iv) If a sample of the patient's blood is not otherwise available and the patient refuses to

51-33

grant informed consent, then the complainant may petition the superior court for a court order

51-34

mandating that the test be performed.

52-1

     (5) (i) In a licensed health care facility or in the private office of a physician in the event

52-2

that an occupational health representative or physician, registered nurse practitioner, physician

52-3

assistant, or nurse-midwife not directly involved in the exposure, determines that a health care

52-4

provider, other than one in a supervisory position to the person making the determination had a

52-5

significant exposure to the blood and/or body fluids of a patient and the patient or the patient's

52-6

guardian refuses to grant consent for an HIV test to determine whether the patient has HIV, then,

52-7

if a sample of the patient's blood is available, that blood shall be tested for HIV.

52-8

     (ii) If a sample of the patient's blood is not otherwise available and the patient refuses to

52-9

grant informed consent, then the health care worker may petition the superior court for a court

52-10

order mandating that the test be performed.

52-11

     (iii) Before a patient or a sample of the patient's blood is required to undergo an HIV test,

52-12

the health care provider must submit to a baseline HIV test within seventy-two (72) hours of the

52-13

exposure.

52-14

     (iv) No person who determines that a health care worker has sustained a significant

52-15

exposure and authorizes the HIV testing of a patient, nor any person or health care facility who

52-16

acts in good faith and recommends the test be performed, shall have any liability as a result of

52-17

their actions carried out under this chapter, unless those persons are proven to have acted in bad

52-18

faith.

52-19

     (6) In an emergency, where due to a grave medical or psychiatric condition, it is

52-20

impossible to obtain consent from the patient or the patient's parent, guardian, or agent.

52-21

     (7) As permitted under §§ 23-18.6-12 23-18.6.1-14(c) and (d) (organ transplant), 23-1-38

52-22

(sperm donation), and 23-8-1.1 (person under eighteen (18) years may give consent for testing for

52-23

communicable diseases).

52-24

     (8) Mandatory testing for human immunodeficiency virus (HIV) conducted pursuant to

52-25

§§ 42-56-37 (testing at ACI), 11-34-10 (prostitution), and 21-28-4.20 (IDU and needles).

52-26

     23-6-20. Notification of disclosure. -- In all cases when an individual's HIV test results

52-27

are disclosed to a third party, other than a person involved in the care and treatment of the

52-28

individual, and except as permitted by subsections (a)(1), (a)(2)(i), (a)(2)(ii), (a)(2)(iv), or (a)(4)

52-29

of § 23-6-17 (permitted disclosures re: confidentiality), and permitted by and disclosed in

52-30

accordance with the Federal Health Insurance Portability and Accountability Act of 1996 (Public

52-31

law 104-191) enacted on August 21, 1996 and as thereafter amended, the person so disclosing

52-32

shall make reasonable efforts to inform that individual in advance of:

52-33

     (1) The nature and purpose of the disclosure;

52-34

     (2) The date of disclosure;

53-1

     (3) The recipient of the disclosed information.

53-2

     23-6-24. Insurance exemption. -- (a) Sections 23-6-10 — 23-6-23 do not apply to the

53-3

offering or sale of life insurance in Rhode Island; provided, however, that any insurance company

53-4

offering or selling life insurance within Rhode Island that requires an individual to be tested for

53-5

infection with human immunodeficiency virus (HIV) or any other identified causative agent of

53-6

HIV for purposes of determining insurability shall: (1) give that individual prior written notice of

53-7

those requirements, and (2) proceed with that testing only upon the written authorization of the

53-8

individual or in the event the individual is a minor, the individual's parent or guardian.

53-9

Notwithstanding anything in §§ 23-6-10 — 23-6-23 to the contrary, life insurance companies

53-10

offering or selling life insurance in Rhode Island may otherwise obtain or disclose HIV test

53-11

results in accordance with § 23-6-17(3). Nothing in this chapter prohibits that company from

53-12

collecting data for statistical purposes, so long as the insured is not identified. However, nothing

53-13

in this section shall be construed to permit that insurance company to cancel or refuse to renew a

53-14

life insurance policy that by its terms has not lapsed on the basis of a positive HIV test result.

53-15

     (b) (1) “Health benefits” include accident and sickness, including disability or health

53-16

insurance, health benefit plans and/or policies, hospital, health, or medical service plans, or any

53-17

health maintenance organization plan pursuant to title 27 or otherwise.

53-18

     (2) The provisions of §§ 23-6-10 — 23-6-23 apply to the offer or sale of health benefits

53-19

in this state by any company regulated under the laws of this state, including, but not limited to,

53-20

title 27 and chapter 62 of title 42; provided, however, §§ 23-6-10 — 23-6-23 do not apply to the

53-21

following:

53-22

     (i) Individual health benefit policies;

53-23

     (ii) Small group health benefits plans, i.e., groups having fewer than twenty-five (25)

53-24

employees eligible to participate in an employer sponsored plan, or, in the case of non-employer

53-25

groups, a group having fewer than twenty-five (25) employees;

53-26

     (iii) Late entrants into any group health benefits plan, regardless of the size of the group.

53-27

A late entrant shall be defined as any individual who does not enroll into a health plan when first

53-28

eligible under the plan, but who later seeks coverage under the group plan;

53-29

     (iv) Where an individual seeks to become eligible for an amount of group disability

53-30

income benefit, which benefit would be in excess of the insurer's non-medical maximum as

53-31

defined under the group plan.

53-32

     (3) Any company offering or selling health benefits in this state and regulated under the

53-33

laws of this state that requires an individual to be tested for infection with HIV or any other

53-34

identified causative agent of HIV as permitted in paragraphs (2)(i) to (iv) for purposes of

54-1

determining insurability shall: (i) give that individual prior written notice of those requirements,

54-2

and (ii) proceed with that testing only upon the written authorization of the individual, or in the

54-3

event the individual is a minor, the individual's parent or guardian. Notwithstanding anything in

54-4

this chapter to the contrary, companies offering or selling health benefits in this state may

54-5

otherwise obtain or disclose HIV test results in accordance with § 23-6-17(3) 23-6-17(a)(3).

54-6

Nothing in this chapter shall prohibit that company from collecting data for statistical purposes so

54-7

long as the insured's name is not identified.

54-8

     (4) Nothing in this chapter shall be construed to permit any company that offers or sells

54-9

health benefits in this state to cancel or refuse to renew a health benefit, which has not by its

54-10

terms lapsed, on the basis of a positive HIV test result.

54-11

     (c) (1) There is established a commission to develop and recommend to the legislature a

54-12

risk pool plan under which all insurers issuing health insurance in the state shall participate and

54-13

share a proportion of the risk and cost of insuring people with HIV.

54-14

     (2) The commission consists of eleven (11) members; three (3) of whom shall be

54-15

members of the house of representatives, not more than two (2) from the same political party, to

54-16

be appointed by the speaker of the house; two (2) of whom shall be members of the senate, not

54-17

more than one of whom shall be from the same political party, to be appointed by the president of

54-18

the senate; one of whom shall be the director of the department of health, or his or her designee;

54-19

one of whom shall be the director of the department of business regulation, or his or her designee;

54-20

two (2) of whom shall be representatives of the insurance community, to be appointed by the

54-21

governor; and two (2) of whom shall be representatives of AIDS project Rhode Island, to be

54-22

appointed by the governor.

54-23

     (3) The commission shall meet at the call of the speaker.

54-24

     SECTION 39. Section 23-7-6.2 of the General Laws in Chapter 23-7 entitled "Mosquito

54-25

Abatement" is hereby amended to read as follows:

54-26

     23-7-6.2. Board training. -- Newly appointed and qualified members of the board and

54-27

new designees of ex officio members are required to complete a training course within six (6)

54-28

months of their qualification or designation. The course shall be developed by the chair of the

54-29

board, approved by the board and conducted by the chair of the board. The board may approve

54-30

the use of any board or staff members or other individuals to assist with training. The course shall

54-31

include instruction in the following areas: the provisions of chapters 23-7, 42-46, 36-14 and 38-2;

54-32

and the board's rules and regulations. The director of the department of administration shall,

54-33

within ninety (90) days of the effective date of this act [April 20, 2006], prepare and disseminate

54-34

training materials relating to the provisions of chapters 42-46, 36-14 and 38-2.

55-1

     SECTION 40. Sections 23-9-14, 23-9-15, 23-9-16, 23-9-17, 23-9-18 and 23-9-21 of the

55-2

General Laws in Chapter 23-9 entitled "Quarantine of Vessels" are hereby amended to read as

55-3

follows:

55-4

     23-9-14. Hoisting of quarantine colors. -- The commander of a vessel as described in §

55-5

23-9-13 [repealed] this chapter, on his or her arrival in any of the waters of the state, shall

55-6

immediately hoist and keep his or her colors in the shrouds of that vessel as a signal that he or she

55-7

has come from some infected place or has infection or contagion on board.

55-8

     23-9-15. Unauthorized departure from infected vessel. -- If any person shall come on

55-9

shore from on board a vessel as described in § 23-9-13 [repealed] this chapter without first

55-10

obtaining a license, the city or town council may immediately send that offender back on board

55-11

that vessel, or confine him or her on shore in a convenient place that appears to the city or town

55-12

council most effectual to prevent the spreading of any infection; and the offending person shall

55-13

satisfy and pay all charges that shall arise on the confinement, and shall be fined forty dollars

55-14

($40.00).

55-15

     23-9-16. Examination of vessel - Guards to prevent unauthorized communication. --

55-16

The city or town council of the city or town where a vessel as described in § 23-9-13 [repealed]

55-17

this chapter arrives shall send a physician or other suitable person to examine and report to them

55-18

of the true state of that vessel and the people on board, at the charge of the master or owner of

55-19

that vessel; and they shall immediately put on board that vessel some suitable person or persons

55-20

to secure that vessel and effectually prevent any communication with that vessel, at the like

55-21

charge of the master or owner of that vessel.

55-22

     23-9-17. Confinement or removal of persons on board. -- The city or town council of

55-23

the city or town where a vessel as described in § 23-9-13 [repealed] this chapter arrives shall

55-24

confine on board that vessel, or send to some hospital or other suitable place, all persons who

55-25

came in that vessel, for a convenient time, until those of them that have, or are likely to have, the

55-26

smallpox or other infectious or contagious distemper are perfectly recovered and cleansed from

55-27

that distemper, or have passed a suitable quarantine, and also all persons who have gone on board

55-28

that vessel without license, at the charge and expense of those persons respectively.

55-29

     23-9-18. Disinfection of imported goods. -- The city or town council of a city or town

55-30

where a vessel as described in § 23-9-13 [repealed] this chapter arrives shall appoint suitable

55-31

persons to take effectual care that all goods, wares, and merchandise imported in that vessel

55-32

which they think may hold and communicate the infection or contagion are landed in some

55-33

suitable place to be appointed by the council and cleansed in the manner directed by the council

55-34

before they are permitted to be brought into any house, shop, or warehouse, other than that in

56-1

which they are cleansed.

56-2

     23-9-21. Forfeiture of unlawfully imported goods. -- All goods imported in a vessel as

56-3

described in § 23-9-13 [repealed] this chapter that shall be clandestinely landed or brought into

56-4

any house, shop, or warehouse without a certificate and allowance as provided in § 23-9-19, or

56-5

that shall be imported by land as provided in § 23-9-20 and not cleansed or aired by order of the

56-6

city or town council, shall be forfeited; one-third (1/3) of those goods to the use of the state and

56-7

two-thirds (2/3) to the use of the person who shall sue for the goods.

56-8

     SECTION 41. Section 23-11-17 of the General Laws in Chapter 23-11 entitled "Sexually

56-9

Transmitted Diseases" is hereby amended to read as follows:

56-10

     23-11-17. Human immunodeficiency virus (HIV) testing. -- (a)(1) The physician or

56-11

health care provider attending any person for a suspected sexually transmitted disease shall offer

56-12

testing for human immunodeficiency virus (HIV). All testing pursuant to this section shall be

56-13

performed in accordance with §§ 23-6-17 (confidentiality) and 23-6-18 (protection of the medical

56-14

record) and the informed consent standards contained in chapter 6 of title 23.

56-15

     (2) Each person tested and counseled shall first be provided with an “informed consent

56-16

form” as provided by subsection 23-6-11(3), and shall specifically be given the opportunity to

56-17

decline or opt-out of testing, which he or she shall sign and date in acknowledgment of his/her

56-18

election to be tested.

56-19

     (b) In the event an individual consents to anonymous testing and tests positive for HIV,

56-20

the HIV testing counselor shall provide the client an informed consent form as provided by

56-21

subsection 23-6-11(3). If an individual is tested anonymously and is found positive on the initial

56-22

screening test or during a post-test consultation, the counselor shall discuss, with the client,

56-23

options regarding referrals and reporting of this positive screening, including the necessity of

56-24

accessing a physician. The department of health shall maintain sites for providing both

56-25

anonymous and confidential HIV testing, and HIV counseling and referral. Each site, funded by

56-26

the department of health, shall offer free testing, counseling and referral for indigent parties and

56-27

other individuals without health insurance, offer a sliding scale for payment for all other

56-28

individuals and, in the case of confidential testing, screen, for ability to pay through a third-party

56-29

insurer. In the case of nonfunded sites for HIV testing, organizations and/or institutions

56-30

performing the test shall offer free testing, counseling and referral for indigent parties and other

56-31

individuals without health insurance.

56-32

     (c) All persons tested under this section shall be counseled and tested in accordance with

56-33

regulations promulgated by the department of health; provided, however, that the counseling shall

56-34

be in accordance with acceptable medical standards, and no test results shall be given by any

57-1

means (e.g. phone, mail, e-mail, fax, etc.) other than in person. Counselors for HIV counseling,

57-2

testing and referral must undergo training given by the department of health to become a qualified

57-3

professional counselor.

57-4

     SECTION 42. Sections 23-13-13, 23-13-17, 23-13-22, 23-13-23, and 23-13-26 of the

57-5

General Laws in Chapter 23-13 entitled "Maternal and Child Health Services for Children with

57-6

Special Health Care Needs" are hereby amended to read as follows:

57-7

     23-13-13. Testing for hearing impairments. -- (a) It is declared to be the public policy

57-8

of this state that every newborn infant be evaluated by procedures approved by the state

57-9

department of health for the detection of hearing impairments, in order to prevent many of the

57-10

consequences of these disorders. No hearing impairment test shall be made as to any newborn

57-11

infant if the parents of that child object to the test on the grounds that a hearing impairment test

57-12

would conflict with their religious tenets or practices.

57-13

     (b) The physician attending a newborn child shall cause the child to be subject to hearing

57-14

impairment tests as described in department of health regulations.

57-15

     (c) In addition, the department of health is authorized to establish by rules and

57-16

regulations a reasonable fee structure for hearing impairment testing to cover program costs not

57-17

otherwise covered by federal grant funds specifically secured for this purpose. This testing shall

57-18

be a covered benefit reimbursable by all health insurers, as defined in § 27-38-6 [repealed] 27-

57-19

38.2-2(1) except for supplemental policies that only provide coverage for specific diseases,

57-20

hospital indemnity, Medicare supplement, or other supplemental policies. The department of

57-21

human services shall pay for hearing impairment testing when the patient is eligible for medical

57-22

assistance under the provisions of chapter 8 of title 40. In the absence of a third party payor the

57-23

charges for hearing impairment testing shall be paid by the hospital or other health care facility

57-24

where the birth occurred. Nothing in this section shall preclude the hospital or health care facility

57-25

from billing the patient directly. Those fees shall be deposited into the general fund as general

57-26

revenues.

57-27

     (d) There is created a hearing impairments testing advisory committee which shall advise

57-28

the director of the department of health regarding the validity and cost of testing procedures. That

57-29

advisory committee shall:

57-30

     (1) Meet at least four (4) times per year;

57-31

     (2) Be chaired by the director or his or her designee;

57-32

     (3) Be composed of seven (7) members appointed by the director from the following

57-33

professions or organizations:

57-34

     (i) A representative of the health insurance industry;

58-1

     (ii) A pediatrician, designated by the R.I. chapter of the American Academy of Pediatrics;

58-2

     (iii) An audiologist, designated by the R.I. chapter of the American Speech and Hearing

58-3

Association;

58-4

     (iv) Two (2) representatives of hospital neonatal nurseries;

58-5

     (v) A representative of special education designated by the department of elementary and

58-6

secondary education; and

58-7

     (vi) The director of health or his or her designee.

58-8

     23-13-17. Special supplemental food program for women, infants, and children

58-9

(WIC). -- (a) The director of health shall administer a program to be called the WIC program, to

58-10

provide supplemental foods and nutrition education to pregnant, postpartum, and breastfeeding

58-11

women, infants, and young children from families who meet financial eligibility standards

58-12

established by the department and who are at special risk with respect to their physical and mental

58-13

health by reason of inadequate nutrition, or health care, or both. The WIC program shall be

58-14

administered in a manner consistent with applicable federal law, 42 U.S.C. § 1786, and the

58-15

provision of this chapter.

58-16

     (b) All applicants and participants who are eligible shall be entitled to participate in the

58-17

WIC program.

58-18

     (c) The cost of the program shall not exceed two hundred thousand dollars ($200,000).

58-19

     (d) Every person, party, entity, partnership, corporation, or other business, governmental,

58-20

or nonprofit entity which embezzles, willfully misapplies, steals, or obtains by fraud or deception

58-21

any funds, assets or property provided under § 7 of the Child Nutrition Act of 1986 1966, 42

58-22

U.S.C. § 1756 1776, or under this chapter, whether received directly or indirectly from the United

58-23

States department of agriculture or the Rhode Island department of health, or receives, conceals,

58-24

or retains those funds, assets, or property for his or her own interest, knowing those funds, assets,

58-25

or property have been embezzled, willfully misapplied, stolen, or obtained by fraud or deception

58-26

shall, if the amount of funds, assets, or property are of the value of five hundred dollars ($500) or

58-27

more, be fined not more that ten thousand dollars ($10,000), or if the amount of funds, assets, or

58-28

property are of a value of less than five hundred dollars ($500), shall be fined not more than one

58-29

thousand dollars ($1,000). The amount of funds, assets, or property provided under the special

58-30

supplemental food program for women, infants, and children misdirected in violation of this

58-31

chapter shall be calculated as the aggregate from any and all incidents or acts prohibited by this

58-32

chapter occurring in any consecutive twelve (12) month period.

58-33

     (e) Every person, party, entity, partnership, corporation, or other business, governmental,

58-34

or nonprofit entity which duplicates, causes to be duplicated, creates, manufactures, or causes to

59-1

be created or manufactured any copy or facsimile of any article or method employed by the

59-2

Rhode Island department of health to identify food vendors which redeem food instruments of the

59-3

special supplemental food program for women, infants, and children (WIC program) without the

59-4

express written authorization of the Rhode Island department of health or whoever obtains, steals,

59-5

conceals or retains a WIC program vendor identifier knowing the identifier has been copied or

59-6

created without department of health authorization or obtains or retains an identifier or copy or

59-7

facsimile of it, without the express written authorization of the Rhode Island department of

59-8

health, shall, if the WIC program vendor identifier is used in the acceptance, redemption, or

59-9

deposit of WIC program food instruments, be fined not more than ten thousand dollars ($10,000),

59-10

or if the unauthorized vendor identifier is not shown to have been used in the acceptance,

59-11

redemption, or deposit of WIC program food instruments, shall be fined not more than one

59-12

thousand dollars ($1,000).

59-13

     (f) Every person, party, entity, firm, or corporation which misrepresents itself as, or in

59-14

any other manner improperly, fraudulently or deceptively holds itself out to be, authorized by any

59-15

unit of the federal, state, or local government or other entity to accept, redeem, or deposit WIC

59-16

program food instruments, such as WIC checks, or which otherwise attempts or solicits to accept,

59-17

redeem, or deposit WIC food instruments without the express authorization of the department in

59-18

any manner shall, if the action is accompanied by the unauthorized acceptance, redemption, or

59-19

deposit of WIC program food instruments, be fined not more than ten thousand dollars ($10,000),

59-20

or if those actions are not shown to have been accompanied by the acceptance, redemption, or

59-21

deposit of WIC program food instruments, shall be fined not more than one thousand dollars

59-22

($1,000).

59-23

     (g) The possession of any funds, assets, property, vendor identifier, or WIC food

59-24

instruments shall be evidence of guilty knowledge by the person having possession that the

59-25

property was embezzled, willfully misapplied, stolen, or obtained by fraud or deception or created

59-26

or received without authorization except the person shows that it was acquired in the due course

59-27

of trade and for adequate consideration.

59-28

     (h) Any penalty imposed under this chapter shall be in addition to immediate repayment

59-29

of any claim made under the provisions of the Rhode Island state plan of operation and

59-30

administration of the special supplemental food program for women, infants, and children for

59-31

funds improperly obtained or received.

59-32

     (i) Any fine imposed under this chapter does not preclude any other sanctions or

59-33

penalties set forth in state or federal regulations, rules or the provisions of the Rhode Island state

59-34

plan of operation and administration for the special supplemental food program or the provisions

60-1

of the vendor participation agreement in force between the Rhode Island department of health and

60-2

any WIC program vendor.

60-3

     23-13-22. Early intervention program for developmentally disabled infants. --

60-4

      (a) The director of the department of human services shall ensure that all

60-5

developmentally disabled infants from birth to three (3) years of age shall be enrolled in the early

60-6

intervention program. Regulations governing the delivery of services under this program,

60-7

including eligibility criteria, shall be promulgated by the department of human services, with the

60-8

advice of the interagency coordinating council; provided, however, that all regulations

60-9

promulgated by the department of health shall remain in full force and effect until the time they

60-10

are replaced by regulations promulgated by the department of human services. The regulations

60-11

shall stipulate, at a minimum, the following provisions that are consistent with the intent of this

60-12

chapter:

60-13

     (1) The director shall develop and maintain a procedure for the earliest possible

60-14

identification and efficient referral of all developmentally disabled infants;

60-15

     (2) The director shall ensure that every infant identified and referred to this program is

60-16

enrolled as soon as possible after birth; and further, that for infants placed on a waiting list for

60-17

facility based group programming, an early intervention program shall be made available within a

60-18

thirty (30) day period from the time a need is identified in the individual program plan;

60-19

     (3) Unless parents refuse the service, the home visiting component of the program shall

60-20

commence as soon as the infant has been identified as having a possible developmental disability;

60-21

     (4) Any parent(s) who is/are dissatisfied with decisions or termination of service or with

60-22

practices and procedures of a particular agency or the department of human services shall notify

60-23

the director of the department of human services in writing within thirty (30) calendar days and

60-24

the complaint shall be reviewed in accordance with department of health policy and procedures,

60-25

as amended, and the Administrative Procedures Act, chapter 35 of title 42.

60-26

     (5) An early intervention program for purposes of this section shall mean a

60-27

comprehensive array of educational, developmental, health, and social services provided on a

60-28

calendar year basis to eligible infants, children, and their families as specified in program

60-29

regulations.

60-30

     (b) Within ninety (90) days after the effective date of this act [October 1, 2004], an

60-31

evaluation plan describing outcome measures that document the program's successes and

60-32

shortcomings from the previous fiscal year shall be submitted to the speaker of the house of

60-33

representatives, the president of the senate and the house oversight committee and the governor

60-34

and the interagency coordinating council. Development of the plan shall be made in consultation

61-1

with the entities with expertise in this area and the interagency coordinating council. The plan

61-2

shall include a memorandum of understanding between the department of health, department of

61-3

human services and the department of elementary and secondary education that demonstrates

61-4

coordination and continuity of early intervention services among these departments.

61-5

     (c) Within six (6) months after the effective date of this act [January 1, 2005] where

61-6

prescribed outcomes documented in the evaluation plan have not been accomplished the

61-7

responsible agencies shall submit written explanations for the shortfalls, together with their

61-8

proposed remedies. The report shall also include evaluation of the progress of the coordination

61-9

efforts between the department of health and the department of human services and the

61-10

department of elementary and secondary education and the interagency coordinating council and

61-11

shall include any recommendations regarding modifications of the reimbursement mechanisms of

61-12

this chapter.

61-13

     (d) Within twelve (12) months after the effective date of this article [August 1, 2005] a

61-14

final report shall include the progress of the coordination efforts between the department of health

61-15

and the department of human services and department of elementary and secondary education,

61-16

interagency coordinating council and shall include any recommendations regarding modifications

61-17

to the comprehensive array of educational, developmental, health and social services provided on

61-18

a calendar year basis to eligible infants, children and their families as specified in an early

61-19

intervention system.

61-20

     (e) All reports or documents required to be produced pursuant to 20 U.S.C. § 1471 et

61-21

seq., shall be submitted to the speaker of the house, president of the senate and the chairpersons

61-22

of the appropriate house of representatives and senate oversight committees and the governor and

61-23

the interagency coordinating council. Adherence to such plans and reporting requirements, and

61-24

budgets and the timely achievement of goals contained therein shall be considered by the

61-25

oversight committees of the house of representatives and senate, among other relevant factors, in

61-26

determining appropriations or other systemic changes.

61-27

     23-13-23. Interagency coordinating council. -- The interagency coordinating council,

61-28

which is composed in accordance with 20 U.S.C. § 1441, as added by Public Law 105-17 108-

61-29

446, shall monitor the multiagency operation of the early intervention program and to provide a

61-30

forum where problems may be addressed relating to the delivery of services in the early

61-31

intervention program.

61-32

     23-13-26. Technology-dependent children - Definitions - Caretakers' skills. -- (a) For

61-33

the purposes of this section, the following definitions apply:

61-34

     (1) “Advanced skills” means familiarity and current experience with the following:

62-1

     (i) Pediatric intensive care assessments skills;

62-2

     (ii) Ventilator and respirator equipment;

62-3

     (iii) Maintenance in oxygen therapy and pulse oximeter equipment;

62-4

     (iv) Tracheostomy care — daily and emergency care;

62-5

     (v) Respiratory suctioning and maintenance of suctioning equipment;

62-6

     (vi) Administration of respiratory treatment and chest therapy;

62-7

     (vii) Gastrostomy and naso-gastric care and gavage/pump feedings;

62-8

     (viii) Administration and familiarity of multiple cardio — pulmonary medications; and

62-9

     (ix) Basic life support certification and periodic recertification.

62-10

     (2) “Medical devices or equipment” include, but are not limited to, the following:

62-11

     (i) Respirator;

62-12

     (ii) Tracheostomy;

62-13

     (iii) Oxygen;

62-14

     (iv) Naso-gastric or gastrostomy tube;

62-15

     (v) Indwelling catheter;

62-16

     (vi) Intravenous device;

62-17

     (vii) Total parenteral nutritional support; and

62-18

     (viii) Peritoneal or hemodialysis.

62-19

     (3) “Technology-dependent children” means:

62-20

     (i) Children who have severe, chronic disabilities attributable to a mental or physical

62-21

impairment or combination of mental and physical impairments, which disability is manifested

62-22

before the person attains the age of twenty-two (22), is likely to continue indefinitely, results in

62-23

substantial functional limitations in three (3) or more of the following areas of major life activity:

62-24

     (A) Self-care;

62-25

     (B) Receptive and expressive language;

62-26

     (C) Learning;

62-27

     (D) Mobility;

62-28

     (E) Self-direction;

62-29

     (F) Capacity for independent living; or

62-30

     (G) Economic self-sufficiency; and

62-31

     (ii) Who requires medical devices or equipment to compensate for the chronic, persistent

62-32

reduction or absence of a vital body function.

62-33

     (b) Certified school nurse teachers, as defined in § 16-21-8, who provide direct care for

62-34

technology-dependent children shall have advanced skills which include, but are not limited to,

63-1

those skills in subsection (a)(1) of this section.

63-2

     (c) The specific guidelines for the care of technology-dependent children in schools shall

63-3

be included in the rules and regulations issued jointly by the director of the department of health

63-4

and the board of regents for elementary and secondary education under the provisions of U.S.

63-5

Public Law 94-142 108-446, 20 U.S.C. § 1400 et seq., and chapter 24 of title 16 as part of the

63-6

school health program.

63-7

     (d) Nothing in § 16-11-2 shall be construed to prevent the board of regents from

63-8

promulgating regulations requiring certified nurse teachers who provide direct care for

63-9

technology-dependent children to obtain the advanced skills required under this section.

63-10

     (e) The obligation of a school district to provide the services set forth in this section shall

63-11

be determined in accordance with other applicable state and federal laws and regulations.

63-12

     SECTION 43. Section 23-13.2-1 of the General Laws in Chapter 23-13.2 entitled

63-13

"Nursing Working Mothers" is hereby amended to read as follows:

63-14

     23-13.2-1. Workplace policies protecting a woman's choice to breastfeed. -- (a) An

63-15

employer may provide reasonable unpaid break time each day to an employee who needs to

63-16

breastfeed or express breast milk for her infant child to maintain milk supply and comfort. The

63-17

break time must, if possible, run concurrently with any break time already provided to the

63-18

employee. An employer is not required to provide break time under this section if to do so would

63-19

create an undue hardship on the operations of the employer.

63-20

     (b) An employer shall make a reasonable effort to provide a private, secure and sanitary

63-21

room or other location in close proximity to the work area, other than a toilet stall, where an

63-22

employee can express her milk or breastfeed her child.

63-23

     (c) The department of health shall issue periodic reports on breastfeeding rates,

63-24

complaints received and benefits reported by both working breastfeeding mothers and employers.

63-25

     (d) As used in this section:

63-26

     (1) “Employer” means a person engaged in business who has one or more employees,

63-27

including the state and any political subdivision of the state;

63-28

     (2) “Employee” means any person engaged in service to an employer in the business of

63-29

the employer;

63-30

     (3) “Reasonable efforts” means any effort that would not impose an undue hardship on

63-31

the operation of the employer's business; and

63-32

     (4) “Undue hardship” means any action that requires significant difficulty or expense

63-33

when considered in relation to factors such as the size of the business, its financial resources and

63-34

the nature and structure of its operation.

64-1

     SECTION 44. Sections 23-13.3-1 and 23-13.3-4 of the General Laws in Chapter 23-13.3

64-2

entitled "Birth Defects Surveillance and Information System" are hereby amended to read as

64-3

follows:

64-4

     23-13.3-1. Preamble to birth defects surveillance and information system. --

64-5

Whereas birth defects are a major cause of infants deaths and childhood disabilities; and whereas

64-6

early recognition and response to birth defects often prevents more serious effects; and whereas

64-7

the epidemiological patterns of specific birth defects may provide keys to improved birth

64-8

outcomes. An active birth defects surveillance and information system is essential to developing

64-9

programs and disseminating information that can reduce birth defects and infant mortality. An

64-10

active birth defects surveillance and information system serves to:

64-11

     (a) (1) Describe occurrence of birth defects in the newborn and children up to five (5);

64-12

     (b) (2) Detect trends of morbidity and mortality, stimulate epidemiological research

64-13

diminish the impact of birth defects and infant mortality;

64-14

     (c) (3) Identify newborns and children with birth defects to intervene on a timely basis for

64-15

treatment.

64-16

     23-13.3-4. Advisory council. -- (a) Not later than thirty (30) days after the effective

64-17

date of this act July 7, 2003, the director shall appoint a council to advise the department on the

64-18

establishment and implementation of the birth defects reporting, surveillance and information

64-19

system.

64-20

     (b) The council shall recommend to the director a list of birth defects to be reported to

64-21

the surveillance system.

64-22

     (c) The council shall include not more than fifteen (15) persons who collectively bring

64-23

the following expertise: (1) representative of the Children's Cabinet; (2) health care services; (3)

64-24

the Rhode Island March of Dimes and other community organizations concerned with birth

64-25

defects; (4) parents of children with birth defects; and (5) the public.

64-26

     (d) Members may serve for two (2) three (3) year terms. Terms for each appointee begin

64-27

at the initial appointment date.

64-28

     (e) Not later than thirty (30) days after the initial appointments are made the director

64-29

shall convene the first meeting of the council. In consultation with and with the approval of the

64-30

council, the director shall appoint, at the first meeting of the council, the chairperson and vice

64-31

chairperson of the council from among the members of the council. The chairperson may call

64-32

additional meetings, as the chairperson considers appropriate.

64-33

     (f) The council may establish rules of procedure as necessary to facilitate the council's

64-34

orderly conduct of business.

65-1

     (g) Council members shall serve without compensation.

65-2

     SECTION 45. Sections 23-13.4-1, 23-13.4-2, 23-13.4-3, 23-13.4-4, and 23-13.4-5 of the

65-3

General Laws in Chapter 23-13.4 entitled "Hazardous Chemicals – Contamination of Breast Milk

65-4

and Environment" are hereby amended to read as follows:

65-5

     23-13.4-1. Legislative findings. -- The legislature finds and declares all of the following:

65-6

     (a) (1) Chemicals known as brominated flame retardants (BFRs) are widely used in

65-7

Rhode Island. To meet stringent fire standards, manufacturers add BFRs to a multitude of

65-8

products, including plastic housing of electronics and computers, circuit boards, and the foam and

65-9

textiles used in furniture.

65-10

     (b) (2) Polybrominated diphenyl ether (PBDE), which is a subcategory of BFRs, has

65-11

increased fortyfold in human breast milk since the 1970s.

65-12

     (c) (3) PBDE has the potential to disrupt thyroid hormone balance and contribute to a

65-13

variety of developmental deficits, including low intelligence and learning disabilities. PBDE may

65-14

also have the potential to cause cancer.

65-15

     (d) (4) Substantial efforts to eliminate BFRs from products have been made throughout

65-16

the world, including private and public sectors. These efforts have made available numerous

65-17

alternatives safe to human health while meeting stringent fire standards. To meet market demand,

65-18

it is in the interest of Rhode Island manufacturers to eliminate the use of BFRs.

65-19

     (e) (5) In order to protect the public health and the environment, the legislature believes it

65-20

is necessary for the state to develop a precautionary approach regarding the production, use,

65-21

storage, and disposal of products containing brominated fire retardants.

65-22

     23-13.4-2. Definitions. -- For purposes of this chapter, the following words shall have the

65-23

following meanings:

65-24

     (a) (1) “DecaBDE” means decabromodiphenyl ether.

65-25

     (b) (2) “OctaBDE” means octabrominated diphenyl ether or any technical mixture in

65-26

which octabrominated diphenyl ether is a predominate congener.

65-27

     (c) (3) “PBDE” means polybrominated diphenyl ether.

65-28

     (d) (4) “PentaBDE” means pentabrominated diphenyl ether or any technical mixture in

65-29

which pentabrominated diphenyl ether is a predominate congener including, but not limited to,

65-30

metal furniture, machinery, major appliances, electronic products, and wood-burning stoves.

65-31

     23-13.4-3. Manufacturing, processing or distribution. -- (a) Effective January 1, 2007,

65-32

a person may not manufacture, process, or distribute in commerce a product or a flame-retardant

65-33

part of a product containing more than one-tenth (1/10%) of one percent (1%) of pentaBDE or

65-34

octaBDE.

66-1

     (b) Subsection (a) of this section does not apply to the following:

66-2

     (1) The sale by a business, charity, or private party of any used product containing PBDE.

66-3

     (2) The distribution in commerce of original equipment manufacturer replacement service

66-4

parts manufactured prior to the effective date of this act July 14, 2006.

66-5

     (3) The processing of recycled material containing pentaBDE or octaBDE in compliance

66-6

with applicable state and federal laws.

66-7

     (4) Use of products containing small quantities of PBDEs that are produced or used or

66-8

used for scientific research on the health or environmental effects of PBDEs.

66-9

     23-13.4-4. “DecaBDE” Study. -- By January 2, 2007, the department of environmental

66-10

management, shall submit to the general assembly a report that reviews the latest available

66-11

scientific research to address the following issues:

66-12

     (a) (1) Whether decaBDE is bio-accumulating in humans and the environment, and if so,

66-13

whether the levels of decaBDE are increasing, decreasing, or staying the same;

66-14

     (b) (2) How are humans exposed to decaBDE;

66-15

     (c) (3) What health effects could result from exposure to decaBDE, and are current levels

66-16

of exposure at levels that could produce these effects;

66-17

     (d) (4) Whether decaBDE breaks down into more harmful chemicals that could damage

66-18

public health; and

66-19

     (e) (5) Whether effective flame retardants are available for decaBDE uses, and whether

66-20

the use of available alternatives reduce health risks while still maintaining an adequate level of

66-21

flame retardant performance.

66-22

     23-13.4-5. Review of “decaBDE” Study. -- By February 28, 2007, the department of

66-23

health, shall submit to the general assembly a report that reviews the department of environmental

66-24

management's decaBDE study. In addition to a review of any public health implications the

66-25

department of health believes would result from exposure to decaBDE, it shall also comment on

66-26

the following:

66-27

     (a) (1) The known exposure pathways for humans to decaBDE;

66-28

     (b) (2) What scientific evidence exists to demonstrate that decaBDE breaks down into

66-29

other chemicals that could pose public health concerns; and

66-30

     (c) (3) What research and analysis exists on the potential human health effects of flame

66-31

retardants that could be used as alternative to decaBDE.

66-32

     SECTION 46. Section 23-14.1-5 of the General Laws in Chapter 23-14.1 entitled "Health

66-33

Professional Loan Repayment Program" is hereby amended to read as follows:

66-34

     23-14.1-5. Duties of the board. -- The board shall:

67-1

     (1) Determine which areas of the state shall be eligible to participate in the loan

67-2

repayment program each year, based on health professional shortage area designations.

67-3

     (2) Receive and consider all applications for loan repayment made by eligible health

67-4

professionals.

67-5

     (3) Conduct a careful and full investigation of the ability, character, financial needs, and

67-6

qualifications of each applicant.

67-7

     (4) Consider the intent of the applicant to practice in a health professional shortage area

67-8

and to adhere to all the requirements for participation in the loan repayment program.

67-9

     (5) Submit to the director a list of those individuals eligible for loan repayment and

67-10

amount of loan repayment to be granted.

67-11

     (6) Promulgate rules and regulations to ensure an effective implementation and

67-12

administration of the program.

67-13

     (7) Within ninety (90) days after the end of each fiscal year, the board shall approve and

67-14

submit an annual report to the governor, the speaker of the house of representatives, the president

67-15

of the senate, and the secretary of state, of its activities during that fiscal year. The report shall

67-16

provide: an operating statement summarizing meetings or hearings held, including meeting

67-17

minutes, subjects addressed, decisions rendered, applications considered and their disposition,

67-18

rules or regulations promulgated, studies conducted, polices and plans developed, approved, or

67-19

modified, and programs administered or initiated; a consolidated financial statement of all funds

67-20

received and expended including the source of the funds, a listing of any staff supported by these

67-21

funds, and a summary of any clerical, administrative or technical support received; a summary of

67-22

performance during the previous fiscal year including accomplishments, shortcomings and

67-23

remedies; a synopsis of hearings, complaints, suspensions, or other legal matters related to the

67-24

committee; a summary of any training courses held pursuant to this chapter; a briefing on

67-25

anticipated activities in the upcoming fiscal year, and findings and recommendations for

67-26

improvements. The report shall be posted electronically on the websites of the general assembly

67-27

and the secretary of state pursuant to the provisions of § 42-20-8.2. The director of the department

67-28

of administration shall be responsible for the enforcement of the provisions of this subsection.

67-29

     (8) To conduct Conduct a training course for newly appointed and qualified members

67-30

within six (6) months of their qualification or designation. The course shall be developed by the

67-31

chair of the board, be approved by the board, and be conducted by the chair of the board. The

67-32

board may approve the use of any board and/or staff members and/or individuals to assist with

67-33

training. The training course shall include instruction in the following areas: the provisions of

67-34

chapters 42-46, 36-14 and 38-2; and the board's rules and regulations. The director of the

68-1

department of administration shall, within ninety (90) days of the effective date of this act [June

68-2

16, 2006], prepare and disseminate training materials relating to the provisions of chapters 42-46,

68-3

36-14, and 38-2.

68-4

     SECTION 47. Section 23-16.3-8 of the General Laws in Chapter 23-16.3 entitled

68-5

"Clinical Laboratory Science Practice" is hereby amended to read as follows:

68-6

     23-16.3-8. Standards for licensure. -- (a) Clinical laboratory scientist (technologist).

68-7

The department of health shall issue a clinical laboratory scientist's license to an individual who

68-8

meets the qualifications developed by the board, including at least one of the following

68-9

qualifications:

68-10

     (1) A baccalaureate degree in clinical laboratory science (medical technology) from an

68-11

accredited college or university whose curriculum included appropriate clinical education;

68-12

     (2) A baccalaureate degree in biological, chemical, or physical science from an accredited

68-13

college or university, and subsequent to graduation has at least twelve (12) months of appropriate

68-14

clinical education in an accredited clinical laboratory science program;

68-15

     (3) A baccalaureate degree which includes a minimum of thirty-six (36) semester (or

68-16

equivalent) hours in the biological, chemical, and physical sciences from an accredited college or

68-17

university plus two (2) years of full-time work experience including a minimum of four (4)

68-18

months in each of the four (4) major disciplines of laboratory practice (clinical chemistry, clinical

68-19

microbiology, hematology, immunology/immunohematology); or

68-20

     (4) A baccalaureate degree consisting of ninety (90) semester (or equivalent) hours,

68-21

thirty-six (36) of which must be in the biological, chemical, or physical sciences, from an

68-22

accredited university, and appropriate clinical education in an accredited clinical laboratory

68-23

science program.

68-24

     (5) A clinical laboratory scientist (technologist) who previously qualified under federal

68-25

regulatory requirements such as 493.1433 42 CFR § 493.1433 of the March 14, 1990 federal

68-26

register or other regulations or criteria which may be established by the board.

68-27

     (b) Clinical laboratory technician. The department of health shall issue a clinical

68-28

laboratory technician's license to an individual who meets the qualifications promulgated by the

68-29

board, including at least one of the following qualifications:

68-30

     (1) An associate degree or completion of sixty (60) semester (or equivalent) hours from a

68-31

clinical laboratory technician program (MLT or equivalent) accredited by an agency recognized

68-32

by the United States department Department of education Education that included a structured

68-33

curriculum in clinical laboratory techniques;

68-34

     (2) A high school diploma (or equivalent) and (i) completion of twelve (12) months in a

69-1

technician training program in an accredited school such as CLA (ASCP) clinical laboratory

69-2

assistant (American Society of Clinical Pathologists), and MLT-C medical laboratory technician-

69-3

certificate programs approved by the board; or (ii) successful completion of an official military

69-4

medical laboratory procedure course of at least fifty (50) weeks duration and has held the military

69-5

enlisted occupational specialty of medical laboratory specialist (laboratory technician); or

69-6

     (3) A clinical laboratory technician who previously qualified under federal regulatory

69-7

requirements such as 493.1441 42 CFR § 493.1441 of the March 14, 1990 federal register which

69-8

meet or exceed the requirements for licensure set forth by the board.

69-9

     (c) Clinical histologic technician. The department of health shall issue a clinical

69-10

histologic technician license to an individual who meets the qualifications promulgated by the

69-11

board, including at least one of the following:

69-12

     (1) Associate degree or at least sixty (60) semester hours (or equivalent) from an

69-13

accredited college/university to include a combination of mathematics and at least twelve (12)

69-14

semester hours of biology and chemistry, and successfully complete an accredited program in

69-15

histologic technique or one full year of training in histologic technique under the supervision of a

69-16

certified histotechnologist or an appropriately certified histopathology supervisor with at least

69-17

three (3) years experience.

69-18

     (2) High school graduation (or equivalent) and two (2) years full time acceptable

69-19

experience under the supervision of a certified/licensed clinical histologic technician at a licensed

69-20

clinical laboratory in histologic technique.

69-21

     (d) Cytotechnologist. The department of health shall issue a cytotechnologist license to

69-22

an individual who meets the qualifications promulgated by the board including at least one of the

69-23

following:

69-24

     (1) A baccalaureate degree from an accredited college or university with twenty (20)

69-25

semester hours (30 quarter hours) of biological science, eight (8) semester hours (12 quarter

69-26

hours) of chemistry, and three (3) semester hours (4 quarter hours) of mathematics and successful

69-27

completion of a twelve (12) month cytotechnology program.

69-28

     (2) A baccalaureate degree from an accredited college or university with twenty (20)

69-29

semester hours (30 quarter hours) of biological science, eight (8) semester hours (12 quarter

69-30

hours) of chemistry, and three (3) semester hours (4 quarter hours) of mathematics and five (5)

69-31

years full time acceptable clinical laboratory experience including cytopreparatory techniques,

69-32

microscopic analysis, and evaluation of the body systems within the last ten (10) years. At least

69-33

two (2) of these years must be subsequent to the completion of the academic component and at

69-34

least two (2) years must be under the supervision of a licensed physician who is a pathologist,

70-1

certified, or eligible for certification, by the American Board of Pathology in anatomic pathology

70-2

or has other suitable qualifications acceptable to the board.

70-3

     (3) A cytotechnologist who previously qualified under federal regulatory requirements

70-4

such as 493.1437 42 CFR § 493.1437 of the March 14, 1990 federal register.

70-5

     (e) The board shall recommend standards for any other clinical laboratory science

70-6

practitioners specializing in areas such as nuclear medical technology, radioimmunoassay,

70-7

electron microscopy, forensic science, molecular biology, or similar recognized academic and

70-8

scientific disciplines with approval of the director of health.

70-9

     SECTION 48. Sections 23-17-10.5, 23-17-12.1, 23-17-51 and 23-17-59 of the General

70-10

Laws in Chapter 23-17 entitled "Licensing of Health Care Facilities" are hereby amended to read

70-11

as follows:

70-12

     23-17-10.5. Medical director and attending physician file. -- (a) Each nursing facility

70-13

licensed under this chapter shall designate a physician to serve as medical director. The medical

70-14

director shall be responsible for implementation of resident care policies and for the coordination

70-15

of medical care in the facility. Such responsibilities shall include, but not be limited to: the

70-16

implementation of facility policies and procedures related to the medical care delivered in the

70-17

facility; physician and advanced practice practitioner credentialing; practitioner performance

70-18

reviews; employee health including infection control measures; evaluation of health care delivery,

70-19

including oversight of medical records and participation in quality improvement; provision of

70-20

staff education on medical issues; participation in state survey process, including the resolution of

70-21

deficiencies as needed; and such other duties and responsibilities as may be stipulated in

70-22

regulations promulgated by the department of health.

70-23

     (b) The medical director, charged with the aforementioned duties and responsibilities for

70-24

the delivery of medical care in the nursing facility, shall be immune from civil or criminal

70-25

prosecution for reporting to the board of medical licensure and discipline the unprofessional

70-26

conduct, incompetence or negligence of a nursing facility physician or limited registrant;

70-27

provided, that the report, testimony or other communication was made in good faith and while

70-28

acting within the scope of authority conferred by this section. Each nursing facility shall maintain

70-29

an active file of all current attending physicians including their phone number and address, an

70-30

emergency phone number, their current medical license number, and their preferred hospital

70-31

admitting privileges. The director of the department of health is hereby authorized to promulgate

70-32

rules and regulations to implement the provisions of this section.

70-33

     23-17-12.1. Scope of inspections. -- (a) Inspections and investigations shall include

70-34

health, sanitation, nursing care, and dietary and other conditions immediately affecting the

71-1

patients.

71-2

     (b) The department shall assign responsibility for verifying compliance with licensing

71-3

requirements and issuing renewal licenses to an individual or office independent of the inspection

71-4

process.

71-5

     (c) The department shall establish written procedures to: (i) (1) track all deficiencies

71-6

identified during and after the inspection and investigation processes; and (ii) (2) clearly define

71-7

the internal process for appealing deficiency citations.

71-8

     (d) The department shall establish procedures to verify the implementation of plans of

71-9

correction and remediation.

71-10

     23-17-51. Magnetic resonance imaging - Quality assurance standards. -- (a) Except

71-11

as otherwise provided in subsection (b) of this section, a magnetic resonance imaging

71-12

examination eligible for reimbursement under the provisions of any individual or group health

71-13

insurance contract, plan or policy delivered in this state shall be reimbursed only if the facility at

71-14

which the examination has been conducted and processed is accredited by either the American

71-15

College of Radiology (ACR), the Intersoceital Intersocietal Accreditation Commission (IAC), or

71-16

an alternate nationally recognized accrediting organization whose accreditation standards are

71-17

substantially similar to and no less stringent than current or subsequent ACR or IAC standards

71-18

and have been reviewed and deemed adequate by the department of health. All accreditation

71-19

standards under this section, whether promulgated by the ACR, IAC, or an alternate nationally

71-20

recognized accrediting organization, shall include, but shall not be limited to, provisions for

71-21

establishing the qualifications of the physician, standards for quality control and routine

71-22

performance monitoring by a medical physicist, qualifications of the technologist including

71-23

minimum standards of supervised clinical experience, personnel and patient safety guidelines,

71-24

and standards for initial and ongoing quality control using clinical image review and quantitative

71-25

testing.

71-26

     (b) Any facility conducting and processing magnetic resonance imaging examinations

71-27

which, as of June 30, 2006, is receiving reimbursement for such services by a health insurer,

71-28

health maintenance organization or health plan, but is not accredited pursuant to subsection (a),

71-29

shall file its application for accreditation within eighteen (18) months of the effective date of this

71-30

section [July 14, 2006]. Such accreditation shall be obtained not later than twelve (12) months

71-31

after submission of its application. A facility which begins conducting and processing of

71-32

magnetic resonance imaging examinations after June 30, 2006 shall file its application for

71-33

accreditation within twelve (12) months of the date of initiation of the magnetic resonance

71-34

imaging examinations. Such accreditation shall be obtained not later than twelve (12) months

72-1

after submission of its application. After such accreditation is obtained, a facility conducting and

72-2

processing magnetic resonance imaging examinations shall, at all times, maintain accreditation

72-3

with the appropriate accrediting body. Notwithstanding anything herein to the contrary, any

72-4

facility which has filed for accreditation pursuant to this subsection (b) and which has not been

72-5

refused accreditation or withdrawn its application, will be deemed provisionally accredited for the

72-6

twelve (12) month period dating from the application filing date. Provided, further, that

72-7

notwithstanding any provision of the general laws or public laws to the contrary, any facility

72-8

conducting and processing magnetic resonance imaging examinations shall conform to the

72-9

standards of the appropriate accrediting body at all times, including during the accreditation

72-10

process and shall certify said conformance to any reimbursing health insurer, health maintenance

72-11

organization or health plan.

72-12

     23-17-59. Safe patient handling. -- (1) (a) Definitions. As used in this chapter:

72-13

     (a) (1) “Safe patient handling” means the use of engineering controls, transfer aids, or

72-14

assistive devices whenever feasible and appropriate instead of manual lifting to perform the acts

72-15

of lifting, transferring, and/or repositioning health care patients and residents.

72-16

     (b) (2) “Safe patient handling policy” means protocols established to implement safe

72-17

patient handling.

72-18

     (c) (3) “Health care facility” means a hospital or a nursing facility.

72-19

     (d) (4) “Lift team” means health care facility employees specially trained to perform

72-20

patient lifts, transfers, and repositioning in accordance with safe patient handling policy.

72-21

     (e) (5) “Musculoskeletal disorders” means conditions that involve the nerves, tendons,

72-22

muscles, and supporting structures of the body.

72-23

     (2) (b) Licensure requirements. Each licensed health care facility shall comply with the

72-24

following as a condition of licensure:

72-25

     (a) (1) Each licensed health care facility shall establish a safe patient handling committee,

72-26

which shall be chaired by a professional nurse or other appropriate licensed health care

72-27

professional. A health care facility may utilize any appropriately configured committee to

72-28

perform the responsibilities of this section. At least half of the members of the committee shall be

72-29

hourly, non-managerial employees who provide direct patient care.

72-30

     (b) (2) By July 1, 2007, each licensed health care facility shall develop a written safe

72-31

patient handling program, with input from the safe patient handling committee, to prevent

72-32

musculoskeletal disorders among health care workers and injuries to patients. As part of this

72-33

program, each licensed health care facility shall:

72-34

     (i) By July 1, 2008, implement a safe patient handling policy for all shifts and units of the

73-1

facility that will achieve the maximum reasonable reduction of manual lifting, transferring, and

73-2

repositioning of all or most of a patient's weight, except in emergency, life-threatening, or

73-3

otherwise exceptional circumstances;

73-4

     (ii) Conduct a patient handling hazard assessment. This assessment should consider such

73-5

variables as patient-handling tasks, types of nursing units, patient populations, and the physical

73-6

environment of patient care areas;

73-7

     (iii) Develop a process to identify the appropriate use of the safe patient handling policy

73-8

based on the patient's physical and mental condition, the patient's choice, and the availability of

73-9

lifting equipment or lift teams. The policy shall include a means to address circumstances under

73-10

which it would be medically contraindicated to use lifting or transfer aids or assistive devices for

73-11

particular patients;

73-12

     (iv) Designate and train a registered nurse or other appropriate licensed health care

73-13

professional to serve as an expert resource, and train all clinical staff on safe patient handling

73-14

policies, equipment, and devices before implementation, and at least annually or as changes are

73-15

made to the safe patient handling policies, equipment and/or devices being used;

73-16

     (v) Conduct an annual performance evaluation of the safe patient handling with the

73-17

results of the evaluation reported to the safe patient handling committee or other appropriately

73-18

designated committee. The evaluation shall determine the extent to which implementation of the

73-19

program has resulted in a reduction in musculoskeletal disorder claims and days of lost work

73-20

attributable to musculoskeletal disorder caused by patient handling, and include recommendations

73-21

to increase the program's effectiveness; and

73-22

(vi) Submit an annual report to the safe patient handling committee of the facility, which

73-23

shall be made available to the public upon request, on activities related to the identification,

73-24

assessment, development, and evaluation of strategies to control risk of injury to patients, nurses

73-25

and other health care workers associated with the lifting, transferring, repositioning, or movement

73-26

of a patient.

73-27

     (c) (3) Nothing in this section precludes lift team members from performing other duties

73-28

as assigned during their shift.

73-29

     (d) (4) An employee may, in accordance with established facility protocols, report to the

73-30

committee, as soon as possible, after being required to perform a patient handling activity that

73-31

he/she believes in good faith exposed the patient and/or employee to an unacceptable risk of

73-32

injury. Such employee reporting shall not be cause for discipline or be subject to other adverse

73-33

consequences by his/her employer. These reportable incidents shall be included in the facility's

73-34

annual performance evaluation.

74-1

     SECTION 49. Section 23-17.7.1-17 of the General Laws in Chapter 23-17.7.1 entitled

74-2

"Licensing of Nursing Service Agencies" is hereby amended to read as follows:

74-3

     23-17.7.1-17. Criminal records review. -- (a) Any person seeking employment in a

74-4

facility which is or is required to be licensed or registered with the department of health if that

74-5

employment involves routine contact with a patient or resident without the presence of other

74-6

employees, shall undergo a criminal background check, which shall be initiated prior to, or within

74-7

one week of, employment. All employees hired prior to the enactment of this section shall be

74-8

exempted from the requirements of this section.

74-9

     (b) The director of the department of health may, by rule, identify those positions

74-10

requiring criminal background checks. The employee, through the employer, shall apply to the

74-11

bureau of criminal identification of the state police or local police department for a statewide

74-12

criminal records check. Fingerprinting shall not be required. Upon the discovery of any

74-13

disqualifying information as defined in § 23-17.7.1-19 23-17.7.1-20 and in accordance with the

74-14

rule promulgated by the director of the department of health, the bureau of criminal identification

74-15

of the state police or the local police department will inform the applicant, in writing, of the

74-16

nature of the disqualifying information; and, without disclosing the nature of the disqualifying

74-17

information, will notify the employer, in writing, that disqualifying information has been

74-18

discovered.

74-19

     (c) An employee against whom disqualifying information under § 23-17.7.1-19(b) 23-

74-20

17.7.1-20(b) has been found may request that a copy of the criminal background report be sent to

74-21

the employer who shall make a judgment regarding the continued employment of the employee.

74-22

     (d) In those situations in which no disqualifying information has been found, the bureau

74-23

of criminal identification of the state police or the local police shall inform the applicant and the

74-24

employer, in writing, of this fact.

74-25

     (e) The employer shall maintain on file, subject to inspection by the department of

74-26

health, evidence that criminal records checks have been initiated on all employees. Failure to

74-27

maintain that evidence would be grounds to revoke the license or registration of the employer.

74-28

     (f) It shall be the responsibility of the bureau of criminal identification of the state police

74-29

or the local police department to conduct the criminal records check to the applicant for

74-30

employment without charge to either the employee or the employer.

74-31

     SECTION 50. Sections 23-17.12-5 and 23-17.12-9 of the General Laws in Chapter 23-

74-32

17.12 entitled "Health Care Services – Utilization Review Act" are hereby amended to read as

74-33

follows:

74-34

     23-17.12-5. General application requirements. -- An application for certification or

75-1

recertification shall be accompanied by documentation to evidence the following:

75-2

     (a) (1) The requirement that the review agent provide patients and providers with a

75-3

summary of its utilization review plan including a summary of the standards, procedures and

75-4

methods to be used in evaluating proposed or delivered health care services;

75-5

     (b) (2) The circumstances, if any, under which utilization review may be delegated to any

75-6

other utilization review program and evidence that the delegated agency is a certified utilization

75-7

review agency delegated to perform utilization review pursuant to all of the requirements of this

75-8

chapter;

75-9

     (c) (3) A complaint resolution process consistent with subsection 23-17.12-2(6) and

75-10

acceptable to the department, whereby patients, their physicians, or other health care providers

75-11

may seek resolution of complaints and other matters of which the review agent has received

75-12

written notice;

75-13

     (d) (4) The type and qualifications of personnel (employed or under contract) authorized

75-14

to perform utilization review, including a requirement that only a practitioner with the same

75-15

license status as the ordering practitioner, or a licensed physician or dentist, is permitted to make

75-16

a prospective or concurrent adverse determination;

75-17

     (e) (5) The requirement that a representative of the review agent is reasonably accessible

75-18

to patients, patient's family and providers at least five (5) days a week during normal business in

75-19

Rhode Island and during the hours of the agency's review operations;

75-20

     (f) (6) The policies and procedures to ensure that all applicable state and federal laws to

75-21

protect the confidentiality of individual medical records are followed;

75-22

     (g) (7) The policies and procedures regarding the notification and conduct of patient

75-23

interviews by the review agent;

75-24

     (h) (8) The requirement that no employee of, or other individual rendering an adverse

75-25

determination for, a review agent may receive any financial incentives based upon the number of

75-26

denials of certification made by that employee or individual;

75-27

     (i) (9) The requirement that the utilization review agent shall not impede the provision of

75-28

health care services for treatment and/or hospitalization or other use of a provider's services or

75-29

facilities for any patient;

75-30

     (j) (10) Evidence that the review agent has not entered into a compensation agreement or

75-31

contract with its employees or agents whereby the compensation of its employees or its agents is

75-32

based upon a reduction of services or the charges for those services, the reduction of length of

75-33

stay, or utilization of alternative treatment settings; provided, nothing in this chapter shall prohibit

75-34

agreements and similar arrangements; and

76-1

     (k) (11) An adverse determination and internal appeals process consistent with § 23-

76-2

17.12-9 and acceptable to the department, whereby patients, their physicians, or other health care

76-3

providers may seek prompt reconsideration or appeal of adverse determinations by the review

76-4

agent.

76-5

     23-17.12-9. Review agency requirement for adverse determination and internal

76-6

appeals. -- (a) The adverse determination and appeals process of the review agent shall conform

76-7

to the following:

76-8

     (1) Notification of a prospective adverse determination by the review agent shall be

76-9

mailed or otherwise communicated to the provider of record and to the patient or other

76-10

appropriate individual as follows:

76-11

     (i) Within fifteen (15) business days of receipt of all the information necessary to

76-12

complete a review of non-urgent and/or non-emergent services;

76-13

     (ii) Within seventy-two (72) hours of receipt of all the information necessary to complete

76-14

a review of urgent and/or emergent services; and

76-15

     (iii) Prior to the expected date of service.

76-16

     (2) Notification of a concurrent adverse determination shall be mailed or otherwise

76-17

communicated to the patient and to the provider of record period as follows:

76-18

     (i) To the provider(s) prior to the end of the current certified period; and

76-19

     (ii) To the patient within one business day of making the adverse determination.

76-20

     (3) Notification of a retrospective adverse determination shall be mailed or otherwise

76-21

communicated to the patient and to the provider of record within thirty (30) business days of

76-22

receipt of a request for payment with all supporting documentation for the covered benefit being

76-23

reviewed.

76-24

     (4) A utilization review agency shall not retrospectively deny authorization for health

76-25

care services provided to a covered person when an authorization has been obtained for that

76-26

service from the review agent unless the approval was based upon inaccurate information

76-27

material to the review or the health care services were not provided consistent with the provider's

76-28

submitted plan of care and/or any restrictions included in the prior approval granted by the review

76-29

agent.

76-30

     (5) Any notice of an adverse determination shall include:

76-31

     (i) The principal reasons for the adverse determination, to include explicit documentation

76-32

of the criteria not met and/or the clinical rationale utilized by the agency's clinical reviewer in

76-33

making the adverse determination. The criteria shall be in accordance with the agency criteria

76-34

noted in subsection 23-17.12-9(d) and shall be made available within the first level appeal

77-1

timeframe if requested unless otherwise provided as part of the adverse determination notification

77-2

process;

77-3

     (ii) The procedures to initiate an appeal of the adverse determination, including the name

77-4

and telephone number of the person to contract with regard to an appeal;

77-5

     (iii) The necessary contact information to complete the two-way direct communication

77-6

defined in subdivision 23-17.12-9(a)(7); and

77-7

     (iv) The information noted in subdivision 23-27.12-9(a)(5)(i)(ii)(iii) for all verbal

77-8

notifications followed by written notification to the patient and provider(s).

77-9

     (6) All initial retrospective adverse determinations of a health care service that had been

77-10

ordered by a physician, dentist or other practitioner shall be made, documented and signed

77-11

consistent with the regulatory requirements which shall be developed by the department with the

77-12

input of review agents, providers and other affected parties.

77-13

     (7) A level one appeal decision of an adverse determination shall not be made until an

77-14

appropriately qualified and licensed review physician, dentist or other practitioner has spoken to,

77-15

or otherwise provided for, an equivalent two-way direct communication with the patient's

77-16

attending physician, dentist, other practitioner, other designated or qualified professional or

77-17

provider responsible for treatment of the patient concerning the medical care, with the exception

77-18

of the following:

77-19

     (i) When the attending provider is not reasonably available;

77-20

     (ii) When the attending provider chooses not to speak with agency staff;

77-21

     (iii) When the attending provider has negotiated an agreement with the review agent for

77-22

alternative care; and/or

77-23

     (iv) When the attending provider requests a peer to peer communication prior to the

77-24

adverse determination, the review agency shall then comply with subdivision 23-17.12-9(c)(1) in

77-25

responding to such a request. Such requests shall be on the case specific basis unless otherwise

77-26

arranged for in advance by the provider.

77-27

     (8) All initial, prospective and concurrent adverse determinations of a health care service

77-28

that had been ordered by a physician, dentist or other practitioner shall be made, documented and

77-29

signed by a licensed practitioner with the same licensure status as the ordering practitioner or a

77-30

licensed physician or dentist. This does not prohibit appropriately qualified review agency staff

77-31

from engaging in discussions with the attending provider, the attending provider's designee or

77-32

appropriate health care facility and office personnel regarding alternative service and treatment

77-33

options. Such a discussion shall not constitute an adverse determination provided though that any

77-34

change to the provider's original order and/or any decision for an alternative level of care must be

78-1

made and/or appropriately consented to by the attending provider or the provider's designee

78-2

responsible for treating the patient.

78-3

     (9) The requirement that, upon written request made by or on behalf of a patient, any

78-4

adverse determination and/or appeal shall include the written evaluation and findings of the

78-5

reviewing physician, dentist or other practitioner. The review agent is required to accept a verbal

78-6

request made by or on behalf of a patient for any information where a provider or patient can

78-7

demonstrate that a timely response is urgent.

78-8

     (b) The review agent shall conform to the following for the appeal of an adverse

78-9

determination:

78-10

     (1) The review agent shall maintain and make available a written description of the

78-11

appeal procedure by which either the patient or the provider of record may seek review of

78-12

determinations not to authorize a health care service. The process established by each review

78-13

agent may include a reasonable period within which an appeal must be filed to be considered and

78-14

that period shall not be less than sixty (60) days.

78-15

     (2) The review agent shall notify, in writing, the patient and provider of record of its

78-16

decision on the appeal as soon as practical, but in no case later than fifteen (15) or twenty-one

78-17

(21) business days if verbal notice is given within fifteen (15) business days after receiving the

78-18

required documentation on the appeal.

78-19

     (3) The review agent shall also provide for an expedited appeals process for emergency

78-20

or life threatening situations. Each review agent shall complete the adjudication of expedited

78-21

appeals within two (2) business days of the date the appeal is filed and all information necessary

78-22

to complete the appeal is received by the review agent.

78-23

     (4) All first level appeals of determinations not to authorize a health care service that had

78-24

been ordered by a physician, dentist, or other practitioner shall be made, documented, and signed

78-25

by a licensed practitioner with the same licensure status as the ordering practitioner or a licensed

78-26

physician or a licensed dentist.

78-27

     (5) All second level appeal decisions shall be made, signed, and documented by a

78-28

licensed practitioner in the same or a similar general specialty as typically manages the medical

78-29

condition, procedure, or treatment under discussion.

78-30

     (6) The review agent shall maintain records of written appeals and their resolution, and

78-31

shall provide reports as requested by the department.

78-32

     (c) The review agency must conform to the following requirements when making its

78-33

adverse determination and appeal decisions:

78-34

     (1) The review agent must assure that the licensed practitioner or licensed physician is

79-1

reasonably available to review the case as required under subdivision 23-17.12-9(a)(7) and shall

79-2

conform to the following:

79-3

     (i) Each agency peer reviewer shall have access to and review all necessary information

79-4

as requested by the agency and/or submitted by the provider(s) and/or patients;

79-5

     (ii) Each agency shall provide accurate peer review contact information to the provider at

79-6

the time of service, if requested, and/or prior to such service, if requested. This contact

79-7

information must provide a mechanism for direct communication with the agency's peer

79-8

reviewer;

79-9

     (iii) Agency peer reviewers shall respond to the provider's request for a two-way direct

79-10

communication defined in subdivision 23-17.12-9(a)(7)(iv) as follows:

79-11

     (a) (A) For a prospective review of non-urgent and non-emergent health care services, a

79-12

response within one (1) business day of the request for a peer discussion;

79-13

     (b) (B) For concurrent and prospective reviews of urgent and emergent health care

79-14

services, a response within a reasonable period of time of the request for a peer discussion; and

79-15

     (c) (C) For retrospective reviews, prior to the first level appeal decision.

79-16

     (iv) The review agency will have met the requirements of a two-way direct

79-17

communication, when requested and/or as required prior to the first level of appeal, when it has

79-18

made two (2) reasonable attempts to contact the attending provider directly.

79-19

     (v) Repeated violations of this section shall be deemed to be substantial violations

79-20

pursuant to § 23-17.12-14 and shall be cause for the imposition of penalties under that section.

79-21

     (2) No reviewer at any level under this section shall be compensated or paid a bonus or

79-22

incentive based on making or upholding an adverse determination.

79-23

     (3) No reviewer under this section who has been involved in prior reviews of the case

79-24

under appeal or who has participated in the direct care of the patient may participate as the sole

79-25

reviewer in reviewing a case under appeal; provided, however, that when new information has

79-26

been made available at the first level of appeal, then the review may be conducted by the same

79-27

reviewer who made the initial adverse determination.

79-28

     (4) A review agent is only entitled to review information or data relevant to the utilization

79-29

review process. A review agent may not disclose or publish individual medical records or any

79-30

confidential medical information obtained in the performance of utilization review activities. A

79-31

review agent shall be considered a third party health insurer for the purposes of § 5-37.3-6(b)(6)

79-32

of this state and shall be required to maintain the security procedures mandated in § 5-37.3-4(c).

79-33

     (5) Notwithstanding any other provision of law, the review agent, the department, and all

79-34

other parties privy to information which is the subject of this chapter shall comply with all state

80-1

and federal confidentiality laws, including, but not limited to, chapter 37.3 of title 5

80-2

(Confidentiality of Health Care Communications and Information Act) and specifically § 5-37.3-

80-3

4(c), which requires limitation on the distribution of information which is the subject of this

80-4

chapter on a “need to know” basis, and § 40.1-5-26.

80-5

     (6) The department may, in response to a complaint that is provided in written form to the

80-6

review agent, review an appeal regarding any adverse determination, and may request

80-7

information of the review agent, provider or patient regarding the status, outcome or rationale

80-8

regarding the decision.

80-9

     (d) The requirement that each review agent shall utilize and provide upon request, by

80-10

Rhode Island licensed hospitals and the Rhode Island Medical Society, in either electronic or

80-11

paper format, written medically acceptable screening criteria and review procedures which are

80-12

established and periodically evaluated and updated with appropriate consultation with Rhode

80-13

Island licensed physicians, hospitals, including practicing physicians, and other health care

80-14

providers in the same specialty as would typically treat the services subject to the criteria as

80-15

follows:

80-16

     (1) Utilization review agents shall consult with no fewer than five (5) Rhode Island

80-17

licensed physicians or other health care providers. Further, in instances where the screening

80-18

criteria and review procedures are applicable to inpatients and/or outpatients of hospitals, the

80-19

medical director of each licensed hospital in Rhode Island shall also be consulted. Utilization

80-20

review agents who utilize screening criteria and review procedures provided by another entity

80-21

may satisfy the requirements of this section if the utilization review agent demonstrates to the

80-22

satisfaction of the director that the entity furnishing the screening criteria and review procedures

80-23

has complied with the requirements of this section.

80-24

     (2) Utilization review agents seeking initial certification shall conduct the consultation

80-25

for all screening and review criteria to be utilized. Utilization review agents who have been

80-26

certified for one year or longer shall be required to conduct the consultation on a periodic basis

80-27

for the utilization review agent's highest volume services subject to utilization review during the

80-28

prior year; services subject to the highest volume of adverse determinations during the prior year;

80-29

and for any additional services identified by the director.

80-30

     (3) Utilization review agents shall not include in the consultations as required under

80-31

paragraph (1) of this subdivision, any physicians or other health services providers who have

80-32

financial relationships with the utilization review agent other than financial relationships for

80-33

provisions of direct patient care to utilization review agent enrollees and reasonable compensation

80-34

for consultation as required by paragraph (1) of this subdivision.

81-1

     (4) All documentation regarding required consultations, including comments and/or

81-2

recommendations provided by the health care providers involved in the review of the screening

81-3

criteria, as well as the utilization review agent's action plan or comments on any

81-4

recommendations, shall be in writing and shall be furnished to the department on request. The

81-5

documentation shall also be provided on request to any licensed health care provider at a nominal

81-6

cost that is sufficient to cover the utilization review agent's reasonable costs of copying and

81-7

mailing.

81-8

     (5) Utilization review agents may utilize non-Rhode Island licensed physicians or other

81-9

health care providers to provide the consultation as required under paragraph (1) of this

81-10

subdivision, when the utilization review agent can demonstrate to the satisfaction of the director

81-11

that the related services are not currently provided in Rhode Island or that another substantial

81-12

reason requires such approach.

81-13

     (6) Utilization review agents whose annualized data reported to the department

81-14

demonstrate that the utilization review agent will review fewer than five hundred (500) such

81-15

requests for authorization may request a variance from the requirements of this section.

81-16

     SECTION 51. Section 23-17.13-3 of the General Laws in Chapter 23-17.13 entitled

81-17

"Health Care Accessibility and Quality Assurance Act" is hereby amended to read as follows:

81-18

     23-17.13-3. Certification of health plans. -- (a) Certification process.

81-19

     (1) Certification.

81-20

     (i) The director shall establish a process for certification of health plans meeting the

81-21

requirements of certification in subsection (b).

81-22

     (ii) The director shall act upon the health plan's completed application for certification

81-23

within ninety (90) days of receipt of such application for certification.

81-24

     (2) Review and recertification. To ensure compliance with subsection (b), the director

81-25

shall establish procedures for the periodic review and recertification of qualified health plans not

81-26

less than every five (5) years; provided, however, that the director may review the certification of

81-27

a qualified health plan at any time if there exists evidence that a qualified health plan may be in

81-28

violation of subsection (b).

81-29

     (3) Cost of certification. The total cost of obtaining and maintaining certification under

81-30

this title and compliance with the requirements of the applicable rules and regulations are borne

81-31

by the entities so certified and shall be one hundred and fifty percent (150%) of the total salaries

81-32

paid to the certifying personnel of the department engaged in those certifications less any salary

81-33

reimbursements and shall be paid to the director to and for the use of the department. That

81-34

assessment shall be in addition to any taxes and fees otherwise payable to the state.

82-1

     (4) Standard definitions. To help ensure a patient's ability to make informed decisions

82-2

regarding their health care, the director shall promulgate regulation(s) to provide for standardized

82-3

definitions (unless defined in existing statute) of the following terms in this subdivision,

82-4

provided, however, that no definition shall be construed to require a health care entity to add any

82-5

benefit, to increase the scope of any benefit, or to increase any benefit under any contract:

82-6

     (i) Allowable charge;

82-7

     (ii) Capitation;

82-8

     (iii) Co-payments;

82-9

     (iv) Co-insurance;

82-10

     (v) Credentialing;

82-11

     (vi) Formulary;

82-12

     (vii) Grace period;

82-13

     (viii) Indemnity insurance;

82-14

     (ix) In-patient care;

82-15

     (x) Maximum lifetime cap;

82-16

     (xi) Medical necessity;

82-17

     (xii) Out-of-network;

82-18

     (xiii) Out-patient;

82-19

     (xiv) Pre-existing conditions;

82-20

     (xv) Point of service;

82-21

     (xvi) Risk sharing;

82-22

     (xvii) Second opinion;

82-23

     (xviii) Provider network;

82-24

     (xix) Urgent care.

82-25

     (b) Requirements for certification. The director shall establish standards and procedures

82-26

for the certification of qualified health plans that conduct business in this state and who have

82-27

demonstrated the ability to ensure that health care services will be provided in a manner to assure

82-28

availability and accessibility, adequate personnel and facilities, and continuity of service, and has

82-29

demonstrated arrangements for ongoing quality assurance programs regarding care processes and

82-30

outcomes; other standards shall consist of, but are not limited to, the following:

82-31

     (1) Prospective and current enrollees in health plans must be provided information as to

82-32

the terms and conditions of the plan consistent with the rules and regulations promulgated under

82-33

chapter 12.3 of title 42 so that they can make informed decisions about accepting and utilizing the

82-34

health care services of the health plan. This must be standardized so that customers can compare

83-1

the attributes of the plans, and all information required by this paragraph shall be updated at

83-2

intervals determined by the director. Of those items required under this section, the director shall

83-3

also determine which items shall be routinely distributed to prospective and current enrollees as

83-4

listed in this subsection and which items may be made available upon request. The items to be

83-5

disclosed are:

83-6

     (i) Coverage provisions, benefits, and any restriction or limitations on health care

83-7

services, including but not limited to, any exclusions as follows: by category of service, and if

83-8

applicable, by specific service, by technology, procedure, medication, provider or treatment

83-9

modality, diagnosis and condition, the latter three (3) of which shall be listed by name.

83-10

     (ii) Experimental treatment modalities that are subject to change with the advent of new

83-11

technology, may be listed solely by the broad category “Experimental Treatments”. The

83-12

information provided to consumers shall include the plan's telephone number and address where

83-13

enrollees may call or write for more information or to register a complaint regarding the plan or

83-14

coverage provision.

83-15

     (2) Written statement of the enrollee's right to seek a second opinion, and reimbursement

83-16

if applicable.

83-17

     (3) Written disclosure regarding the appeals process described in § 23-17.12-1 et seq. and

83-18

in the rules and regulations for the utilization review of care services, promulgated by the

83-19

department of health, the telephone numbers and addresses for the plan's office which handles

83-20

complaints as well as for the office which handles the appeals process under § 23-17.12-1 et seq.

83-21

and the rules and regulations for the utilization of health.

83-22

     (4) Written statement of prospective and current enrollees' right to confidentiality of all

83-23

health care record and information in the possession and/or control of the plan, its employees, its

83-24

agents and parties with whom a contractual agreement exists to provide utilization review or who

83-25

in any way have access to care information. A summary statement of the measures taken by the

83-26

plan to ensure confidentiality of an individual's health care records shall be disclosed.

83-27

     (5) Written disclosure of the enrollee's right to be free from discrimination by the health

83-28

plan and the right to refuse treatment without jeopardizing future treatment.

83-29

     (6) Written disclosure of a plan's policy to direct enrollees to particular providers. Any

83-30

limitations on reimbursement should the enrollee refuse the referral must be disclosed.

83-31

     (7) A summary of prior authorization or other review requirements including

83-32

preauthorization review, concurrent review, post-service review, post-payment review and any

83-33

procedure that may lead the patient to be denied coverage for or not be provided a particular

83-34

service.

84-1

     (8) Any health plan that operates a provider incentive plan shall not enter into any

84-2

compensation agreement with any provider of covered services or pharmaceutical manufacturer

84-3

pursuant to which specific payment is made directly or indirectly to the provider as an

84-4

inducement or incentive to reduce or limit services, to reduce the length of stay or the use of

84-5

alternative treatment settings or the use of a particular medication with respect to an individual

84-6

patient, provided however, that capitation agreements and similar risk sharing arrangements are

84-7

not prohibited.

84-8

     (9) Health plans must disclose to prospective and current enrollees the existence of

84-9

financial arrangements for capitated or other risk sharing arrangements that exist with providers

84-10

in a manner described in paragraphs (i), (ii), and (iii):

84-11

     (i) “This health plan utilizes capitated arrangements, with its participating providers, or

84-12

contains other similar risk sharing arrangements;

84-13

     (ii) This health plan may include a capitated reimbursement arrangement or other similar

84-14

risk sharing arrangement, and other financial arrangements with your provider;

84-15

     (iii) This health plan is not capitated and does not contain other risk sharing

84-16

arrangements.”

84-17

     (10) Written disclosure of criteria for accessing emergency health care services as well as

84-18

a statement of the plan's policies regarding payment for examinations to determine if emergency

84-19

health care services are necessary, the emergency care itself, and the necessary services following

84-20

emergency treatment or stabilization. The health plan must respond to the request of the treating

84-21

provider for post-stabilization treatment by approving or denying it as soon as possible.

84-22

     (11) Explanation of how health plan limitations impact enrollees, including information

84-23

on enrollee financial responsibility for payment for co-insurance, co-payment, or other non-

84-24

covered, out-of-pocket, or out-of-plan services. This shall include information on deductibles and

84-25

benefits limitations including, but not limited to, annual limits and maximum lifetime benefits.

84-26

     (12) The terms under which the health plan may be renewed by the plan enrollee,

84-27

including any reservation by the plan of any right to increase premiums.

84-28

     (13) Summary of criteria used to authorize treatment.

84-29

     (14) A schedule of revenues and expenses, including direct service ratios and other

84-30

statistical information which meets the requirements set forth below on a form prescribed by the

84-31

director.

84-32

     (15) Plan costs of health care services, including but not limited to all of the following:

84-33

     (i) Physician services;

84-34

     (ii) Hospital services, including both inpatients and outpatient services;

85-1

     (iii) Other professional services;

85-2

     (iv) Pharmacy services, excluding pharmaceutical products dispensed in a physician's

85-3

office;

85-4

     (v) Health education;

85-5

     (vi) Substance abuse services and mental health services.

85-6

     (16) Plan complaint, adverse decision, and prior authorization statistics. This statistical

85-7

data shall be updated annually:

85-8

     (i) The ratio of the number of complaints received to the total number of covered persons,

85-9

reported by category, listed in paragraphs (b)(15)(i) — (vi);

85-10

     (ii) The ratio of the number of adverse decisions issued to the number of complaints

85-11

received, reported by category;

85-12

     (iii) The ratio of the number of prior authorizations denied to the number of prior

85-13

authorizations requested, reported by category;

85-14

     (iv) The ratio of the number of successful enrollee appeals to the total number of appeals

85-15

filed.

85-16

     (17) Plans must demonstrate that:

85-17

     (i) They have reasonable access to providers, so that all covered health care services will

85-18

be provided. This requirement cannot be waived and must be met in all areas where the health

85-19

plan has enrollees;

85-20

     (ii) Urgent health care services, if covered, shall be available within a time frame that

85-21

meets standards set by the director.

85-22

     (18) A comprehensive list of participating providers listed by office location, specialty if

85-23

applicable, and other information as determined by the director, updated annually.

85-24

     (19) Plans must provide to the director, at intervals determined by the director, enrollee

85-25

satisfaction measures. The director is authorized to specify reasonable requirements for these

85-26

measures consistent with industry standards to assure an acceptable degree of statistical validity

85-27

and comparability of satisfaction measures over time and among plans. The director shall publish

85-28

periodic reports for the public providing information on health plan enrollee satisfaction.

85-29

     (c) Issuance of certification.

85-30

     (1) Upon receipt of an application for certification, the director shall notify and afford the

85-31

public an opportunity to comment upon the application.

85-32

     (2) A health care plan will meet the requirements of certification, subsection (b) by

85-33

providing information required in subsection (b) to any state or federal agency in conformance

85-34

with any other applicable state or federal law, or in conformity with standards adopted by an

86-1

accrediting organization provided that the director determines that the information is substantially

86-2

similar to the previously mentioned requirements and is presented in a format that provides a

86-3

meaningful comparison between health plans.

86-4

     (3) All health plans shall be required to establish a mechanism, under which providers,

86-5

including local providers participating in the plan, provide input into the plan's health care policy,

86-6

including technology, medications and procedures, utilization review criteria and procedures,

86-7

quality and credentialing criteria, and medical management procedures.

86-8

     (4) All health plans shall be required to establish a mechanism under which local

86-9

individual subscribers to the plan provide input into the plan's procedures and processes regarding

86-10

the delivery of health care services.

86-11

     (5) A health plan shall not refuse to contract with or compensate for covered services an

86-12

otherwise eligible provider or non-participating provider solely because that provider has in good

86-13

faith communicated with one or more of his or her patients regarding the provisions, terms or

86-14

requirements of the insurer's products as they relate to the needs of that provider's patients.

86-15

     (6) (i) All health plans shall be required to publicly notify providers within the health

86-16

plans' geographic service area of the opportunity to apply for credentials. This notification

86-17

process shall be required only when the plan contemplates adding additional providers and may

86-18

be specific as to geographic area and provider specialty. Any provider not selected by the health

86-19

plan may be placed on a waiting list.

86-20

     (ii) This credentialing process shall begin upon acceptance of an application from a

86-21

provider to the plan for inclusion.

86-22

     (iii) Each application shall be reviewed by the plan's credentialing body.

86-23

     (iv) All health plans shall develop and maintain credentialing criteria to be utilized in

86-24

adding providers from the plans' network. Credentialing criteria shall be based on input from

86-25

providers credentialed in the plan and these standards shall be available to applicants. When

86-26

economic considerations are part of the decisions, the criteria must be available to applicants.

86-27

Any economic profiling must factor the specialty utilization and practice patterns and general

86-28

information comparing the applicant to his or her peers in the same speciality specialty will be

86-29

made available. Any economic profiling of providers must be adjusted to recognize case mix,

86-30

severity of illness, age of patients and other features of a provider's practice that may account for

86-31

higher than or lower than expected costs. Profiles must be made available to those so profiled.

86-32

     (7) A health plan shall not exclude a provider of covered services from participation in its

86-33

provider network based solely on:

86-34

     (i) The provider's degree or license as applicable under state law; or

87-1

     (ii) The provider of covered services lack of affiliation with, or admitting privileges at a

87-2

hospital, if that lack of affiliation is due solely to the provider's type of license.

87-3

     (8) Health plans shall not discriminate against providers solely because the provider treats

87-4

a substantial number of patients who require expensive or uncompensated medical care.

87-5

     (9) The applicant shall be provided with all reasons used if the application is denied.

87-6

     (10) Plans shall not be allowed to include clauses in physician or other provider contracts

87-7

that allow for the plan to terminate the contract “without cause”; provided, however, cause shall

87-8

include lack of need due to economic considerations.

87-9

     (11) (i) There shall be due process for non-institutional providers for all adverse decisions

87-10

resulting in a change of privileges of a credentialed non-institutional provider. The details of the

87-11

health plan's due process shall be included in the plan's provider contracts.

87-12

     (ii) A health plan is deemed to have met the adequate notice and hearing requirement of

87-13

this section with respect to a non-institutional provider if the following conditions are met (or are

87-14

waived voluntarily by the non-institutional provider):

87-15

     (A) The provider shall be notified of the proposed actions and the reasons for the

87-16

proposed action.

87-17

     (B) The provider shall be given the opportunity to contest the proposed action.

87-18

     (C) The health plan has developed an internal appeals process that has reasonable time

87-19

limits for the resolution of an internal appeal.

87-20

     (12) If the plan places a provider or provider group at financial risk for services not

87-21

provided by the provider or provider group, the plan must require that a provider or group has met

87-22

all appropriate standards of the department of business regulation.

87-23

     (13) A health plan shall not include a most favored rate clause in a provider contract.

87-24

SECTION 52. Section 23-17.14-22 of the General Laws in Chapter 23-17.14 entitled

87-25

"The Hospital Conversions Act" is hereby amended to read as follows:

87-26

     23-17.14-22. Distribution of proceeds from acquisition - Selection and establishment

87-27

of an independent foundation. -- (a) In the event of the approval of a hospital conversion

87-28

involving a not-for-profit corporation and a for-profit corporation results in a new entity as

87-29

provided for in § 23-17.14-7(c)(25)(i), it shall be required that the proceeds from the sale and any

87-30

endowments, restricted, unrestricted and specific purpose funds shall be transferred to a charitable

87-31

foundation operated by a board of directors.

87-32

     (b) The presiding justice of the superior court shall have the authority to:

87-33

     (1) Appoint the initial board of directors.

87-34

     (2) Approve, modify, or reject proposed bylaws and/or articles of incorporation provided

88-1

by the transacting parties and/or the initial board of directors.

88-2

     (c) The board of directors shall consist of at least seven (7) members and the executive

88-3

director, who shall serve ex officio. The board members may include one or more members with

88-4

experience in matters including financial, legal, business, labor, investments, community purpose,

88-5

grant-making, health care and members who represent diverse populations of the affected

88-6

community and not more than three (3) members of the board may be prior board members of the

88-7

existing hospital.

88-8

     (d) The membership terms shall be staggered and shall be four (4) years in duration. The

88-9

board shall annually elect a chairperson from among its members and other officers it deems

88-10

necessary for the performance of its duties and board members shall not receive compensation.

88-11

     (e) Control of the distribution of the proceeds of the fund is vested solely in the board;

88-12

provided, however, the investment responsibility of the proceeds shall be through the Rhode

88-13

Island Foundation.

88-14

     (f) Vacancies occurring on the board may be filled by a majority vote of the remaining

88-15

board members.

88-16

     SECTION 53. Sections 23-17.17-2 and 23-17.17-8 of the General Laws in Chapter 23-

88-17

17.17 entitled "Health Care Quality Program" are hereby amended to read as follows:

88-18

     23-17.17-2. Definitions. -- (a) “Clinical outcomes” means information about the results

88-19

of patient care and treatment.

88-20

     (b) “Director” means the director of the department of health or his or her duly

88-21

authorized agent.

88-22

     (c) “Health care facility” has the same meaning as contained in the regulations

88-23

promulgated by the director of health pursuant to chapter 17 of this title.

88-24

     (d) “Health care provider” means any physician, or other licensed practitioners with

88-25

responsibility for the care, treatment, and services rendered to a patient.

88-26

     (e) “Insurer” means any entity subject to the insurance laws and regulations of this state,

88-27

that contracts or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the

88-28

costs of health care services, including, without limitation, an insurance company offering

88-29

accident and sickness insurance, a health maintenance organization, as defined by § 27-41-1, a

88-30

nonprofit hospital or medical service corporation, as defined by chapters 27-19 and 27-20, or any

88-31

other entity providing a plan of health insurance or health benefits.

88-32

     (d) (f) “Patient satisfaction” means the degree to which the facility or provider meets or

88-33

exceeds the patients' expectations as perceived by the patient by focusing on those aspects of care

88-34

that the patient can judge.

89-1

     (g) “Performance measure” means a quantitative tool that provides an indication of an

89-2

organization's performance in relation to a specified process or outcome.

89-3

     (e) (h) “Quality of care” means the result or outcome of health care efforts.

89-4

     (i) “Reporting program” means an objective feedback mechanism regarding individual

89-5

or facility performance that can be used internally to support performance improvement activities

89-6

and externally to demonstrate accountability to the public and other purchasers, payers, and

89-7

stakeholders.

89-8

     (f) (j) “Risk-adjusted” means the use of statistically valid techniques to account for

89-9

patient variables that may include, but need not to be limited to, age, chronic disease history, and

89-10

physiologic data.

89-11

     (g) “Performance measure” means a quantitative tool that provides an indication of an

89-12

organization's performance in relation to a specified process or outcome.

89-13

     (h) “Reporting program” means an objective feedback mechanism regarding individual

89-14

or facility performance that can be used internally to support performance improvement activities

89-15

and externally to demonstrate accountability to the public and other purchasers, payers, and

89-16

stakeholders.

89-17

     (i) “Health care provider” means any physician, or other licensed practitioners with

89-18

responsibility for the care, treatment, and services rendered to a patient.

89-19

     (j) “Insurer” means any entity subject to the insurance laws and regulations of this state,

89-20

that contracts or offers to contract to provide, deliver, arrange for, pay for, or reimburse any of the

89-21

costs of health care services, including, without limitation, an insurance company offering

89-22

accident and sickness insurance, a health maintenance organization, as defined by § 27-41-1, a

89-23

nonprofit hospital or medical service corporation, as defined by chapters 27-19 and 27-20, or any

89-24

other entity providing a plan of health insurance or health benefits.

89-25

     23-17.17-8. Annual hospital staffing report. -- (a) Annually in the month of January,

89-26

every licensed hospital shall submit to the Rhode Island department of health, its core-staffing

89-27

plan. Such plan shall specify for each patient care unit and each shift, the number of registered

89-28

nurses, licensed practical nurses and/or certified nursing assistants who shall ordinarily be

89-29

assigned to provide direct patient care and the average number of patients upon which such

89-30

staffing levels are based.

89-31

     (b) For the purposes of this section:

89-32

     (1) “Core-staffing plan” shall mean the projected complement of nonmanagerial nursing

89-33

staff that shall be assigned on each shift to a specified patient care unit.

89-34

     (2) “Nonmanagerial nursing staff” shall mean registered nurses, licensed practical nurses

90-1

and/or certified nursing assistants who perform nonmanagerial direct patient care functions for

90-2

more than fifty percent (50%) of their scheduled hours on a given patient care unit.

90-3

     (3) “Patient care unit” shall mean a designated area for assigning patients and staff for

90-4

which discrete budget and staffing plans exist.

90-5

     SECTION 54. Section 23-17.20-2 of the General Laws in Chapter 23-17.20 entitled

90-6

"Health Care Facilities Staffing" is hereby amended to read as follows:

90-7

     23-17.20-2. Definitions. -- As used in this chapter:

90-8

     (1) “Employee” means a nurse licensed pursuant to chapter 5-34, and a certified nurse

90-9

assistant registered pursuant to chapter 23-17.9, provided further, that such term shall not include

90-10

certified registered nurse anesthetists or resident physicians; and provided further, that for

90-11

purposes of this chapter, said nurse and/or nursing assistant shall be paid on the basis of an hourly

90-12

wage. As used in this chapter, the term “employee” shall not include a person who is paid an

90-13

annual salary, and shall not include employees who are working pre-scheduled “on-call time” in

90-14

the surgical department of a health care facility.

90-15

     (2) “Employer” means a person, partnership, association, corporation or group of persons

90-16

acting directly or indirectly in the interest of a health care facility;

90-17

     (3) “Health care facility” means any private, public or state hospital;

90-18

     (4) “On-call time” means time spent by an employee who is not working on the premises

90-19

of the place of employment but who is compensated for availability or who, as a condition of

90-20

employment, has agreed to be available to return to the premises of the place of employment on

90-21

short notice if the need arises;

90-22

     (5) “Reasonable efforts” means that the employer shall:

90-23

     (i) Seek persons who volunteer to work extra time from all available qualified staff who

90-24

are working at the time of the unforeseeable emergent circumstance;

90-25

     (ii) Contact all qualified employees who have made themselves available to work extra

90-26

time; and

90-27

     (iii) Seek the use of per diem staff;

90-28

     (4) (6) “Regular hourly wage” means the amount that an employee is regularly paid for

90-29

each hour of work as determined by dividing the total hours of work during the week into the

90-30

employee's total earnings for the week, exclusive of pay for overtime work;

90-31

     (5) (7) “Unforeseeable emergent circumstance” means an unpredictable occurrence

90-32

relating to health care delivery that requires immediate action, and which shall include a major

90-33

power outage, a public health emergency, an irregular increase in patient census, or an irregular

90-34

increase in the number of employees not reporting for predetermined scheduled work shifts.

91-1

     (6) “On-call time” means time spent by an employee who is not working on the premises

91-2

of the place of employment but who is compensated for availability or who, as a condition of

91-3

employment, has agreed to be available to return to the premises of the place of employment on

91-4

short notice if the need arises.

91-5

     (7) “Reasonable efforts” means that the employer shall: (a) seek persons who volunteer to

91-6

work extra time from all available qualified staff who are working at the time of the

91-7

unforeseeable emergent circumstance; (b) contact all qualified employees who have made

91-8

themselves available to work extra time; and (c) seek the use of per diem staff.

91-9

     SECTION 55. Section 23-18-11.1 of the General Laws in Chapter 23-18 entitled

91-10

"Cemeteries" is hereby amended to read as follows:

91-11

     23-18-11.1. Permit required to alter or remove historic cemetery - Powers of city or

91-12

town council - Appeal. -- (a) Before an agency or a property owner may authorize or commence

91-13

alteration or removal of any historic cemetery, the agency or owner must apply to the city or town

91-14

council where the historic cemetery is located for a permit to alter or remove. The city or town

91-15

council shall prescribe by ordinance standards to regulate the alteration or removal of any historic

91-16

cemetery within its municipal limits, but shall at a minimum provide that:

91-17

     (1) The applicant examine all alternatives, and demonstrate that no prudent or feasible

91-18

alternative to the proposed alteration is possible;

91-19

     (2) The city or town provide for notification and participation in the permitting process of

91-20

parties which may be interested in the proposed alteration or removal by virtue of their status as a

91-21

governmental health or historic preservation authority, or as a private or nonprofit historical,

91-22

geneological genealogical or civic organization, or, in the case of American Indian cemeteries

91-23

and burial grounds, the appropriate tribal organization; and

91-24

     (3) The city or town provide for due consideration of the rights of descendants in any

91-25

application to substantially alter or remove a historic cemetery.

91-26

     (b) When an application for alteration or removal of a historic cemetery has been made

91-27

and the boundary is unknown or in doubt, the city or town may require that the applicant, at its

91-28

own expense, conduct an archaeological investigation to determine the actual size of the cemetery

91-29

prior to final consideration by the city or town of the application to alter or remove.

91-30

     (c) After due consideration, the city or town council may grant the application to alter or

91-31

remove the historic cemetery in whole or in part, under the supervision of an archaeologist and

91-32

with any restrictions and stipulations that it deems necessary to effectuate the purposes of this

91-33

section, or deny the application in its entirety. Any person or persons aggrieved by a decision of

91-34

the city or town council shall have the right of appeal concerning the decision to the superior

92-1

court and from the superior court to the supreme court by writ of certiorari.

92-2

     (d) Nothing in this section shall be deemed to contravene the authority of municipal

92-3

bodies under § 45-5-12 to hold, manage, repair, or maintain any neglected burial ground.

92-4

SECTION 56. Sections 23-19-6 and 23-19-35.1 of the General Laws in Chapter 23-19

92-5

entitled "Rhode Island Resource Recovery Corporation" are hereby amended to read as follows:

92-6

     23-19-6. Creation, membership, and terms of the Rhode Island Resource Recovery

92-7

Corporation. -- (a) There is authorized, created, and established a public corporation of the

92-8

state, having a distinct legal existence from the state and not constituting a department of the state

92-9

government, with the politic and corporate powers set forth in this chapter, to be known as the

92-10

Rhode Island resource recovery corporation, (“the corporation”) to carry out the provisions of this

92-11

chapter. The corporation is constituted a public instrumentality and agency exercising public and

92-12

essential governmental functions, and the exercise by the corporation of the powers conferred by

92-13

this chapter shall be deemed and held to be the performance of an essential governmental

92-14

function of the state.

92-15

     (b) It is the intent of the general assembly by the passage of this chapter to create and

92-16

establish a public corporation and instrumentality and agency of the state for the purpose of the

92-17

activities authorized by this chapter, and to vest the corporation with all powers, authority, rights,

92-18

privileges, and titles that may be necessary to enable it to accomplish those purposes. This

92-19

chapter shall be liberally construed in conformance with the purpose expressed in this section.

92-20

     (c) The powers of the corporation shall be vested in eight (8) commissioners, consisting

92-21

of the director of administration, or the director's designee, who shall be a subordinate within the

92-22

department of administration, who shall serve as a nonvoting ex-officio member, and seven (7)

92-23

public members to be appointed by the governor with advice and consent of the senate, at least

92-24

two (2) of whom shall be a resident of the town of Johnston. In making these appointments, the

92-25

governor shall give due consideration to recommendations from the mayor of the town of

92-26

Johnston and from the League of Cities and Towns. The governor shall also give due

92-27

consideration to recommendations from representatives of the commercial waste haulers, and

92-28

environmental advocacy organizations, and shall consider persons experienced in the field of

92-29

recycling. Those members of the corporation as of the effective date of this act [May 4, 2006]

92-30

who were appointed to the corporation by members of the general assembly shall cease to be

92-31

members of the corporation on the effective date of this act [May 4, 2006], and the governor shall

92-32

thereupon nominate one new member who shall serve the balance of the unexpired term of his or

92-33

her predecessor. Those members of the corporation as of the effective date of this act [May 4,

92-34

2006] who were appointed to the corporation by the governor shall continue to serve the balance

93-1

of their current terms. Thereafter, the appointments shall be made by the governor with advice

93-2

and consent of the senate as prescribed in this section.

93-3

     (d) All public members shall serve staggered three (3) year terms except as otherwise

93-4

provided in subsection (c) of this section. In the month of June each year thereafter, the governor

93-5

shall appoint the successor(s) to the commissioners the governor has appointed whose terms

93-6

expire that year, to serve for a term of three (3) years commencing on the day they are qualified.

93-7

All public members shall serve until their respective successors are appointed and qualified. The

93-8

members of the corporation shall be eligible to succeed themselves.

93-9

     (e) Any vacancy occurring in the office of a member by death, resignation, or otherwise

93-10

shall be filled by the governor with advice and consent of the senate in the same manner as the

93-11

original appointment for the balance of the unexpired term of the former member as prescribed in

93-12

subsection 23-19-6(c).

93-13

     (f) Members of the corporation shall be removable by the governor pursuant to § 36-1-7

93-14

of the Rhode Island general laws, and removal solely for partisan or personal reasons unrelated to

93-15

capacity or fitness for the office shall be unlawful.

93-16

     (g) The commissioners shall annually elect from among their number a chair, vice chair

93-17

and a treasurer, and any other officers that they may determine. Meetings shall be held at the call

93-18

of the chair or whenever two (2) commissioners so request. Four (4) commissioners shall

93-19

constitute a quorum, and any action taken by the corporation under the provisions of this chapter

93-20

may be authorized by resolution approved by a majority of the commissioners present and voting

93-21

at any regular or special meeting. No vacancy in the membership of the corporation's board of

93-22

commissioners shall impair the right of a quorum to exercise all the rights and perform all the

93-23

duties of the corporation.

93-24

     (h) Commissioners shall receive no compensation for the performance of their duties, but

93-25

the commissioner shall be reimbursed for his or her reasonable expenses incurred in carrying out

93-26

the duties under this chapter.

93-27

     (i) The commissioners of the corporation shall at regular intervals at least eight (8) times

93-28

a year conduct business meetings for the purpose of carrying out its general business. The

93-29

meetings shall be open to the public and all records and minutes will be a matter of public record.

93-30

The corporation shall be considered a “public body” and shall be subject to the provisions of the

93-31

Open Meetings Law, chapter 42-46 and to the provisions of title 38 concerning public records.

93-32

     (j) The corporation shall continue until its existence is terminated by law. At that time its

93-33

holdings and assets shall pass to and become vested in the state.

93-34

     (k) The state shall indemnify and hold harmless every past, present, or future

94-1

commissioner, officer, or employee of the corporation who is made a party to or is required to

94-2

testify in any action, investigation, or other proceeding in connection with or arising out of the

94-3

performance or alleged lack of performance of that person's duties on behalf of the corporation.

94-4

These persons shall be indemnified and held harmless, whether they are sued individually or in

94-5

their capacities as commissioners, officers, or employees of the corporation, for all expenses,

94-6

legal fees and/or costs incurred by them during or resulting from the proceedings, and for any

94-7

award or judgment arising out of their service to the corporation that is not paid by the

94-8

corporation and is sought to be enforced against a person individually, as expenses, legal fees,

94-9

costs, awards or judgments occur. Provided, however, that neither the state nor the corporation

94-10

shall indemnify any commissioner, officer, or employee:

94-11

     (1) For acts or omissions not in good faith or which involve intentional misconduct or a

94-12

knowing violation of law;

94-13

     (2) For any transaction from which the member derived an improper personal benefit; or

94-14

     (3) For any malicious act.

94-15

     (l) No one shall be eligible for appointment unless he or she is a resident of the state.

94-16

     23-19-35.1. Use of acquired property. -- (a) In addition to any other permitted use, the

94-17

houses and structures acquired per §§ 23-19-34 and 23-19-35 may, in accordance with procedures

94-18

set forth in regulation(s) adopted by the corporation, be:

94-19

     (i) Sold by the corporation in order to be salvaged or moved to another location;

94-20

     (ii) Razed or salvaged by the corporation; or

94-21

     (iii) Moved by the corporation to a location greater than one thousand feet (1000') from

94-22

the entire operational area of the central landfill.

94-23

     (b) Notwithstanding any law or regulation to the contrary, in order to return some of the

94-24

property purchased pursuant to § 23-19-34 or § 23-19-35 to the tax rolls, the corporation may sell,

94-25

for any use permitted by local zoning, any property acquired pursuant to § 23-19-34 or § 23-19-

94-26

35 that is located north of Central Avenue in Johnston, and greater than one thousand feet (1000')

94-27

from the entire operational boundary of the central landfill. In addition, a convenant covenant

94-28

shall be placed in the deed of any real property so sold notifying the purchaser of the presence of

94-29

the landfill and protecting the corporation from any legal action by the purchaser with respect to

94-30

the environmental impact of it.

94-31

     (c) (1) Notwithstanding any law or regulation to the contrary, in order to return some of

94-32

the property purchased pursuant to §§ 23-19-34 and 23-19-35 to the tax rolls, the corporation

94-33

shall in addition to any other permitted use have the right to sell, rent, lease, transfer or otherwise

94-34

convey or encumber, any and all land acquired per § 23-19-34 or per § 23-19-35, provided the

95-1

land is used solely for industrial/business uses in conformance with the dimensional requirements

95-2

of the local zoning ordinance. In addition, a covenant shall be placed in the deed of any real

95-3

property so sold notifying the purchaser of the presence of the landfill and protecting the

95-4

corporation from any legal action by the purchaser with respect to the environmental impact of it.

95-5

(2) The corporation's development of an industrial/business park pursuant to this chapter shall be

95-6

in accordance with the following:

95-7

     (i) The corporation may utilize any and all property acquired pursuant to §§ 23-19-34 and

95-8

23-19-35 and/or any property owned by the corporation located south of Central Pike, west of

95-9

Old Pocasset Road, to the intersection of Old Pocasset Road and Scituate Avenue, then west of

95-10

Route 295, bounded to the south by the northern shore (mean high water line) of the Upper

95-11

Simmons Reservoir and the Lower Simmons Reservoir, for the development of the

95-12

industrial/business park.

95-13

     (ii) The corporation may retain ownership of the land that comprises the

95-14

industrial/business park and/or may sell or lease portions of the industrial/business park to other

95-15

public or private entities.

95-16

     (iii) The industrial/business park may be utilized for any and all permitted business,

95-17

manufacturing and/or industrial uses authorized by the town of Johnston zoning ordinance in any

95-18

zoning district for all zoning districts notwithstanding the underlining zoning district designation

95-19

of the subject land.

95-20

     (iv) The corporation may not extend the operational portion of the central landfill into

95-21

any portion of the industrial/business park.

95-22

     (v) The corporation's development of the industrial/business park shall be in compliance

95-23

with the dimensional requirements of the town of Johnston zoning ordinance.

95-24

     (vi) The corporation shall maintain a one hundred (100) foot wide vegetated buffer

95-25

between any portion of the industrial/business park and any adjacent property being used for

95-26

residential purposes.

95-27

     (vii) The corporation's development of the industrial/business park shall not be effected

95-28

by any change in the town of Johnston's zoning or subdivision ordinances enacted after December

95-29

31, 2000.

95-30

     (d) Notwithstanding any law or regulation to the contrary, in order to return some of the

95-31

property purchased pursuant to § 23-19-35 to the tax rolls, the corporation may sell, for any use

95-32

permitted by local zoning, any property acquired to § 23-19-35 in which the primary structure on

95-33

the property is located greater than two thousand feet (2000') from the entire operational portion

95-34

of the central landfill. The corporation may sell all of these parcels and all structures thereon for

96-1

any use permitted by local zoning. In addition, a convenant covenant shall be placed in the deed

96-2

of any real property so sold notifying the purchaser of the presence of the landfill and protecting

96-3

the corporation from any legal action by the purchaser with respect to the environmental impact

96-4

of it.

96-5

     SECTION 57. Section 23-19.1-21 of the General Laws in Chapter 23-19.1 entitled

96-6

"Hazardous Waste Management" is hereby amended to read as follows:

96-7

     23-19.1-21. Applicability of chapter - No effect on public utilities and carriers. --

96-8

Nothing in this chapter shall be construed as affecting or in any way invalidating any existing

96-9

regulatory jurisdiction and authority pursuant to title 39, as amended, of the public utilities

96-10

commission and the division of public utilities and carriers over motor vehicles, railroads, or

96-11

other modes of transportation, or over the use, storage, and transportation of liquified liquefied

96-12

natural gas, as the term is defined in § 39-1-2, or any other existing regulatory jurisdiction and

96-13

authority as set forth in any other statute of the general laws of the state.

96-14

     SECTION 58. Section 23-19.3.1-5 of the General Laws in Chapter 23-19.3.1 entitled

96-15

"Residential Sanitary Sewer Connections" is hereby amended to read as follows:

96-16

     23-19.3.1-5. Rules and regulations. -- The state building code standards committee shall

96-17

adopt rules and regulations that will incorporate the standards in §§ 23-19.3.1-3 and 23-19.3.1-4

96-18

into the state building code as established in section chapter 23-27.3 of the Rhode Island general

96-19

laws.

96-20

     SECTION 59. Sections 23-19.6-5 and 23-19.6-8 of the General Laws in Chapter 23-19.6

96-21

entitled "Used Oil Recycling" are hereby amended to read as follows:

96-22

     23-19.6-5. Prohibited conduct. -- No person shall collect, transport, transfer, store,

96-23

recycle, use, or dispose of used oil by discharge to sewers, drainage systems, surface or ground

96-24

water, watercourses, or marine waters, or by incineration or deposit on land, unless in accordance

96-25

with the Hazardous Waste Management Act, chapter 19.7 19.1 of this title, the Water Pollution

96-26

Law, chapter 12 of title 46, and the Air Pollution Law Clean Air Act, chapter 23 of this title, and

96-27

any regulation promulgated pursuant to them.

96-28

     23-19.6-8. Sale of recycled oil products. -- A person may represent any product made in

96-29

whole or in part from used oil to be substantially equivalent to a product made from new oil for a

96-30

particular end use, if substantial equivalency has been determined in accordance with rules

96-31

prescribed by the federal trade commission under the federal Energy Policy and Conservation

96-32

Act, 42 U.S.C. § 6201 et seq., or if the product conforms fully with the specifications applicable

96-33

to that product made from new oil.

96-34

     SECTION 60. Section 23-19.14-5.2 of the General Laws in Chapter 23-19.14 entitled

97-1

"Industrial Property Remediation and Reuse Act" is hereby amended to read as follows:

97-2

     23-19.14-5.2. Entry of registered professional engineers onto certain property. --

97-3

Any registered professional engineer who is employed, retained and/or otherwise acting on behalf

97-4

of a municipality of this state may enter, examine or survey, at any reasonable time, such places

97-5

and real property which is either owned by a municipality or real property in which the

97-6

municipality has a legal interest arising from a real property tax lien, on which property owner

97-7

has made no payments for a period of at least two (2) years, for the purpose of performing an

97-8

environmental site assessment or investigation. An environmental site assessment or investigation

97-9

under this section shall be conducted in accordance with and shall be subject to the same

97-10

guidelines and limitations provided for an administrative inspection or, where appropriate, a

97-11

criminal investigation, pursuant to the provisions of § 42-17.1-2(t) 42-17.1-2(20).

97-12

     SECTION 61. Sections 23-19.15-5, 23-19.15-8 and 23-19.15-9 of the General Laws in

97-13

Chapter 23-19.15 entitled "The Rhode Island Cesspool Act of 2007" are hereby amended to read

97-14

as follows:

97-15

     23-19.15-5. Inspection. -- (a) Unless exempted under subsection 23-19.15-8(a), the

97-16

owner of property served by a cesspool in the following areas shall cause an inspection to be

97-17

performed on said cesspool by a system inspector in accordance with a schedule established by

97-18

the department, but no later than January 1, 2012:

97-19

     (i) (1) Which cesspool is within two hundred feet (200') of the inland edge of a shoreline

97-20

feature bordering a tidal water area [corresponding to the jurisdiction of the RI Coastal Resources

97-21

Management Council];

97-22

     (ii) (2) Which cesspool is within two hundred feet (200') of a public drinking water well;

97-23

and

97-24

     (iii) (3) Which cesspool is within two hundred feet (200') of a surface drinking water

97-25

supply, specifically the impoundment from which water is drawn via the intake.

97-26

     The inspection shall be conducted and reported in accordance with procedures required

97-27

by the department, and the results shall be recorded on forms prescribed by the department.

97-28

     (b) Pursuant to § 5-20.8-13, every contract for the purchase and sale of real estate which

97-29

is or may be served by a private cesspool, shall provide that potential purchasers be permitted a

97-30

ten (10) day period, unless the parties mutually agree upon a different period of time, to conduct

97-31

an inspection of the property's on-site sewage system in accordance with procedures required by

97-32

the department in subsection 23-19.15-5(a), before becoming obligated under the contract to

97-33

purchase.

97-34

     23-19.15-8. Exemption. -- (a) The provisions of § 23-19.15-5 and subsection 23-19.15-

98-1

6(a) shall not apply to any cesspool located in an area of a community covered by municipal on-

98-2

site wastewater management ordinance that requires the risk-based phase-out of cesspools on an

98-3

alternative schedule that meets the purposes of this act.

98-4

     (b) The provisions of subsection 23-19.15-6(a) shall not apply to any cesspool located on

98-5

a property that is properly designated to be sewered no later than five (5) years after the

98-6

applicable deadlines provided in subsection 23-19.15-6(a) provided: (i) (1) it is not a failed

98-7

cesspool as defined herein; (ii) (2) the owner does not increase the design sewage flow into the

98-8

cesspool or add bedrooms to the building served by the cesspool; (iii) (3) the municipality holds

98-9

bonding authorization or some other dedicated financial surety for expansion of sewers to the area

98-10

of the building served by the cesspool; and (iv) (4) the property owner certifies, in writing, that

98-11

the dwelling/building will be connected to the sewer system within six (6) months of receipt of

98-12

the notification to connect to the sewer system.

98-13

     23-19.15-9. Notice to remove and replace cesspools.-- (a) The owner of any cesspool

98-14

who has not complied with the requirements pursuant to this chapter shall be in violation of this

98-15

chapter and subject to enforcement action by the department in accordance with chapters 17.1-2

98-16

17.1 and 17.6 of title 42 of the general laws.

98-17

     (b) Notwithstanding the above provisions, the director may require the abandonment and

98-18

replacement of any cesspool with an approved ISDS prior to the dates specified in subsection 23-

98-19

19.15-6(a) if the cesspool is a large capacity cesspool as defined pursuant to applicable federal

98-20

regulations governing underground injection control (UIC) facilities.

98-21

     SECTION 62. Sections 23-20.10-6 and 23-20.10-9 of the General Laws in Chapter 23-

98-22

20.10 entitled "Public Health and Workplace Safety Act" are hereby amended to read as follows:

98-23

     23-20.10-6. Where smoking not regulated. -- (a) Notwithstanding any other provision

98-24

of this chapter to the contrary, the following areas shall be exempt from the provisions of this

98-25

chapter. chapter:

98-26

     (1) Private residences, except when used as a licensed child care, adult day care or health

98-27

care facility;

98-28

     (2) Hotel and motel rooms that are rented to guests and are designated as smoking rooms;

98-29

provided, however, that not more than fifty percent (50%) of rooms rented to guests in a hotel or

98-30

motel may be so designated;

98-31

     (3) Retail tobacco stores; provided that smoke from these places does not infiltrate into

98-32

areas where smoking is prohibited under the provisions of this chapter;

98-33

     (4) Private and semi-private rooms or designated areas in assisted living residences and

98-34

nursing facilities as allowed by regulation of the department of health under chapters 17.4 and 17

99-1

of this title;

99-2

     (5) Outdoor areas of places of employment, except those covered by the provisions of §

99-3

23-20.10-5;

99-4

     (6) Any smoking bar as defined in § 23-20.10-2(15);

99-5

     (7) [Deleted by P.L. 2005, ch. 22, § 1 and P.L. 2005, ch. 23, § 1].

99-6

     (8) [Deleted by P.L. 2005, ch. 22, § 1 and P.L. 2005, ch. 23, § 1].

99-7

     (b) The provisions of this chapter shall not apply to any stage performance provided that

99-8

smoking is part of a theatrical production.

99-9

     23-20.10-9. Enforcement. -- (a) The director of health shall promulgate such rules and

99-10

regulations including the complaint forms, as are necessary to carry out the mandates of this

99-11

chapter within one hundred eighty (180) days of passage [June 29, 2004].

99-12

     (b) Notice of the provisions of this chapter shall be given to all applicants for a business

99-13

license in the state of Rhode Island, to all law enforcement agencies, and to any business required

99-14

to be registered with the secretary of state's office.

99-15

     (c) Any citizen who desires to register a complaint under this chapter may initiate such a

99-16

complaint with the department of health.

99-17

     (d) The department of health, having received a written and signed letter of complaint

99-18

citing a violation of this chapter, shall enforce this entire chapter against violations by either of

99-19

the following actions:

99-20

     (1) Serving written notice to comply to an employer, with a copy of the notice to the

99-21

complaining individual, requiring the employer to correct immediately any violation or section of

99-22

this chapter.

99-23

     (2) Upon receiving a second complaint at the department of health for the same or

99-24

continued violation by the same employer, the complaint shall be resolved by notifying the city or

99-25

town solicitor, having jurisdiction over the licensed holder, to initiate, without delay, an action for

99-26

injunction to enforce the provisions of this chapter, to cause the correction of such violation or

99-27

section, and for assessment and recovery of a civil penalty for such violation.

99-28

     (e) The department of health, local fire department, or their designees shall, while an

99-29

establishment is undergoing otherwise mandated inspections, inspect for compliance with this

99-30

chapter.

99-31

     (f) An owner, manager, operator, or employee of an establishment regulated by this

99-32

chapter shall inform persons violating this chapter of the appropriate provisions thereof.

99-33

     (g) In addition to the remedies provided by the provisions of this section, the department

99-34

of health, aggrieved by the failure of the owner, operator, manager or other person in control of a

100-1

public place or place of employment to comply with the provisions of this chapter, may apply for

100-2

injunctive relief to enforce those provisions in any court of competent jurisdiction.

100-3

     SECTION 63. Section 23-20.10-15 of the General Laws in Chapter 23-20.10 entitled

100-4

"Public Health and Workplace Safety Act" is hereby repealed.

100-5

     23-20.10-15. Statewide uniformity. [Effective until October 1, 2006.] It is the

100-6

declared policy of this state that there be uniformity in the application and enforcement of

100-7

smoking prohibitions as defined in this chapter. Any enactment relating to prohibitions in an area

100-8

defined in this chapter shall be by statute as enacted by the general assembly; provided, however,

100-9

that the general assembly may by statute delegate such authority to the cities and towns.

100-10

SECTION 64. Sections 23-20.11-2 and 23-20.11-3 of the General Laws in Chapter 23-

100-11

20.11 entitled "Reduced Cigarette Ignition Propensity and Firefighter Protection" are hereby

100-12

amended to read as follows:

100-13

     23-20.11-2. Legislative findings. -- It is hereby found and declared as follows:

100-14

     (a) (1) The general assembly finds that cigarettes are one of the leading causes of fire

100-15

deaths in this state and in the nation. Each year 700-900 people are killed in the United States due

100-16

to cigarette fires; 3,000 are injured in fires ignited by cigarettes. A high proportion of the victims

100-17

of cigarette fires are nonsmokers, including senior citizens and young children. Cigarette-caused

100-18

fires result in billions of dollars of property losses and damage in the United States and millions

100-19

of dollars in this state. Cigarette fires unnecessarily jeopardize firefighters and result in avoidable

100-20

emergency response costs for municipalities.

100-21

     (b) (2) The general assembly further finds that the state of New York has enacted a

100-22

cigarette fire safety regulation effective June 28, 2004 that requires that cigarettes sold in that

100-23

state meet the fire safety performance standards. In 2005, the states of Vermont and California

100-24

signed into law cigarette fire safety acts that directly incorporate New York's regulation into

100-25

statute; and in 2006, the states of Illinois, New Hampshire, and Massachusetts did the same.

100-26

Canada implemented the New York State fire safety standard as of October 2005, becoming the

100-27

first nation to have a cigarette fire safety standard.

100-28

     (c) (3) The general assembly finds that New York State's cigarette fire safety standard is

100-29

based upon decades of research by the National Institute of Standards and Technology,

100-30

Congressional research groups and private industry.

100-31

     (d) (4) It is the general assembly's intent that the state of Rhode Island adopt the cigarette

100-32

fire safety standard that is in effect in New York State, and the other states listed above, to reduce

100-33

the likelihood that cigarettes will cause fires and result in deaths, injuries and property damage. It

100-34

is further the legislature's intent to adopt such a cigarette fire safety standard with a minimum of

101-1

cost to the state and with minimum burden to cigarette manufacturers, distributors and retail

101-2

sellers as set forth herein.

101-3

     23-20.11-3. Definitions. -- The following terms shall have the following meanings as

101-4

used in this chapter:

101-5

     (a) (1) “Agent” shall mean any person authorized by the state to purchase and affix tax

101-6

stamps on packages of cigarettes.

101-7

     (b) (2) “Cigarette” shall mean any roll for smoking whether made wholly or in part of

101-8

tobacco or any other substance, irrespective of size or shape and whether or not such tobacco or

101-9

substance is flavored, adulterated or mixed with any other ingredient, the wrapper or cover of

101-10

which is made of paper or any other substance or material except tobacco, and that because of its

101-11

size, appearance, the type of tobacco used in its filler, or its packaging or labeling, is likely to be

101-12

offered to, or purchased by, consumers as a cigarette or cigarette equivalent.

101-13

     (c) (3) “Director” shall mean the director of the Rhode Island department of health.

101-14

     (d) (4) “Manufacturer” shall mean:

101-15

     (1) (i) Any entity which manufacturers or otherwise produces cigarettes or causes

101-16

cigarettes to be manufactured or produced anywhere that such manufacturer intends to be sold in

101-17

this state, including cigarettes intended to be sold in the United States through an importer; or

101-18

     (2) (ii) The first purchaser anywhere that intends to resell in the United States cigarettes

101-19

manufactured anywhere that the original manufacturer or maker does not intend to be sold in the

101-20

United States; or

101-21

     (3) (iii) Any entity that becomes a successor of an entity described in paragraph (a) or (b)

101-22

of this subdivision.

101-23

     (e) (5) “Repeatability” shall mean the range of values within which the repeat results of

101-24

cigarette test trails from a single laboratory will fall ninety-five percent (95%) of the time.

101-25

     (f) (6) “Retail dealer” shall mean any person other than a manufacturer or wholesale

101-26

dealer engaged in selling cigarettes or tobacco products.

101-27

     (g) (7) “Sale” shall mean any transfer of title or possession or both, exchange or barter,

101-28

conditional or otherwise, in any manner or by any means whatever or any agreement therefor. In

101-29

addition to cash and credit sales, the giving of cigarettes as samples, prizes or gifts, and the

101-30

exchanging of cigarettes for any consideration other than money are considered sales.

101-31

     (h) (8) “Sell” shall mean to sell, or to offer or agree to do the same.

101-32

     (i) (9) “Quality control and quality assurance program” shall mean the laboratory

101-33

procedures implemented to ensure that operator bias, systematic and nonsystematic

101-34

methodological errors, and equipment-related problems do not affect the results of the testing.

102-1

This program ensures that the testing repeatability remains within the required repeatability

102-2

values stated in subsection 23-20.11-4(a) of this act for all test trials used to certify cigarettes in

102-3

accordance with this law.

102-4

     (j) (10) “Wholesale dealer” shall mean any person who sells cigarettes or tobacco

102-5

products to retail dealers or other persons for purposes of resale, and any person who owns,

102-6

operates or maintains one or more cigarette or tobacco product vending machines in, at or upon

102-7

premises owned or occupied by any other person.

102-8

     SECTION 65. Section 23-21.1-1 of the General Laws in Chapter 23-21.1 entitled

102-9

"Sanitation Standards for Bathing Beaches" is hereby amended to read as follows:

102-10

     23-21.1-1. Definitions. -- For the purposes of this chapter, the following definitions

102-11

apply:

102-12

     (1) “Bathing beach” shall mean any area or tract of land, which is used in connection

102-13

with swimming and/or bathing in any waters of the state except that land contiguous to the

102-14

Atlantic Ocean provided:

102-15

     (a) (i) It is open to the public with or without permit and/or payment of a fee;

102-16

     (b) (ii) It is maintained as a private club or association requiring membership fees or

102-17

dues; or

102-18

     (c) (iii) It is maintained with or without charge for the recreation of groups of ten (10) or

102-19

more children.

102-20

     (2) “Bathing water” shall mean fresh, salt, or estuarine water adjacent to any bathing

102-21

beach within the state, except the Atlantic Ocean.

102-22

     (3) “Department” shall mean the Rhode Island Department of Health.

102-23

     (4) “Director” shall mean the director of health or his or her duly appointed agents.

102-24

SECTION 66. Section 23-22-1 of the General Laws in Chapter 23-22 entitled "Licensing

102-25

of Swimming Pools" is hereby amended to read as follows:

102-26

     23-22-1. Definitions. -- (1) (a) “Person” as used in this chapter includes any partnership,

102-27

association, corporation, city, or town.

102-28

     (2) (b) “Swimming pool,” as used in this chapter, includes all swimming pools, wading

102-29

pools, and therapeutic pools owned or maintained by any person, partnership, association,

102-30

corporation, city, or town, or the state, except swimming pools maintained by an individual for

102-31

the sole use of the individual's household and guests without charge for admission and not for the

102-32

purpose of profit or in connection with any business operated for the purpose of profit, and except

102-33

also swimming pools owned or maintained by the United States. The term “swimming pools”

102-34

wherever the context requires shall be construed to include the apparatus, structure, and

103-1

equipment pertaining to the swimming pool, the premises on which the swimming pool is located,

103-2

and the premises appurtenant to this.

103-3

     SECTION 67. Section 23-23-29.1 of the General Laws in Chapter 23-23 entitled "Air

103-4

Pollution" is hereby amended to read as follows:

103-5

     23-23-29.1. Findings of fact. -- The general assembly hereby finds as follows:

103-6

     (a) (1) Motor vehicle exhaust is the largest source of air pollution in Rhode Island, and

103-7

idling vehicles emit higher concentrations of harmful pollutants than moving vehicles;

103-8

     (b) (2) Vehicle exhaust is hazardous to human health. Studies have linked pollution from

103-9

vehicles to increased rates of cancer, lung and heart disease, asthma and allergies, urban smog

103-10

and climate change;

103-11

     (c) (3) Fine particulate matter in diesel exhaust is particularly harmful to children and

103-12

seniors. Tiny particles can lodge deep within human lungs, where they can trigger asthma attacks

103-13

and stunt lung growth in children, and contribute to chronic obstructive pulmonary disorder and

103-14

heart attacks in seniors;

103-15

     (d) (4) Asthma is reaching epidemic proportions in Rhode Island. More than one hundred

103-16

thousand (100,000) people in Rhode Island have been diagnosed with asthma, including one out

103-17

of every ten (10) children. Asthma is the most common chronic disease in children and

103-18

responsible for the most school absences in Rhode Island;

103-19

     (e) (5) Vehicle idling waste money. On average, an idling truck burns one gallon of fuel

103-20

per hour. A locomotive or other heavy duty engine may burn anywhere from three (3) to eleven

103-21

(11) gallons per hour;

103-22

     (f) (6) Excessive idling creates the need for more frequent oil and oil filter changes, and

103-23

speeds engine wear, reducing the amount of time before an engine needs to be rebuilt;

103-24

     (g) (7) Even on the coldest winter days, modern engines need no more than five (5)

103-25

minutes to warm up; and

103-26

     (h) (8) To date, other states including Connecticut and Massachusetts have passed laws

103-27

that limit the amount of time vehicles are permitted to idle.

103-28

     SECTION 68. Section 23-24.10-5 of the General Laws in Chapter 23-24.10 entitled

103-29

"Electronic Waste Prevention, Refuse and Recycling Act" is hereby amended to read as follows:

103-30

     23-24.10-5. Disposal ban. -- (1) After July 1, 2008, no person shall dispose of any of the

103-31

covered electronic products in a manner other than by recycling or disposal as hazardous waste.

103-32

     (2) This ban on disposal shall apply to whole units of covered electronic products, as

103-33

well as to the constituent subunits and materials from which the units are made.

103-34

     (3) No solid waste landfill or transfer station regulated pursuant to section chapter 23-

104-1

18.9 shall accept any covered electronic products for the purposes of disposal after July 1, 2008.

104-2

All solid waste landfills and transfer stations regulated pursuant to section chapter 23-18.9 shall

104-3

establish procedures to promote segregation of covered electronic products from the waste

104-4

stream, shall document those procedures in the facility operating plan, and shall implement those

104-5

procedures as part of the operation of the facility.

104-6

     SECTION 69. Section 23-25-37 of the General Laws in Chapter 23-25 entitled "Pesticide

104-7

Control" is hereby amended to read as follows:

104-8

     23-25-37. Pesticide applications and notification of pesticide applications at schools.

104-9

-- (a) The department of environmental management and the department of health shall develop

104-10

regulations as follows: (1) to restrict the use of hazardous pesticides in schools, pre-schools and

104-11

child care centers in Rhode Island; (2) for the promotion and implementation of integrated pest

104-12

management (IPM) as defined in § 23-25.2-2; (3) to cover situations where an emergency

104-13

application of pesticide must be conducted to eliminate an immediate threat to human health, and

104-14

establish reporting requirements for these emergency applications.

104-15

     (b) On and after July 1, 2001, no person other than a licensed or certified commercial

104-16

applicator as defined in § 23-25-4, shall apply pesticide within any building or on the grounds of

104-17

any school. This section shall not apply in the case of an emergency application of pesticide to

104-18

eliminate an immediate threat to human health, where it is impractical to obtain the services of

104-19

any such applicator; provided the emergency application does not involve a restricted use or state

104-20

limited use pesticide. For purposes of this section, “emergency” means a sudden need to mitigate

104-21

or eliminate a pest which threatens the health or safety of a student or staff member.

104-22

     (c) (1) On and after July 1, 2002, at the beginning of each school year, each local school

104-23

authority shall provide the staff of each school and the parents or guardians of each child enrolled

104-24

in each school with a written statement of the committee's policy on pesticide application on

104-25

school property and a description of any pesticide applications made at the school during the

104-26

previous school year.

104-27

     (2) The statement and description shall be provided to the parents or guardians of any

104-28

child who transfers to a school during the school year. The statement shall: (i) indicate that the

104-29

staff, parents, or guardians may register for prior notice of pesticide applications at the school;

104-30

and (ii) describe the emergency notification procedures provided for in this section. Notice of any

104-31

modification to the pesticide application policy shall be sent to any person who registers for

104-32

notice under this section.

104-33

     (d) On and after July 1, 2002, parents or guardians of children in any school and school

104-34

staff may register for prior notice of pesticide application at their school. Each school shall

105-1

maintain a registry of persons requesting the notice. Prior to providing for any application of

105-2

pesticide within any building or on the grounds of any school, the local school authority shall

105-3

provide for the distribution of notice to parents and guardians who have registered for prior notice

105-4

under this section, such that the notice is received no later than twenty-four (24) hours prior to the

105-5

application. Notice shall be given by any means practicable to school staff who have registered

105-6

for the notice. Notice under this subsection shall include: (1) the common or trade name and the

105-7

name of the active ingredient; (2) the EPA registration number as listed on the pesticide label; (3)

105-8

the target pest; (4) the exact location of the application on the school property; (5) the date of the

105-9

application; and (6) the name of the school administrator, or a designee, who may be contacted

105-10

for further information.

105-11

     (e) On and after July 1, 2003, no application of pesticide may be made in any building or

105-12

on the grounds of any school during regular school hours or during planned activities at any

105-13

school. No child shall enter an area where the application has been made until it is safe to do so

105-14

according to the provisions on the pesticide label. This section shall not apply to the use of

105-15

germicides, disinfectants, sanitizers, deodorizers, antimicrobal agents, insecticidal gels, non-

105-16

volatile insect or rodent bait in a tamper resistant container, insect repellants or the application of

105-17

a pesticide classified by the United States Environmental Protection Agency as an exempt

105-18

material under 40 CFR part 152.25 40 CFR 152.25.

105-19

     (f) On and after July 1, 2002, a local school authority may make an emergency

105-20

application of pesticide without prior notice under this section in the event of an immediate threat

105-21

to human health, provided the board provides for notice, by any means practicable, on or before

105-22

the day that the application is to take place, to any person who has requested prior notice under

105-23

this section.

105-24

     (g) On and after July 1, 2002, notice of any pesticide application at a school shall be

105-25

given, by any means practicable, to the parents or guardians of any child enrolled at the school

105-26

and to the staff of the school not later than one week after the application. The notice shall

105-27

include: (1) the common or trade name and the name of the active ingredient; (2) the EPA

105-28

registration number as listed on the pesticide label; (3) the target pest; (4) the exact location of the

105-29

application on the school property; (5) the date of the application; and (6) the name of the school

105-30

administrator, or a designee, who may be contacted for further information. A copy of the record

105-31

of each pesticide application at a school shall be maintained at the school for a period of five (5)

105-32

years.

105-33

     (h) Not later than July 1, 2002, the department of environmental management and the

105-34

department of health shall jointly establish a task force which shall specifically address methods

106-1

to promote public education and professional training about pesticides, their potential health

106-2

effects and IPM least toxic alternatives, and for evaluation and analysis of current pest control

106-3

practices at school and child care facilities.

106-4

     SECTION 70. Sections 23-25.4-3 and 23-25.4-5 of the General Laws in Chapter 23-25.4

106-5

entitled "Utilization of Unused Prescription Drugs Act" are hereby amended to read as follows:

106-6

     23-25.4-3. Definitions. -- For the purposes of this chapter:

106-7

     (a) (1) “Assisted living residence” has the same meaning as such term is defined in § 23-

106-8

17.4-2 and the regulations promulgated thereunder.

106-9

     (b) (2) “Blister packages” means multi-dose containers of a specific medication

106-10

repackaged by the pharmacy in accordance with section 13.7 of the regulations promulgated

106-11

under chapter 19.1 of title 5 and intended for a specific patient.

106-12

     (c) (3) “Cancer drugs” means any of several drugs that control or kill neoplastic cells,

106-13

commonly referred to as “cancer-fighting chemotherapy” to destroy cancer cells.

106-14

     (4) “Charitable clinic” means an organized ambulatory care facility licensed pursuant to

106-15

chapter 17 of title 23 organized as a nonprofit corporation pursuant to § 7-6-2 that:

106-16

     (1) Holds a valid exemption from federal income taxation issued pursuant to Section

106-17

501(a) of the Internal Revenue Code, 26 U.S.C. § 501(1);

106-18

     (2) Has a licensed outpatient pharmacy located at the organized ambulatory care facility

106-19

or a contract with a retail pharmacy to participate in the program established under this chapter.

106-20

     (d) (5) “Health care prescriber” means any of the following persons licensed and

106-21

authorized to prescribe drugs or to provide medical, dental, or other health-related diagnoses, care

106-22

or treatment within the scope of their professional license:

106-23

     (i) A physician holding a current license to practice medicine pursuant to chapter 37 of

106-24

title 5;

106-25

     (ii) A certified registered nurse practitioner licensed pursuant to chapter 34 of title 5;

106-26

     (iii) A physician assistant licensed pursuant to chapter 54 of title 5;

106-27

     (iv) A dentist licensed pursuant to chapter 31.1 of title 5;

106-28

     (v) An optometrist licensed pursuant to chapter 35 of title 5; and

106-29

     (vi) A pharmacist licensed pursuant to chapter 19.1 of title 5.

106-30

     (vii) A nurse — midwife licensed pursuant to chapter 13 of title 23; and

106-31

     (viii) A psychiatric and mental health clinical nurse specialist licensed pursuant to chapter

106-32

34 of title 5.

106-33

     (e) (6) “Medically indigent” means a person eligible to receive Medicaid or Medicare or

106-34

a person who has no health insurance and who otherwise lacks reasonable means to purchase

107-1

prescribed drugs.

107-2

     (f) “Charitable clinic” means an organized ambulatory care facility licensed pursuant to

107-3

chapter 17 of title 23 organized as a nonprofit corporation pursuant to § 7-6-2 that:

107-4

     (1) Holds a valid exemption from federal income taxation issued pursuant to Section

107-5

501(a) of the Internal Revenue Code (26 U.S.C., Section 501(1);

107-6

     (2) Has a licensed outpatient pharmacy located at the organized ambulatory care facility

107-7

or a contract with a retail pharmacy to participate in the program established under this chapter.

107-8

     (g) (7) “Prescription drug” means a drug that may be dispensed only upon prescription

107-9

by a health care prescriber authorized by his or her licensing authority and as defined in chapter

107-10

5-19.1.

107-11

     (h) (8) “Unit-dose container” is one that is designed to hold a quantity of a drug intended

107-12

for use as a single dose and used promptly after the container is opened. The immediate container,

107-13

and/or the outer container or protective packaging shall be designed to show evidence of any

107-14

tampering with the contents. Each individual container shall be fully identifiable containing a

107-15

single dose of a single entity and shall protect the integrity of the dosage form. Labeling shall be

107-16

in accordance with USP standards compendia and federal and state law and shall include the

107-17

identity, quantity, and strength of the product, name of the manufacturer, and lot number and

107-18

expiration date of the article.

107-19

     23-25.4-5. Criteria. -- The following criteria shall be used in soliciting and accepting

107-20

unused prescription drugs for use pursuant to this chapter:

107-21

     (a) (1) Nursing facilities and assisted living residences that have entered into an

107-22

agreement to participate with a charitable clinic shall document residents' participation in the

107-23

program with a written statement that their excess and otherwise eligible unused prescription

107-24

drugs shall be donated to a charitable clinic for the purpose of re-dispensing to medically indigent

107-25

persons. Participation in this program by residents of participating nursing facilities and assisted

107-26

living residences shall be strictly voluntary.

107-27

     (b) (2) Only prescription drugs in their original sealed multi-dose blister packages, unit

107-28

dose containers or perforated blister packages shall be accepted and re-dispensed;

107-29

     (c) (3) Expired or beyond use date prescription drugs shall not be accepted;

107-30

     (d) (4) A prescription drug shall not be accepted or re-dispensed if the pharmacist

107-31

accepting or re-dispensing the drug, in his or her judgment has reason to believe that the drug is

107-32

adulterated, mislabeled, or has been improperly stored;

107-33

     (e) (5) No controlled substances shall be accepted; and

107-34

     (f) (6) Subject to the limitation specified in this section, unused prescription drugs

108-1

dispensed for purposes of a medical assistance program may be accepted and re-dispensed

108-2

pursuant to this chapter.

108-3

     SECTION 71. Section 23-27.3-114.1 of the General Laws in Chapter 23-27.3 entitled

108-4

"State Building Code" is hereby amended to read as follows:

108-5

     23-27.3-114.1. Action on application. -- (a) The building official shall examine or cause

108-6

to be examined all applications for permits and amendments thereto within fifteen (15) days after

108-7

filing. Before a permit is granted for the excavation or for the erection of any building or

108-8

structure, a written statement shall be furnished by the owner from a town or city engineer as to

108-9

the established grades. If the application or plans do not conform to the requirements of this code

108-10

or of all applicable laws, the building official shall reject the application citing the specific

108-11

sections of this code or applicable law upon which the rejection is based. If the building official is

108-12

satisfied that the proposed work conforms to the requirements of this code and all laws applicable

108-13

thereto, he or she shall issue a permit.

108-14

     (b) In cases where the permit application is for the construction or rehabilitation of a

108-15

residential dwelling occupied by one, two (2), and/or three (3) families, the building official shall

108-16

reject the application or issue the permit within sixty (60) calendar days after the filing of the

108-17

application. If after sixty (60) calendar days the application has not been either rejected or a

108-18

permit issued, the permit fee shall be reduced by fifty percent (50%). The review period shall

108-19

begin on the date when the application is filed with the building official and shall include any

108-20

actions on the application required by subsection (a) herein, subsection 23-28.1-2(2) 23-28.1-

108-21

2(b)(2) and 23-28.1-6 and actions by any other departments with authority over the issuance of

108-22

the permit.

108-23

     (c) If an application requires access by driveway to a state highway or state highway

108-24

right of way, or the placement or alteration of curbs, or the connecting to, pumping or draining

108-25

water to, the state highway drainage system, or making any alteration to the state highway

108-26

system, a physical alteration permit shall first be obtained from the director of the department of

108-27

transportation pursuant to rules and regulations promulgated under §§ 24-8-9, 24-8-33 and 24-8-

108-28

34. The director shall render a decision within ninety (90) days of receipt of request for access.

108-29

     SECTION 72. Section 27-1-2.1 of the General Laws in Chapter 27-1 entitled "Domestic

108-30

Insurance Companies" is hereby amended to read as follows:

108-31

     27-1-2.1. Corporate governance standards [Effective July 1, 2008].-- (a) The

108-32

importance of good corporate governance is crucial in promoting integrity in an insurance

108-33

company's business practices and in maintaining public confidence and policyholder trust. The

108-34

size and ownership structure of a company often determines the corporate governance standards

109-1

employed by the company. All Rhode Island domestic insurers, regardless of their size or

109-2

ownership structure, shall establish the following minimum corporate governance standards:

109-3

     (1) The board of directors must be comprised of a minimum of five (5) and a maximum

109-4

of twenty-one (21) members.

109-5

     (2) The board must meet at least two (2) times per year, however, four (4) times per year

109-6

is encouraged.

109-7

     (3) The board must establish a written attendance policy.

109-8

     (4) The board shall have authority to meet in executive session.

109-9

     (5) There must be an audit committee established by and amongst the board of directors

109-10

for the purpose of overseeing the accounting and financial reporting processes of the insurer and

109-11

audits of the financial statement of the insurer. If no such committee exists, the entire board of

109-12

directors shall act as the audit committee.

109-13

     (6) The board must review the minutes of the audit committee.

109-14

     (7) The audit committee must meet at least two (2) times per year.

109-15

     (8) There must be a written audit committee charter.

109-16

     (9) At least one member of the audit committee must have knowledge of statutory

109-17

accounting principles or generally accepted accounting principles.

109-18

     (10) The internal audit function should have a direct reporting relationship to the audit

109-19

committee for critical matters such as the audit plan, resources and budgets.

109-20

     (11) The audit committee must approve the selection of the independent auditor that

109-21

performs any audit required by the Rhode Island regulation governing annual audited financial

109-22

reports.

109-23

     (12) The audit committee shall require the independent accountant that performs any

109-24

audit required by Rhode Island regulation governing annual audited financial reports, to timely

109-25

report to the audit committee in accordance with the requirements of Statement of Auditing

109-26

Standards No. 61, communications with audit committee, or its replacement, including:

109-27

     (i) All significant accounting policies and material permitted practices;

109-28

     (ii) All material alternative treatments of financial information within statutory

109-29

accounting principles that have been discussed with management officials of the insurer,

109-30

ramifications of the use of the alternative disclosures and treatments, and the treatment preferred

109-31

by the accountant; and

109-32

     (iii) Other material written communications between the accountant and the management

109-33

of the insurer, such as any management letter or schedule of unadjusted differences.

109-34

     (13) There must be a written code of ethics covering directors and officers that includes

110-1

the insurer's conflict of interest policy.

110-2

     (14) There should be a written policy encouraging employees to come forward with

110-3

observations of improprieties or other malfeasance.

110-4

     (15) On or after the effective date of this act July 1, 2008 no domestic insurer or any

110-5

affiliate member of its holding company system (as defined in § 27-35-1 et seq.) may extend or

110-6

maintain credit, arrange for the extension of credit, or renew an extension of credit in the form of

110-7

a personal loan to or for any director or officer of a domestic insurer. The terms and purpose of

110-8

any such existing extensions of credit made to any director or officer of a domestic insurer must

110-9

be disclosed to the director. For purposes of this subsection, benefits that are offered to directors

110-10

or officers as policyholders of a domestic insurer, or benefits that are offered to the general public

110-11

in the insurer's normal course of business, shall not be considered a violation of this subsection.

110-12

     (b) In addition to the standards enumerated in subsection (a) of this section, the

110-13

following corporate governance standards must be employed by all Rhode Island domestic

110-14

mutual insurance companies and all domestic insurance companies writing more than one

110-15

hundred million dollars ($100,000,000) in premium, in any jurisdiction, on a direct and/or

110-16

assumed basis, as determined at the end of the previous calendar year:

110-17

     (1) The board must have an independent majority of members.

110-18

     (2) The audit committee must have an independent majority of members.

110-19

     (3) The audit committee must approve all related party transactions, which include,

110-20

include transaction between the company and its affiliates and those between the company and its

110-21

officers and directors. The company may establish materiality thresholds, however, they must be

110-22

clearly stated in its audit committee charter as required by subdivision (a)(8), but in no event shall

110-23

the materiality thresholds exceed those established in chapter 35 of title 27.

110-24

     (c) For purposes of this section, an independent board or audit committee member is

110-25

defined as an individual: (1) who is not being compensated by the domestic insurer or any

110-26

company within its holding company system (“organization”), other than any reasonable

110-27

compensation and benefits for services as a director, and has not been compensated within the

110-28

past twelve (12) months including full-time and part-time compensation as an employee or an

110-29

independent contractor, except for reasonable compensation as a director; (2) whose own

110-30

compensation is not determined by individuals who are compensated by the organization, except

110-31

for reasonable compensation paid to the director; (3) who does not receive material financial

110-32

benefits; (i.e. service contracts, grants or other payments) from the organization; or (4) who is not

110-33

related to (as a spouse, sibling, parent, or child) or the domestic partner of an individual

110-34

compensated by or who receives material financial benefits from the organization. Policyholders

111-1

of a domestic insurer may be considered independent providing they meet the requirements as

111-2

defined in this subsection.

111-3

     (d) Any Rhode Island domestic insurer that does not currently employ one or more of the

111-4

standards enumerated in subsections (a) and (b) of this section, must submit a plan of corrective

111-5

action to the director for his or her approval. The director, at his or her discretion, may waive any

111-6

of the requirements in this section for a period not exceeding thirty-six (36) months. The

111-7

director's refusal to approve a plan of corrective action after reviewing such plan of corrective

111-8

action for a period of sixty (60) days shall, constitute a final order for purposes of the Rhode

111-9

Island Administrative Procedures Act allowing the party to appeal to the superior court.

111-10

     (e) Nothing contained in the company's by-laws shall conflict with the corporate

111-11

governance standards set forth in this act. Any amendments to a domestic insurance company's

111-12

by-laws shall be submitted in writing to the department.

111-13

     (f) A domestic insurer that is a member of an insurance holding company system as

111-14

defined in chapter 35 of title 27, is exempt from this section if it can demonstrate that it is

111-15

controlled by an entity that either is required to be compliant with, or voluntarily is compliant

111-16

with, all of the following provisions of the Sarbanes-Oxley Act of 2002; 2002: (i) the preapproval

111-17

requirements of § 201 (§ 10A(i) of the Securities Exchange Act of 1934); (ii) the audit

111-18

committee independence requirements of § 301 (§ 10A(m)(3) of the Securities Exchange Act of

111-19

1934); and (iii) the internal control over financial reporting requirements of § 404 (Item 308 of

111-20

SEC regulation S-K) — (“SOX Compliant Entity”). If the department makes a determination, as a

111-21

result of its statutory examination or financial analysis, that the domestic insurer is not controlled

111-22

by a SOX Compliant Entity or that the insurer's interests and affairs are not adequately considered

111-23

and evaluated by the SOX Compliant Entity, the domestic insurer must take steps to comply with

111-24

this act.

111-25

     (g) A Rhode Island domestic insurer that is a wholly-owned subsidiary of another Rhode

111-26

Island domestic insurer that is compliant with the provisions of subsection A (a), and if applicable

111-27

the requirements of subsection B (b), shall be exempt from compliance with any other

111-28

requirements of this act.

111-29

     (h) The requirements of this section, 27-1-2.1, shall not apply to entities regulated

111-30

pursuant to chapters 19, 20, 20.1, 20.2, 20.3 and 41 of title 27 and shall not supercede supersede

111-31

or replace any specific statutory corporate governance standards otherwise applicable to domestic

111-32

insurance companies.

111-33

     SECTION 73. Section 27-2.4-2 of the General Laws in Chapter 27-2.4 entitled "Producer

111-34

Licensing Act" is hereby amended to read as follows:

112-1

     27-2.4-2. Definitions. -- The following definitions apply to this chapter:

112-2

     (1) “Insurance commissioner” means the director of the department of business

112-3

regulation or his or her designee;

112-4

     (2) (1) “Department” means the department of business regulation;

112-5

     (3) (2) “Home state” means any state or territory of the United States, or the District of

112-6

Columbia, in which an insurance producer maintains his or her principal place of residence or

112-7

principal place of business and is licensed to act as an insurance producer;

112-8

     (4) (3) “Insurance” means any of the lines of authority set forth in this title;

112-9

     (4) “Insurance commissioner” means the director of the department of business

112-10

regulation or his or her designee;

112-11

     (5) “Insurance producer” means a person required to be licensed under the laws of this

112-12

state to sell, solicit or negotiate insurance;

112-13

     (6) “Insurer” means: (i) any person, reciprocal exchange, interinsurer, Lloyds insurer,

112-14

fraternal benefit society, and any other legal entity engaged in the business of insurance,

112-15

including insurance producers; (ii) notwithstanding §§ 27-19-2, 27-20-2, 27-20.1-2, 27-20.2-2,

112-16

27-20.3-2, and 27-41-22, all of whom shall be engaged in the business of insurance for the

112-17

purpose of this chapter, nonprofit hospital and/or medical service corporation, a nonprofit dental

112-18

service corporation, a nonprofit optometric service corporation, a nonprofit legal service

112-19

corporation, a health maintenance organization as defined in chapter 41 of this title or as defined

112-20

in chapter 62 of title 42, or any other entity providing a plan of health benefits subject to state

112-21

insurance regulation; and (iii) an organization that for consideration assumes certain risks for an

112-22

insured. Insurer organizations may include corporations, stock companies, mutual companies, risk

112-23

retention groups, reciprocals, captives, Lloyds associations, and government residual plans.

112-24

     (7) “License” means a document issued by this state's insurance commissioner

112-25

authorizing a person to act as an insurance producer for the lines of authority specified in the

112-26

document. The license itself does not create any authority, actual, apparent or inherent, in the

112-27

holder to represent or commit an insurance carrier;

112-28

     (8) “Limited line credit insurance” includes credit life, credit disability, credit property,

112-29

credit unemployment, involuntary unemployment, mortgage life, mortgage guaranty, mortgage

112-30

disability, guaranteed automobile protection (gap) insurance, and any other form of insurance

112-31

offered in connection with an extension of credit that is limited to partially or wholly

112-32

extinguishing that credit obligation that the insurance commissioner determines should be

112-33

designated a form of limited line credit insurance;

112-34

     (9) “Limited line credit insurance producer” means a person who sells, solicits or

113-1

negotiates one or more forms of limited line credit insurance coverage to individuals through a

113-2

master, corporate, group or individual policy;

113-3

     (10) “Limited lines insurance” means those lines of insurance that the insurance

113-4

commissioner deems necessary to recognize for purposes of complying with § 27-2.4-10(e);

113-5

     (11) “Limited lines producer” means a person authorized by the insurance commissioner

113-6

to sell, solicit or negotiate limited lines insurance;

113-7

     (12) “NAIC” means National Association of Insurance Commissioners;

113-8

     (13) “Negotiate” means the act of conferring directly with or offering advice directly to a

113-9

purchaser or prospective purchaser of a particular contract of insurance concerning any of the

113-10

substantive benefits, terms or conditions of the contract, provided that the person engaged in that

113-11

act either sells insurance or obtains insurance from insurers for purchasers;

113-12

     (14) “Person” means an individual;

113-13

     (15) “Resident” means a person who either resides in Rhode Island or maintains an office

113-14

in Rhode Island where the business of producing insurance is transacted and designates Rhode

113-15

Island as the residence for purposes of licensure;

113-16

     (16) “Sell” means to exchange a contract of insurance by any means, for money or its

113-17

equivalent, on behalf of an insurance company;

113-18

     (17) “Solicit” means attempting to sell insurance or asking or urging a person to apply for

113-19

a particular kind of insurance from a particular company;

113-20

     (18) “Terminate” means the cancellation of the relationship between an insurance

113-21

producer and the insurer or the termination of an insurance producer's authority to transact

113-22

insurance;

113-23

     (19) “Uniform application” means the current version of the NAIC uniform application

113-24

for resident and nonresident insurance producer licensing.

113-25

     SECTION 74. Section 27-4.4-3 of the General Laws in Chapter 27-4.4 entitled "The

113-26

Standard Nonforfeiture Law for Individual Deferred Annuities" is hereby amended to read as

113-27

follows:

113-28

     27-4.4-3. Nonforfeiture requirements. -- (a) In the case of contracts issued on or after

113-29

the effective date of this act [July 7, 2004], no contract of annuity, except as stated in § 27-4.4-2,

113-30

shall be delivered or issued for delivery in this state unless it contains in substance the following

113-31

provisions, or corresponding provisions which in the opinion of the commissioner of insurance

113-32

are at least as favorable to the contract holder, upon cessation of payment of considerations under

113-33

the contract:

113-34

     (1) That upon cessation of payment of considerations under contract, or upon written

114-1

request of the contract owner, the company shall grant a paid-up annuity benefit on a plan

114-2

stipulated in the contract of such value as is specified in §§ 27-4.4-5 — 27-4.4-8 and 27-4.4-10;

114-3

     (2) If a contract provides for a lump sum settlement at maturity, or at any other time, that

114-4

upon surrender of the contract at or prior to the commencement of any annuity payments, the

114-5

company shall pay in lieu of any paid up annuity benefit a cash surrender benefit of such amount

114-6

as is specified in §§ 27-4.4-5, 27-4.4-6, 27-4.4-8 and 27-4.4-10. The company may reserve the

114-7

right to defer the payment of the cash surrender benefit for a period not to exceed six (6) months

114-8

after demand therefore with surrender of the contract after making a written request and receiving

114-9

written approval of the commissioner. The request shall address the necessity and equitability to

114-10

all policyholders of the deferral;

114-11

     (3) A statement of the mortality table, if any, and interest rates used in calculating any

114-12

minimum paid up annuity, cash surrender, or death benefits that are guaranteed under the

114-13

contract, together with sufficient information to determine the amounts of the benefits; and

114-14

     (4) A statement that any paid-up annuity, cash surrender, or death benefits that may be

114-15

available under the contract are not less than the minimum benefits required by any statute of the

114-16

state in which the contract is delivered and an explanation of the manner in which the benefits are

114-17

altered by the existence of any additional amounts credited by the company to the contract, any

114-18

indebtedness to the company on the contract, or any prior withdrawals from or partial surrenders

114-19

of the contract.

114-20

     (b) Notwithstanding the requirements of this section, any deferred annuity contract may

114-21

provide that if no considerations have been received under a contract for a period of two (2) full

114-22

years and the portion of the paid-up annuity benefit at maturity on the plan stipulated in the

114-23

contract arising from considerations paid prior to the period would be less than twenty dollars

114-24

($20.00) monthly, the company may at its option terminate the contract by payment in cash of the

114-25

then present value of the portion of the paid up annuity benefit, calculated on the basis on the

114-26

mortality table, if any, and interest rate specified in the contract for determining the paid-up

114-27

annuity benefit, and by the payment shall be relieved of any further obligation under the contract.

114-28

SECTION 75. Sections 27-4.7-10 and 27-4.7-11 of the General Laws in Chapter 27-4.7

114-29

entitled "Risk-Based Capital (RBC) for Health Organizations Act" are hereby amended to read as

114-30

follows:

114-31

     27-4.7-10. Supplemental provisions - Rules -Exemption. -- (a) The provisions of this

114-32

chapter are supplemental to any other provisions of the laws of this state, and shall not preclude

114-33

or limit any other powers or duties of the commissioner under those laws, including, but not

114-34

limited to, chapters 41, 19, 20, 20.1, 20.2, 20.3, 14.1, 14.2, and 14.3 of this title. The provisions

115-1

of this chapter shall supercede supersede any provisions of this title in conflict with this chapter.

115-2

     (b) The commissioner may adopt reasonable rules necessary for the implementation of

115-3

this chapter.

115-4

     (c) The commissioner may exempt from the application of this chapter or modify the

115-5

requirements of this chapter for:

115-6

     (1) A domestic health organization that:

115-7

     (i) Writes direct business only in this state;

115-8

     (ii) Assumes no reinsurance in excess of five percent (5%) of direct premium written; and

115-9

     (iii) Writes direct annual premiums for comprehensive medical business of two million

115-10

dollars ($2,000,000) or less; or

115-11

     (iv) Is a limited health service organization that covers less than two thousand (2,000)

115-12

lives; or

115-13

     (2) A domestic health organization that provides a plan of health insurance, health

115-14

benefits, or health services to members, eighty-five percent (85%) or greater of which are

115-15

participants in the RIte Care program administered by the State of Rhode Island, if the health

115-16

organization has contracts with insurers, hospital or medical service corporations, governments,

115-17

or other organizations that are sufficient to reasonably assure the performance of its obligations;

115-18

provided, that in no event shall the net worth or total adjusted capital requirement be less than one

115-19

hundred thousand dollars ($100,000).

115-20

     27-4.7-11. Foreign health organizations. -- (a)(1) A foreign health organization shall,

115-21

upon the written request of the commissioner, submit to the commissioner an RBC report as of

115-22

the end of the calendar year just ended the later of:

115-23

     (i) The date an RBC report would be required to be filed by a domestic health

115-24

organization under this chapter;

115-25

     (ii) Fifteen (15) days after the request is received by the foreign health organization.

115-26

     (2) A foreign health organization shall, at the written request of the commissioner,

115-27

promptly submit to the commissioner a copy of any RBC plan that is filed with the insurance

115-28

commissioner of any other state.

115-29

     (b) In the event of a company action level event, regulatory action level event, or

115-30

authorized control level event with respect to a foreign health organization as determined under

115-31

the RBC statute applicable in the state of domicile of the health organization (or, if no RBC

115-32

statute is in force in that state, under the provisions of this chapter), if the insurance commissioner

115-33

of the state of domicile of the foreign health organization fails to require the foreign health

115-34

organization to file an RBC plan in the manner specified under that state's RBC statute (or, if no

116-1

RBC statute is in force in that state, under § 27-4.7-4), the commissioner may require the foreign

116-2

health organization to file an RBC plan with the commissioner. In that event, the failure of the

116-3

foreign health organization to file an RBC plan with the commissioner is grounds to order the

116-4

health organization to cease and desist from writing new insurance business in this state.

116-5

     (c) In the event of a mandatory control level event with respect to a foreign health

116-6

organization, if no domiciliary receiver has been appointed with respect to the foreign health

116-7

organization under the rehabilitation and liquidation statue statute applicable in the state of

116-8

domicile of the foreign health organization, the commissioner may make application to the

116-9

superior court of the county of Providence permitted under chapter 14.3 of this title with respect

116-10

to the liquidation of property of foreign health organizations found in this state, and the

116-11

occurrence of the mandatory control level event shall be considered adequate grounds for the

116-12

application.

116-13

     SECTION 76. Sections 27-5-3.7 and 27-5-3.8 of the General Laws in Chapter 27-5

116-14

entitled "Fire Insurance Policies and Reserves" are hereby amended to read as follows:

116-15

     27-5-3.7. Hurricane deductibles, triggers and policyholder notice. -- (a) The

116-16

provisions of this section shall be applicable to policies issuing or renewing on or after July 1,

116-17

2008.

116-18

     (b) In all instances where an insurance company licensed to do business in this state

116-19

offers or includes any deductible and/or mitigation measure related to such deductible for any

116-20

type of personal lines residential property insurance on dwelling houses, the insurance company

116-21

shall provide prominent and clear notice to insureds, that shall be included in the policy issuance

116-22

or renewal package and shall fully disclose all details pertaining to any such deductible and/or

116-23

mitigation measure.

116-24

     (c) The insurer may apply a deductible specific to windstorm coverage where:

116-25

     (i) (1) The deductible is specifically approved by the director and shall not exceed five

116-26

percent (5%) of the insured value.

116-27

     (ii) (2) The deductible shall be applicable to losses due to a hurricane during the period

116-28

commencing with the issuance of a hurricane warning bulletin for any part of the state by the

116-29

National Hurricane Center and concluding twenty-four (24) hours after the termination of the last

116-30

hurricane warning bulletin for any part of the state.

116-31

     (iii) (3) The deductible, whether it is a flat dollar deductible or a percentage deductible

116-32

shall be presented by at least two (2) examples that illustrate the application of the deductible to

116-33

the insured. Nothing herein shall prohibit the insurer from providing any additional information to

116-34

the insured to assist in the insured's understanding the deductible to applied to the insured's

117-1

policy.

117-2

     (iv) (4) The deductible set forth above shall not be applied to any insured, if the insured

117-3

has installed approved mitigation measures to protect against windstorm damage and the insurer

117-4

has either inspected the property or the insured has submitted satisfactory proof of installation of

117-5

the approved mitigation measures. The insurance commissioner, in consultation with the state

117-6

building code commissioner, shall adopt and may amend or revise a list of mitigation measures,

117-7

based so far as reasonably feasible on national standards for such measures and practices in other

117-8

comparable states. The list of mitigation measures adopted by the insurance commissioner shall

117-9

be considered approved mitigation measures for purposes of this subdivision.

117-10

     (d) Premium credits shall be applied to policies with deductibles as set forth in subsection

117-11

27-5-3.7(c).

117-12

     (e)(1) An insurer may require mitigation measures to protect against windstorm damage

117-13

only after specific approval of the substance of such mitigation measures by the director;

117-14

     (i) (2) Mitigation measures to be taken by an insured are clearly explained, including a

117-15

complete illustration of the dollar impact upon the premiums to be charged to insureds if the

117-16

requested mitigation activities are undertaken;

117-17

     (ii) (3) No mandatory deductible for windstorm damage shall be included in the policy;

117-18

     (iii) (4) An insurer shall write the requested coverage at the premium rate that includes

117-19

the premium credit to be realized with the completion of the mitigation efforts;

117-20

     (iv) (5) The insurer shall affirmatively state the length of time during which discount

117-21

given for the mitigation efforts will apply; and

117-22

     (v) (6) No insurer shall subsequently non-renew an insured who has taken the mitigation

117-23

steps requested by the insurer for reasons of the insurers exposure to catastrophe loss, unless for

117-24

non-payment of premium, fraud, breach by the insured of a provision of the policy, reversal or a

117-25

lack of maintenance of the mitigation steps, or insurer solvency concerns or adverse loss history.

117-26

     (f) Penalties for failure to comply with the provisions of this section shall be administered

117-27

by the director in accordance with the provisions of § 42-14-16.

117-28

     (g) The department of business regulation shall have authority to adopt such rules,

117-29

including emergency rules, as may be necessary or desirable to effectuate the purposes of this

117-30

section.

117-31

     27-5-3.8. Rhode Island commission on hurricane loss projection methodology. –

117-32

     (1) (a) Legislative findings and intent. (a) (1) Reliable projections of hurricane losses are

117-33

necessary in order to assure that rates for residential property insurance meet the statutory

117-34

requirement that rates be neither excessive nor inadequate.

118-1

     (b) (2) The general assembly recognizes the need for expert evaluation of computer

118-2

models and other recently developed or improved actuarial methodologies for projecting

118-3

hurricane losses, in order to resolve conflicts among actuarial professionals, and in order to

118-4

provide both immediate and continuing improvement in the sophistication of actuarial methods

118-5

used to set rates charged to consumers.

118-6

     (c) (3) It is the intent of the general assembly to create the Rhode Island commission on

118-7

hurricane loss projection methodology as a panel of experts to provide the most actuarially

118-8

sophisticated guidelines and standards for projection of hurricane losses possible, given the

118-9

current state of actuarial science.

118-10

     (2) (b) Commission created. (a) (1) There is created the Rhode Island commission on

118-11

hurricane loss projection methodology. For the purposes of this section, the term “commission”

118-12

means the Rhode Island commission on hurricane loss projection methodology. The commission

118-13

shall be administratively housed within the department of administration, but it shall

118-14

independently exercise the powers and duties specified in this section.

118-15

     (b) (2) The commission shall consist of the following eight (8) members:

118-16

     (1) (i) The director of business regulation, acting as the administrator of insurance, or

118-17

designee;

118-18

     (2) (ii) The adjutant general of the Rhode Island emergency management agency;

118-19

     (3) (iii) A member of the board of directors of the Rhode Island Joint reinsurance

118-20

Association appointed by the governor;

118-21

     (4) (iv) Five (5) members directly appointed by the governor, as follows:

118-22

     (A) An actuary who is employed full-time by a property and casualty insurer which was

118-23

responsible for at least one percent of the aggregate statewide direct written premium for

118-24

homeowner's insurance in the calendar year preceding the member's appointment to the

118-25

commission;

118-26

     (B) An expert in insurance finance who has a background in actuarial science;

118-27

     (C) An expert in statistics who has a background in insurance;

118-28

     (D) An expert in computer system design.

118-29

     (E) An expert in meteorology who specializes in hurricanes.

118-30

     (c) (3) Members designated under subparagraphs (b)(1)-(4) (b)(2)(i)-(iii) shall serve on

118-31

the commission as long as they maintain the respective offices designated in subparagraphs

118-32

(b)(1)-(4) (b)(2)(i)-(iii). Members under subparagraph (b)(5)(A)-(E) (b)(2)(iv)(A)-(E) shall serve

118-33

for a term of three (3) years, and may be reappointed to the commission. All members may be

118-34

removed by the governor prior to the expiration of their term, for cause. Vacancies on the

119-1

commission shall be filled in the same manner as the original appointment.

119-2

     (d) (4) The governor shall annually appoint one of the members of the commission to

119-3

serve as chair.

119-4

     (e) (5) Members of the commission shall serve without compensation, but shall be

119-5

reimbursed for per diem and travel expenses.

119-6

     (f) (6) There shall be no liability on the part of, and no cause of action of any nature shall

119-7

arise against, any member of the commission for any action taken in the performance of their

119-8

duties under this section. In addition, the commission may, in writing, waive any potential cause

119-9

of action for negligence of a consultant, contractor, or contract employee engaged to assist the

119-10

commission.

119-11

     (3) (c) Adoption and effect of standards and guidelines. (a) (1) The commission shall

119-12

consider any actuarial methods, principles, standards, models, or output ranges that have the

119-13

potential for improving the accuracy of or reliability of the hurricane loss projections used in

119-14

residential property insurance rate filings. The commission shall, from time to time, adopt

119-15

findings as to the accuracy or reliability of particular methods, principles, standards, models, or

119-16

output ranges.

119-17

     (b) (2) The commission shall adopt revisions to previously adopted actuarial methods,

119-18

principles, standards, models, or output ranges at least annually.

119-19

     (c) (3)(i) A trade secret that is used in designing and constructing a hurricane loss model

119-20

and that is provided pursuant to this section, by a private company, to the commission, is

119-21

confidential and shall not be deemed a public record pursuant to the provisions of chapter 2 of

119-22

title 38.

119-23

     (2) (ii) That portion of a meeting of the commission or of a rate proceeding on an

119-24

insurer's rate filing at which a trade secret made confidential and exempt by this paragraph is

119-25

discussed shall be deemed confidential and not open to disclosure pursuant to the open meetings

119-26

act, but may be discussed at a closed meeting as provided for in chapter 46 of title 42.

119-27

     (3) (d) The Rhode Island commission is hereby authorized to form a multi-state

119-28

commission with the states of Massachusetts, Connecticut and any other interested state in

119-29

furtherance of the goals of this act.

119-30

     SECTION 77. Section 27-7.1-12.1 of the General Laws in Chapter 27-7.1 entitled

119-31

"Workers’ Compensation Insurance" is hereby amended to read as follows:

119-32

     27-7.1-12.1. Acts reducing competition prohibited. -- (a) In this section, “insurer”

119-33

includes two (2) or more affiliated insurers: (1) under common management; or (2) under

119-34

common controlling ownership or under common effective legal control and in fact engaged in

120-1

joint or cooperative underwriting, investment management, marketing, servicing, or

120-2

administration of their business and affairs as insurers.

120-3

     (b) Neither the advisory organization nor any insurer may:

120-4

     (1) Monopolize, attempt to monopolize, or combine or conspire with any other person or

120-5

persons to monopolize the business of insurance of any kind, subdivision, or class;

120-6

     (2) Agree with any other insurer or the advisory organization to charge or adhere to any

120-7

rate or rating plan other than the uniform experience rating plan or rating rule except as needed to

120-8

comply with the requirements of § 27-7.1-10 [Repealed];

120-9

     (3) Make an agreement with any other insurer, the advisory organization, or other person

120-10

to unreasonably restrain trade or substantially lessen competition in the business of insurance of

120-11

any kind, subdivision, or class; or

120-12

     (4) Make any agreement with any other insurer or the advisory organization to refuse to

120-13

deal with any person in connection with the sale of insurance.

120-14

     (c) The fact that two (2) or more insurers, whether or not members or subscribers to the

120-15

advisory organization, use consistently or intermittently the same rules rating plans, rating

120-16

schedules, rating rules, policy forms, rate classification, underwriting rules, surveys, inspections,

120-17

or similar materials is not sufficient in itself to support a finding that an agreement exists.

120-18

     (d) The advisory organization and any member or subscriber of it may not interfere with

120-19

the right of any insurer to make its rates independently of the advisory organization.

120-20

     (e) Except as required by § 27-7.1-10 [Repealed], the advisory organization may not

120-21

have or adopt any rule or exact any agreement or formulate or engage in any program which

120-22

would require any member, subscriber, or other insurer to:

120-23

     (1) Utilize some or all of its service;

120-24

     (2) Adhere to its rates, rating plan, rating systems, or underwriting rules; or

120-25

     (3) Prevent any insurer from acting independently.

120-26

     SECTION 78. Section 27-8-11 of the General Laws in Chapter 27-8 entitled "Casualty

120-27

Insurance Generally" is hereby amended to read as follows:

120-28

     27-8-11. Regulations on cancellation and renewal. -- (a) In addition to and not in lieu

120-29

of any other power the commissioner has to issue rules and regulations, the commissioner of

120-30

insurance may promulgate, in accordance with the procedure established in chapter 35 of title 42,

120-31

reasonable rules and regulations concerning cancellation and renewal of liability and property

120-32

damage insurance for automobiles rated as private passenger automobiles. Those regulations may

120-33

require that the insurer shall furnish to the named insured the reason or reasons for cancellation or

120-34

nonrenewal. Those regulations shall also require that the insurer furnish, at least thirty (30) days

121-1

prior to renewal, written notice of material coverage modifications approved by the insurance

121-2

division with respect to those types of insurance defined in § 27-8-1(1) — (9) 27-8-1(1)-(8),

121-3

issued to non-business insured and bodily injury and property damage liability coverage issued to

121-4

non-business insured. There shall be no liability on the part of, and no cause of action of any

121-5

nature shall arise against, the commissioner of insurance or any insurer, their authorized

121-6

representatives, agents, or employees, or any firm, person, or corporation furnishing to the insurer

121-7

or commissioner information as to the reasons for cancellation or nonrenewal, for any statement

121-8

made by any of them in any written notice of cancellation or nonrenewal, or in any other

121-9

communication oral or written specifying the reasons for cancellation or nonrenewal, or for the

121-10

providing of information pertaining to the cancellation or nonrenewal, or for statements made or

121-11

evidence submitted at any hearing conducted in connection with the cancellation or nonrenewal.

121-12

     (b) The commissioner shall promulgate regulations with respect to personal motor

121-13

vehicle insurance, homeowners insurance, and residential fire insurance, or any components of

121-14

that insurance requiring notification to policyholders upon renewal of any material changes in

121-15

policy deductibles, limits, coverage, conditions or definitions, unless the change was requested by

121-16

the policyholder.

121-17

     SECTION 79. Section 27-10-1 of the General Laws in Chapter 27-10 entitled "Claim

121-18

Adjusters" is hereby amended to read as follows:

121-19

     27-10-1. Applicability. -- The provisions of this chapter shall apply to insurance claim

121-20

adjusters. For the purposes of this chapter “insurance claim adjusters” means any person, who or

121-21

which:

121-22

     (1) Engages for compensation in negotiating adjustments of insurance claims on behalf of

121-23

an insurance company, other than life and accident and health insurance claims, under any

121-24

policies of insurance or who advertises or holds himself or herself out as engaging in that activity

121-25

or who solicits that activity;

121-26

     (2) Is known or holds himself, herself, or itself out as a “public adjuster”. A public

121-27

adjuster is any person who, for compensation or any other thing of value on behalf of the insured:

121-28

     (a) (i) Acts or aids, solely in relation to first party claims arising under insurance

121-29

contracts, other than automobile, life, accident and health, that insure the real or personal property

121-30

of the insured, on behalf of an insured in negotiating for, or effecting the settlement of, a claim

121-31

for loss or damage covered by an insurance contract;

121-32

     (b) (ii) Advertises for employment as a public adjuster of insurance claims or solicits

121-33

business or represents himself or herself to the public as a public adjuster of first party insurance

121-34

claims for losses or damages arising out of policies of insurance that insure real or personal

122-1

property;

122-2

     (c) (iii) Directly or indirectly solicits business, investigates or adjusts losses, or advises an

122-3

insured about first party claims for losses or damages arising out of policies of insurance that

122-4

insure real or personal property for another person engaged in the business of adjusting losses or

122-5

damages covered by an insurance policy, for the insured; or

122-6

     (3) Advertises or solicits business as an adjuster, or holds himself or herself out to the

122-7

public as engaging in adjusting as a business.

122-8

     SECTION 80. Sections 27-14.3-25, 27-14.3-46 and 27-14.3-63 of the General Laws in

122-9

Chapter 27-14.3 entitled "Insurers’ Rehabilitation and Liquidation Act" are hereby amended to

122-10

read as follows:

122-11

     27-14.3-25. Powers of liquidator. -- (a) The liquidator shall have the power:

122-12

     (1) To appoint a special deputy or deputies to act for him or her under this chapter, and to

122-13

determine his or her reasonable compensation. The special deputy shall have all of the powers of

122-14

the liquidator granted by this section. The special deputy shall serve at the pleasure of the

122-15

liquidator;

122-16

     (2) To employ employees and agents, legal counsel, actuaries, accountants, appraisers,

122-17

consultants, and any other personnel as he or she may deem necessary to assist in the liquidation;

122-18

     (3) To appoint, with the approval of the court, an advisory committee of policyholders,

122-19

claimants, or other creditors including guaranty associations should a committee be deemed

122-20

necessary; provided, that if a nonprofit hospital service corporation, nonprofit medical service

122-21

corporation, or nonprofit dental service corporation is subject to an order of liquidation, the

122-22

commissioner shall appoint an advisory committee of creditors to include Rhode Island nonprofit

122-23

hospitals. The committee shall serve at the pleasure of the commissioner and shall serve without

122-24

compensation other than reimbursement for reasonable travel and per diem living expenses. No

122-25

other committee of any nature shall be appointed by the commissioner or the court in liquidation

122-26

proceedings conducted under this chapter;

122-27

     (4) To fix the reasonable compensation of employees and agents, legal counsel, actuaries,

122-28

accountants, appraisers, and consultants with the approval of the court and may reimburse from

122-29

the assets of the insurer the division of insurance and its agents and consultants at the statutory

122-30

examination rate and/or reasonable agents' or consultants' rates for reasonable costs incurred in

122-31

the examination and investigation in anticipation of liquidation, and in the liquidation of the

122-32

insurer, those fees are to be Class 1 expenses of administration pursuant to § 27-14.3-46;

122-33

     (5) To pay reasonable compensation to persons appointed and to defray from the funds or

122-34

assets of the insurer all of the expenses of taking possession of, conserving, conducting,

123-1

liquidating, disposing of, or dealing with the business and property of the insurer. In the event

123-2

that the property of the insurer does not contain sufficient cash or liquid assets to defray the

123-3

incurred costs, the commissioner may advance the incurred costs out of any appropriation for the

123-4

maintenance of the insurance department. Any advanced amounts for the expenses of

123-5

administration shall be repaid to the commissioner for the use of the insurance department out of

123-6

the first available moneys of the insurer;

123-7

     (6) To hold hearings, to subpoena witnesses to compel their attendance, to administer

123-8

oaths, to examine any person under oath, and to compel any person to subscribe to his or her

123-9

testimony after it has been correctly reduced to writing, and in connection with this to require the

123-10

production of any books, papers, records or other documents which he or she deems relevant to

123-11

the inquiry;

123-12

     (7) To audit the books and records of all agents or insurance producers of the insurer

123-13

insofar as those records relate to the business activities of the insurer;

123-14

     (8) To collect all debts and moneys due and claims belonging to the insurer, wherever

123-15

located, and for this purpose:

123-16

     (i) To institute timely action in other jurisdictions in order to forestall garnishment and

123-17

attachment proceedings against the debts;

123-18

     (ii) To do any other acts as are necessary or expedient to collect, conserve, or protect its

123-19

assets or property, including the power to sell, compound, compromise, or assign debts for the

123-20

purposes of collection upon any terms and conditions as he or she deems best; and

123-21

     (iii) To pursue any creditor's remedies available to enforce his or her claims;

123-22

     (9) To conduct public and private sales of the property of the insurer;

123-23

     (10) To use assets of the estate of an insurer under a liquidation order to transfer policy

123-24

obligations to a solvent assuming insurer, if the transfer can be arranged without prejudice to

123-25

applicable priorities under § 27-14.3-46;

123-26

     (11) To acquire, hypothecate, encumber, lease, improve, sell, transfer, abandon, or

123-27

dispose of or deal with any property of the insurer at its market value or upon terms and

123-28

conditions as are fair and reasonable. He or she shall also have the power to execute,

123-29

acknowledge, and deliver any and all deeds, assignments, releases, and other instruments

123-30

necessary or proper to effectuate any sale of property or other transaction in connection with the

123-31

liquidation;

123-32

     (12) To borrow money on the security of the insurer's assets or without security and to

123-33

execute and deliver all documents necessary to that transaction for the purpose of facilitating the

123-34

liquidation. Any funds borrowed may be repaid as an administrative expense and have priority

124-1

over any other claims in § 27-14.3-46(1) 27-14.3-46(a)(1), Class 1, under the priority of

124-2

distribution;

124-3

     (13) To enter into any contracts as are necessary to carry out the order to liquidate, and to

124-4

affirm or disavow any contracts to which the insurer is a party;

124-5

     (14) To continue to prosecute and to institute in the name of the insurer or in his or her

124-6

own name any and all suits and other legal proceedings, in this state or another place, and to

124-7

abandon the prosecution of claims he or she deems unprofitable to pursue further. If the insurer is

124-8

dissolved under § 27-14.3-24, he or she shall have the power to apply to any court in this state or

124-9

another place for leave to substitute himself for the insurer as plaintiff;

124-10

     (15) To prosecute any action which may exist in behalf of the creditors, members,

124-11

policyholders, or shareholders of the insurer against any officer or director of the insurer, or any

124-12

other person;

124-13

     (16) To remove any or all records and property of the insurer to the offices of the

124-14

commissioner or to any other place as may be convenient for the purposes of efficient and orderly

124-15

execution of the liquidation. Guaranty associations and foreign guaranty associations shall have

124-16

reasonable access to the records of the insurer as is necessary for them to carry out their statutory

124-17

obligations;

124-18

     (17) To deposit in one or more banks in this state those sums as are required for meeting

124-19

current administration expenses and dividend distributions;

124-20

     (18) To invest all sums not currently needed, unless the court orders otherwise;

124-21

     (19) To file any necessary documents for record in the office of any recorder of deeds or

124-22

record office in this state or another place where property of the insurer is located;

124-23

     (20) To assert all defenses available to the insurer as against third persons, including

124-24

statutes of limitations, statutes of frauds, and the defense of usury. A waiver of any defense by the

124-25

insurer after a petition in liquidation has been filed shall not bind the liquidator. Whenever a

124-26

guaranty association or foreign guaranty association has an obligation to defend any suit, the

124-27

liquidator shall give precedence to that obligation and may defend only in the absence of a

124-28

defense by the guaranty associations;

124-29

     (21) To exercise and enforce all of the rights, remedies, and powers of any creditor,

124-30

shareholder, policyholder, or member including any power to avoid any transfer or lien that may

124-31

be given by the general laws and that is not included with §§ 27-14.3-30 — 27-14.3-32;

124-32

     (22) To intervene in any proceeding wherever instituted that might lead to the

124-33

appointment of a receiver or trustee, and to act as the receiver or trustee whenever the

124-34

appointment is offered;

125-1

     (23) To enter into agreements with any receiver or commissioner of any other state

125-2

relating to the rehabilitation, liquidation, conservation, or dissolution of an insurer doing business

125-3

in both states; and

125-4

     (24) To exercise all of the powers now held or after this conferred upon receivers by the

125-5

laws of this state not inconsistent with the provisions of this chapter.

125-6

     (b) The enumeration in this section of the powers and authority of the liquidator shall not

125-7

be construed as a limitation upon him or her, nor shall it exclude in any manner his or her right to

125-8

do any other acts not specifically enumerated or provided for in this section as may be necessary

125-9

or appropriate for the accomplishment of or in aid of the purpose of liquidation.

125-10

     (c) Notwithstanding the powers of the liquidator as stated in subsections (a) and (b) of

125-11

this section, the liquidator shall have no obligation to defend claims or to continue to defend

125-12

claims subsequent to the entry of a liquidation order.

125-13

     27-14.3-46. Priority of distribution. -- (a) The priority of distribution of claims from the

125-14

insurer's estate shall be in accordance with the order in which each class of claims is set forth in

125-15

this section. Every claim in each class shall be paid in full or adequate funds retained for such

125-16

payment before the members of the next class receive any payment. Once such funds are retained

125-17

by the liquidator and approved by the court, the insurer's estate shall have no further liability to

125-18

members of that class except to the extent of the retained funds and any other undistributed funds.

125-19

No subclasses shall be established within any class except as provided in § 27-14.3-25(12) 27-

125-20

14.3-25(a)(12). No claim by a shareholder, policyholder, or other creditor shall be permitted to

125-21

circumvent the priority classes through the use of equitable remedies. The order of distribution of

125-22

claims shall be:

125-23

     (1) Class 1. The costs and expenses of administration expressly approved by the receiver,

125-24

including, but not limited to, the following:

125-25

     (i) The actual and necessary costs of preserving or recovering the assets of the insurer;

125-26

     (ii) Compensation for all authorized services rendered in the conservation, rehabilitation

125-27

or liquidation;

125-28

     (iii) Any necessary filing fees;

125-29

     (iv) The fees and mileage payable to witnesses; and

125-30

     (v) Authorized reasonable attorney's fees and other professional services rendered in the

125-31

conservation, rehabilitation or liquidation.

125-32

     (2) Class 2. The administrative expenses of guaranty associations. For purposes of this

125-33

section these expenses shall be the reasonable expenses incurred by guaranty associations where

125-34

the expenses are not payments or expenses which are required to be incurred as direct policy

126-1

benefits in fulfillment of the terms of the insurance contract or policy, and that are of the type and

126-2

nature that, but for the activities of the guaranty association otherwise would have been incurred

126-3

by the receiver, including, but not limited to, evaluations of policy coverage, activities involved in

126-4

the adjustment and settlement of claims under policies, including those of in-house or outside

126-5

adjusters, and the reasonable expenses incurred in connection with the arrangements for ongoing

126-6

coverage through transfer to other insurers, policy exchanges or maintaining policies in force.

126-7

The receiver may in his or her sole discretion approve as an administrative expense under this

126-8

section any other reasonable expenses of the guaranty association if the receiver finds:

126-9

     (i) The expenses are not expenses required to be paid or incurred as direct policy benefits

126-10

by the terms of the policy; and

126-11

     (ii) The expenses were incurred in furtherance of activities that provided a material

126-12

economic benefit to the estate as a whole, irrespective of whether the activities resulted in

126-13

additional benefits to covered claimants. The court shall approve such expenses unless it finds the

126-14

receiver abused his or her discretion in approving the expenses.

126-15

     If the receiver determines that the assets of the estate will be sufficient to pay all Class 1

126-16

claims in full, Class 2 claims shall be paid currently, provided that the liquidator shall secure from

126-17

each of the associations receiving disbursements pursuant to this section and agreement to return

126-18

to the liquidator such disbursements, together with investment income actually earned on such

126-19

disbursements, as may be required to pay Class 1 claims. No bond shall be required of any such

126-20

association.

126-21

     (3) Class 3. (i) All claims under policies including claims of the federal or any state or

126-22

local government for losses incurred, (“loss claims”) including third party claims, claims for

126-23

unearned premiums, and all claims of guaranty association for reasonable expenses other than

126-24

those included in Class 2. All claims under life and health insurance and annuity policies, whether

126-25

for death proceeds, health benefits, annuity proceeds, or investment values shall be treated as loss

126-26

claims. That portion of any loss, indemnification for which is provided by other benefits or

126-27

advantages recovered by the claimant, shall not be included in this class, other than benefits or

126-28

advantages recovered or recoverable in discharge of familial obligation of support or by way of

126-29

succession at death or as proceeds of life insurance, or as gratuities. No payment by an employer

126-30

to his or her employee shall be treated as a gratuity;

126-31

     (ii) Notwithstanding the foregoing, the following claims shall be excluded from Class 3

126-32

priority:

126-33

     (i) (A) Obligations of the insolvent insurer arising out of reinsurance contracts;

126-34

     (ii) (B) Obligations incurred after the expiration date of the insurance policy or after the

127-1

policy has been replaced by the insured or canceled at the insured's request or after the policy has

127-2

been canceled as provided in this chapter;

127-3

     (iii) (C) Obligations to insurers, insurance pools or underwriting associations and their

127-4

claims for contribution, indemnity or subrogation, equitable or otherwise;

127-5

     (iv) (D) Any claim which is in excess of any applicable limits provided in the insurance

127-6

policy issued by the insolvent insurer;

127-7

     (v) (E) Any amount accrued as punitive or exemplary damages unless expressly covered

127-8

under the terms of the policy; and

127-9

     (vi) (F) Tort claims of any kind against the insurer, and claims against the insurer for bad

127-10

faith or wrongful settlement practices.

127-11

     (4) Class 4. Claims of the federal government other than those claims included in Class 3.

127-12

     (5) Class 5. Debts due to employees for services, benefits, contractual or otherwise due

127-13

arising out of such reasonable compensation to employees for services performed to the extent

127-14

that they do not exceed two (2) months of monetary compensation and represent payment for

127-15

services performed within six (6) months before the filing of the petition for liquidation or, if

127-16

rehabilitation preceded liquidation within one year before the filing of the petition for

127-17

rehabilitation. Principal officers and directors shall not be entitled to the benefit of this priority

127-18

except as otherwise approved by the liquidator and the court. This priority shall be in lieu of any

127-19

other similar priority which may be authorized by law as to wages or compensation of employees.

127-20

     (6) Class 6. Claims of any person, including claims of state or local governments, except

127-21

those specifically classified elsewhere in this section. Claims of attorneys for fees and expenses

127-22

owed them by a person for services rendered in opposing a formal delinquency proceeding. In

127-23

order to prove the claim, the claimant must show that the insurer which is the subject of the

127-24

delinquency proceeding incurred such fees and expenses based on its best knowledge,

127-25

information and belief, formed after reasonable inquiry indicating opposition was in the best

127-26

interests of the person, was well grounded in fact and was warranted by existing law or a good

127-27

faith argument for the extension, modification or reversal of existing law, and that opposition was

127-28

not pursued for any improper purpose, such as to harass or to cause unnecessary delay or needless

127-29

increase in the cost of the litigation.

127-30

     (7) Class 7. Surplus claims of any state or local government for a penalty or forfeiture,

127-31

but only to the extent of the pecuniary loss sustained from the act, transaction or proceeding out

127-32

of which the penalty or forfeiture arose with reasonable and actual costs occasioned thereby. The

127-33

remainder of such claims shall be postponed to the class of claims under subdivision 8.

127-34

     (8) Class 8. Surplus or contribution notes or similar obligations, premium refunds on

128-1

assessable policies, interest on claims of Classes 1 through 7 and any other claims specifically

128-2

subordinated to this class.

128-3

     (9) Class 9. Claims of shareholders or other owners arising out of their capacity as

128-4

shareholders or other owners, or any other capacity except as they may be qualified in Class 3 or

128-5

6 above.

128-6

     (b) If any claimant of this state, another state or foreign country shall be entitled to or

128-7

shall receive a dividend upon his or her claim out of a statutory deposit or the proceeds of any

128-8

bond or other asset located in another state or foreign country, unless such deposit or proceeds

128-9

shall have been delivered to the domiciliary liquidator, then the claimants shall not be entitled to

128-10

any further dividend from the receiver until and unless all other claimants of the same class,

128-11

irrespective of residence or place of the acts or contracts upon which their claims are based, shall

128-12

have received an equal dividend upon their claims, and after such equalization, such claimants

128-13

shall be entitled to share in the distribution of further dividends by the receiver, along with and

128-14

like all other creditors of the same class, wheresoever residing.

128-15

     (c) Upon the declaration of a dividend, the receiver shall apply the amount of the

128-16

dividend against any indebtedness owed to the insurer by the person entitled to the dividend.

128-17

There shall be no claim allowed for any deductible charged by a guaranty association or entity

128-18

performing a similar function.

128-19

     27-14.3-63. Subordination of claims for noncooperation. -- If an ancillary receiver in

128-20

another state or foreign country, whether called by that name or not, fails to transfer to the

128-21

domiciliary liquidator in this state any assets within his or her control other than special deposits,

128-22

diminished only by the expenses of the ancillary receivership, if any, the claims filed in the

128-23

ancillary receivership other than special deposit claims or secured claims shall be placed in the

128-24

class of claims under § 27-14.3-46(8) 27-14.3-46(a)(8).

128-25

     SECTION 81. Sections 27-18-64 and 27-18-66 of the General Laws in Chapter 27-18

128-26

entitled "Accident and Sickness Insurance Policies" are hereby amended to read as follows:

128-27

     27-18-64. Coverage for early intervention services. -- (a) Every individual or group

128-28

hospital or medical expense insurance policy or contract providing coverage for dependent

128-29

children, delivered or renewed in this state on or after the effective date of this act [July 1, 2004],

128-30

shall include coverage of early intervention services which coverage shall take effect no later than

128-31

January 1, 2005. Such coverage shall be limited to a benefit of five thousand dollars ($5,000) per

128-32

dependent child per policy or calendar year and shall not be subject to deductibles and

128-33

coinsurance factors. Any amount paid by an insurer under this section for a dependent child shall

128-34

not be applied to any annual or lifetime maximum benefit contained in the policy or contract. For

129-1

the purpose of this section, “early intervention services” means, but is not limited to, speech and

129-2

language therapy, occupational therapy, physical therapy, evaluation, case management, nutrition,

129-3

service plan development and review, nursing services, and assistive technology services and

129-4

devices for dependents from birth to age three (3) who are certified by the department of human

129-5

services as eligible for services under part C of the Individuals with Disabilities Education Act

129-6

(20 U.S.C. § 1471 et seq.).

129-7

     (b) Subject to the annual limits provided in this section, insurers shall reimburse certified

129-8

early intervention providers, who are designated as such by the Department of Human Services,

129-9

for early intervention services as defined in this section at rates of reimbursement equal to or

129-10

greater than the prevailing integrated state/Medicaid rate for early intervention services as

129-11

established by the Department of Human Services.

129-12

     (c) This section shall not apply to insurance coverage providing benefits for: (1) hospital

129-13

confinement indemnity; (2) disability income; (3) accident only; (4) long-term care; (5) Medicare

129-14

supplement; (6) limited benefit health; (7) specified disease indemnity; (8) sickness or bodily

129-15

injury or death by accident or both; and (9) other limited benefit policies.

129-16

     27-18-66. Tobacco cessation programs. -- (1) (a) Every individual or group health

129-17

insurance contract, plan or policy delivered, issued for delivery or renewed in this state on or after

129-18

January 1, 2007, which provides medical coverage that includes coverage for physician services

129-19

in a physician's office, and every policy which provides major medical or similar comprehensive-

129-20

type coverage, shall include coverage for smoking cessation treatment, provided that if such

129-21

medical coverage does not include prescription drug coverage, such contract, plan or policy shall

129-22

not be required to include coverage for prescription nicotine replacement therapy.

129-23

     (2) (b) As used in this section, smoking cessation treatment includes the use of an over-

129-24

the-counter (OTC) or prescription US Food and Drug Administration (FDA) approved nicotine

129-25

replacement therapy, when recommended and prescribed by a prescriber who holds prescriptive

129-26

privileges in the state in which they are licensed, and used in combination with an annual

129-27

outpatient benefit of eight (8) one-half (1/2) hour smoking cessation counseling sessions provided

129-28

by a qualified practitioner for each covered individual. Smoking cessation treatment may be

129-29

further defined through regulation promulgated by the health insurance commissioner.

129-30

     (3) (c) Health insurance contracts, plans, or policies to which this section applies, may

129-31

impose copayments and/or deductibles for the benefits mandated by this section consistent with

129-32

the contracts', plans' or policies' copayments and/or deductibles for physician services and

129-33

medications. Nothing contained in this section shall impact the reimbursement, medical necessity

129-34

or utilization review, managed care, or case management practices of these health insurance

130-1

contracts, plans or policies.

130-2

     (4) (d) This section shall not apply to insurance coverage providing benefits for:

130-3

     (a) (1) Hospital confinement indemnity;

130-4

     (b) (2) Disability income;

130-5

     (c) (3) Accident only;

130-6

     (d) (4) Long-term care;

130-7

     (e) (5) Medicare supplement;

130-8

     (f) (6) Limited benefit health;

130-9

     (g) (7) Specified disease indemnity;

130-10

     (h) (8) Sickness or bodily injury or death by accident or both; and

130-11

     (i) (9) Other limited benefit policies.

130-12

     SECTION 82. Section 27-18.5-8 of the General Laws in Chapter 27-18.5 entitled

130-13

"Individual Health Insurance Coverage" is hereby amended to read as follows:

130-14

     27-18.5-8. Wellness health benefit plan. -- All carriers that offer health insurance in the

130-15

individual market shall actively market and offer the wellness health direct benefit plan to eligible

130-16

individuals. The wellness health direct benefit plan shall be determined by regulation

130-17

promulgated by the office of the health insurance commissioner (OHIC). The OHIC shall develop

130-18

the criteria for the direct wellness health benefit plan, including, but not limited to, benefit levels,

130-19

cost sharing levels, exclusions and limitations in accordance with the following:

130-20

     (a) (1) Form and utilize an advisory committee in accordance with subsection 27-50-

130-21

10(5).

130-22

     (b) (2) Set a target for the average annualized individual premium rate for the direct

130-23

wellness health benefit plan to be less than ten percent (10%) of the average annual statewide

130-24

wage, dependent upon the availability of reinsurance funds, as reported by the Rhode Island

130-25

department of labor and training, in their report entitled “Quarterly Census of Rhode Island

130-26

Employment and Wages.” In the event that this report is no longer available, or the OHIC

130-27

determines that it is no longer appropriate for the determination of maximum annualized

130-28

premium, an alternative method shall be adopted in regulation by the OHIC. The maximum

130-29

annualized individual premium rate shall be determined no later than August 1st of each year, to

130-30

be applied to the subsequent calendar year premiums rates.

130-31

     (c) (3) Ensure that the direct wellness health benefit plan creates appropriate incentives

130-32

for employers, providers, health plans and consumers to, among other things:

130-33

     (1) (i) Focus on primary care, prevention and wellness;

130-34

     (2) (ii) Actively manage the chronically ill population;

131-1

     (3) (iii) Use the least cost, most appropriate setting; and

131-2

     (4) (iv) Use evidence based, quality care.

131-3

     (d) (4) The plan shall be made available in accordance with title 27, chapter 18.5 as

131-4

required by regulation on or before May 1, 2007.

131-5

     SECTION 83. Sections 27-19-46, 27-19-55 and 27-19-57 of the General Laws in Chapter

131-6

27-19 entitled "Nonprofit Hospital Service Corporations" are hereby amended to read as follows:

131-7

     27-19-46. Magnetic resonance imaging - Quality assurance standards. -- (a) Except

131-8

as otherwise provided in subsection (b) of this section, a magnetic resonance imaging

131-9

examination eligible for reimbursement under the provisions of any individual or group health

131-10

insurance contract, plan or policy delivered in this state shall be reimbursed only if the facility at

131-11

which the examination has been conducted and processed is accredited by either the American

131-12

College of Radiology (ACR), the Intersocietal Accreditation Commission (IAC) or an alternate

131-13

nationally recognized accrediting organization whose accreditation standards are substantially

131-14

similar to and no less stringent than current or subsequent ACR or IAC standards and have been

131-15

reviewed and deemed adequate by the department of health. All accreditation standards under this

131-16

section, whether promulgated by the ACR, IAC, or an alternate nationally recognized accrediting

131-17

organization, shall include, but shall not be limited to, provisions for establishing the

131-18

qualifications of the physician, standards for quality control and routine performance monitoring

131-19

by a medical physicist, qualifications of the technologist including minimum standards of

131-20

supervised clinical experience, personnel and patient safety guidelines, and standards for initial

131-21

and ongoing quality control using clinical image review and quantitative testing.

131-22

     (b) Any facility conducting and processing magnetic resonance imaging examinations

131-23

which, as of June 30, 2006 is receiving reimbursement for such services by a health insurer,

131-24

health maintenance organization or health plan, but is not accredited pursuant to subsection (a),

131-25

shall file its application for accreditation within eighteen (18) months of the effective date of this

131-26

section [June 28, 2007]. Such accreditation shall be obtained not later than twelve (12) months

131-27

after submission of its application. A facility which begins conducting and processing, of

131-28

magnetic resonance imaging examinations after June 30, 2006 shall file its application for

131-29

accreditation within twelve (12) months of the date of initiation of the magnetic resonance

131-30

imaging examinations. Such accreditation shall be obtained not later than twelve (12) months

131-31

after submission of its application. After such accreditation is obtained, a facility conducting and

131-32

processing, of magnetic resonance imaging examinations shall, at all times, maintain

131-33

accreditation with the appropriate accrediting body. Notwithstanding anything herein to the

131-34

contrary, any facility which has filed for accreditation pursuant to this subsection (b) and which

132-1

has not been refused accreditation or withdrawn its application, will be deemed provisionally

132-2

accredited for the twelve (12) month period dating from the application filing date. Provided,

132-3

further, that notwithstanding any provisions of the general or public laws to the contrary, any

132-4

facility conducting and processing magnetic resonance imaging examinations shall conform to

132-5

the standards of the appropriate accrediting body at all times, including during the accreditation

132-6

process and shall certify said conformance to any reimbursing health insurer, health maintenance

132-7

organization or health plan.

132-8

     27-19-55. Coverage for early intervention services. -- (a) Every individual or group

132-9

hospital or medical expense insurance policy or contract providing coverage for dependent

132-10

children, delivered or renewed in this state on or after the effective date of this act [July 1, 2004],

132-11

shall include coverage of early intervention services which coverage shall take effect no later than

132-12

January 1, 2005. Such coverage shall be limited to a benefit of five thousand dollars ($5,000) per

132-13

dependent child per policy or calendar year and shall not be subject to deductibles and

132-14

coinsurance factors. Any amount paid by an insurer under this section for a dependent child shall

132-15

not be applied to any annual or lifetime maximum benefit contained in the policy or contract. For

132-16

the purpose of this section, “early intervention services” means, but is not limited to, speech and

132-17

language therapy, occupational therapy, physical therapy, evaluation, case management, nutrition,

132-18

service plan development and review, nursing services, and assistive technology services and

132-19

devices for dependents from birth to age three (3) who are certified by the department of human

132-20

services as eligible for services under part C of the Individuals with Disabilities Education Act

132-21

(20 U.S.C. § 1471 et seq.).

132-22

     (b) Subject to the annual limits provided in this section, insurers shall reimburse certified

132-23

early intervention providers, who are designated as such by the Department of Human Services,

132-24

for early intervention services as defined in this section at rates of reimbursement equal to or

132-25

greater than the prevailing integrated state/Medicaid rate for early intervention services as

132-26

established by the Department of Human Services.

132-27

     (c) This section shall not apply to insurance coverage providing benefits for: (1) hospital

132-28

confinement indemnity; (2) disability income; (3) accident only; (4) long-term care; (5) Medicare

132-29

supplement; (6) limited benefit health; (7) specified disease indemnity; (8) sickness or bodily

132-30

injury or death by accident or both; and (9) other limited benefit policies.

132-31

     27-19-57. Tobacco cessation programs. -- (1) (a) Every individual or group health

132-32

insurance contract, plan or policy delivered, issued for delivery or renewed in this state on or after

132-33

January 1, 2007, which provides medical coverage that includes coverage for physician services

132-34

in a physician's office, and every policy which provides major medical or similar comprehensive-

133-1

type coverage, shall include coverage for smoking cessation treatment, provided that if such

133-2

medical coverage does not include prescription drug coverage, such contract, plan or policy shall

133-3

not be required to include coverage for prescription nicotine replacement therapy.

133-4

     (2) (b) As used in this section, smoking cessation treatment includes the use of an over-

133-5

the-counter (OTC) or prescription US Food and Drug Administration (FDA) approved nicotine

133-6

replacement therapy, when recommended and prescribed by a prescriber who holds prescriptive

133-7

privileges in the state in which they are licensed, and used in combination with an annual

133-8

outpatient benefit of eight (8) one-half (1/2) hour smoking cessation counseling sessions provided

133-9

by a qualified practitioner for each covered individual. Smoking cessation treatment may be

133-10

further defined through regulation promulgated by the health insurance commissioner.

133-11

     (3) (c) Health insurance contracts, plans, or policies to which this section applies, may

133-12

impose copayments and/or deductibles for the benefits mandated by this section consistent with

133-13

the contracts', plans' or policies' copayments and/or deductibles for physician services and

133-14

medications. Nothing contained in this section shall impact the reimbursement, medical necessity

133-15

or utilization review, managed care, or case management practices of these health insurance

133-16

contracts, plans or policies.

133-17

     (4) (d) This section shall not apply to insurance coverage providing benefits for:

133-18

     (a) (1) Hospital confinement indemnity;

133-19

     (b) (2) Disability income;

133-20

     (c) (3) Accident only;

133-21

     (d) (4) Long-term care;

133-22

     (e) (5) Medicare supplement;

133-23

     (f) (6) Limited benefit health;

133-24

     (g) (7) Specified disease indemnity;

133-25

     (h) (8) Sickness or bodily injury or death by accident or both; and

133-26

     (i) (9) Other limited benefit policies.

133-27

     SECTION 84. Section 27-19.2-6 of the General Laws in Chapter 27-19.2 entitled

133-28

"Nonprofit Hospital and Medical Service Corporations" is hereby amended to read as follows:

133-29

     27-19.2-6. Actions requiring supermajority board approval. -- Neither a nonprofit

133-30

hospital service corporation, nor an affiliate (as defined in § 42-14.5-1 27-19.2-2(a)) that is an

133-31

insurer (as defined in § 27-20.6-1(1)), may take any of the following actions without the prior

133-32

approval of at least two-thirds percent (66.67%) of the corporations corporation’s entire board of

133-33

directors:

133-34

     (1) Authorize a conversion as defined in § 27-66-4(3);

134-1

     (2) Withdraw a health insurance product previously offered in the individual market; or

134-2

     (3) Result in the withdrawal from a geographic region.

134-3

     SECTION 85. Sections 27-20-41, 27-20-50 and 27-20-53 of the General Laws in Chapter

134-4

27-19.2 entitled "Nonprofit Medical Service Corporations" are hereby amended to read as

134-5

follows:

134-6

     27-20-41. Magnetic resonance imaging - Quality assurance standards. -- (a) Except

134-7

as otherwise provided in subsection (b) of this section, a magnetic resonance imaging

134-8

examination eligible for reimbursement under the provisions of any individual or group health

134-9

insurance contract, plan or policy delivered in this state shall be reimbursed only if the facility at

134-10

which the examination has been conducted and processed is accredited by either the American

134-11

College of Radiology (ACR), the Intersocietal Accreditation Commission (IAC) or an alternate

134-12

nationally recognized accrediting organization whose accreditation standards are substantially

134-13

similar to and no less stringent than current or subsequent ACR or IAC standards and have been

134-14

reviewed and deemed adequate by the department of health. All accreditation standards under this

134-15

section, whether promulgated by the ACR, IAC, or an alternate nationally recognized accrediting

134-16

organization, shall include, but shall not be limited to, provisions for establishing the

134-17

qualifications of the physician, standards for quality control and routine performance monitoring

134-18

by a medical physicist, qualifications of the technologist including minimum standards of

134-19

supervised clinical experience, personnel and patient safety guidelines, and standards for initial

134-20

and ongoing quality control using clinical image review and quantitative testing.

134-21

     (b) Any facility conducting and processing magnetic resonance imaging examinations

134-22

which, as of June 30, 2006 is receiving reimbursement for such services by a health insurer,

134-23

health maintenance organization or health plan, but is not accredited pursuant to subsection (a),

134-24

shall file its application for accreditation within eighteen (18) months of the effective date of this

134-25

section [June 28, 2007]. Such accreditation shall be obtained not later than twelve (12) months

134-26

after submission of its application. A facility which begins conducting and processing, of

134-27

magnetic resonance imaging examinations after June 30, 2006 shall file its application for

134-28

accreditation within twelve (12) months of the date of initiation of the magnetic resonance

134-29

imaging examinations. Such accreditation shall be obtained not later than twelve (12) months

134-30

after submission of its application. After such accreditation is obtained, a facility conducting and

134-31

processing, magnetic resonance imaging examinations shall, at all times, maintain accreditation

134-32

with the appropriate accrediting body. Notwithstanding anything herein to the contrary, any

134-33

facility which has filed for accreditation pursuant to this subsection (b) and which has not been

134-34

refused accreditation or withdrawn its application, will be deemed provisionally accredited for the

135-1

twelve (12) month period dating from the application filing date. Provided, further, that

135-2

notwithstanding any provisions of the general or public laws to the contrary, any facility

135-3

conducting and processing magnetic resonance imaging examinations shall conform to the

135-4

standards of the appropriate accrediting body at all times, including during the accreditation

135-5

process and shall certify said conformance to any reimbursing health insurer, health maintenance

135-6

organization or health plan.

135-7

     27-20-50. Coverage for early intervention services. -- (a) Every individual or group

135-8

hospital or medical expense insurance policy or contract providing coverage for dependent

135-9

children, delivered or renewed in this state on or after the effective date of this act [July 1, 2004],

135-10

shall include coverage of early intervention services which coverage shall take effect no later than

135-11

January 1, 2005. Such coverage shall be limited to a benefit of five thousand dollars ($5,000) per

135-12

dependent child per policy or calendar year and shall not be subject to deductibles and

135-13

coinsurance factors. Any amount paid by an insurer under this section for a dependent child shall

135-14

not be applied to any annual or lifetime maximum benefit contained in the policy or contract. For

135-15

the purpose of this section, “early intervention services” means, but is not limited to, speech and

135-16

language therapy, occupational therapy, physical therapy, evaluation, case management, nutrition,

135-17

service plan development and review, nursing services, and assistive technology services and

135-18

devices for dependents from birth to age three (3) who are certified by the department of human

135-19

services as eligible for services under part C of the Individuals with Disabilities Education Act

135-20

(20 U.S.C. § 1471 et seq.).

135-21

     (b) Subject to the annual limits provided in this section, insurers shall reimburse certified

135-22

early intervention providers, who are designated as such by the Department of Human Services,

135-23

for early intervention services as defined in this section at rates of reimbursement equal to or

135-24

greater than the prevailing integrated state/Medicaid rate for early intervention services as

135-25

established by the Department of Human Services.

135-26

     (c) This section shall not apply to insurance coverage providing benefits for: (1) hospital

135-27

confinement indemnity; (2) disability income; (3) accident only; (4) long-term care; (5) Medicare

135-28

supplement; (6) limited benefit health; (7) specified disease indemnity; (8) sickness or bodily

135-29

injury or death by accident or both; and (9) other limited benefit policies.

135-30

     27-20-53. Tobacco cessation programs. -- (1) (a) Every individual or group health

135-31

insurance contract, plan or policy delivered, issued for delivery or renewed in this state on or after

135-32

January 1, 2007, which provides medical coverage that includes coverage for physician services

135-33

in a physician's office, and every policy which provides major medical or similar comprehensive-

135-34

type coverage, shall include coverage for smoking cessation treatment, provided that if such

136-1

medical coverage does not include prescription drug coverage, such contract, plan or policy shall

136-2

not be required to include coverage for prescription nicotine replacement therapy.

136-3

     (2) (b) As used in this section, smoking cessation treatment includes the use of an over-

136-4

the-counter (OTC) or prescription US Food and Drug Administration (FDA) approved nicotine

136-5

replacement therapy, when recommended and prescribed by a prescriber who holds prescriptive

136-6

privileges in the state in which they are licensed, and used in combination with an annual

136-7

outpatient benefit of eight (8) one-half (1/2) hour smoking cessation counseling sessions provided

136-8

by a qualified practitioner for each covered individual. Smoking cessation treatment may be

136-9

further defined through regulation promulgated by the health insurance commissioner.

136-10

     (3) (c) Health insurance contracts, plans, or policies to which this section applies, may

136-11

impose copayments and/or deductibles for the benefits mandated by this section consistent with

136-12

the contracts', plans' or policies' copayments and/or deductibles for physician services and

136-13

medications. Nothing contained in this section shall impact the reimbursement, medical necessity

136-14

or utilization review, managed care, or case management practices of these health insurance

136-15

contracts, plans or policies.

136-16

     (4) (d) This section shall not apply to insurance coverage providing benefits for:

136-17

     (a) (1) Hospital confinement indemnity;

136-18

     (b) (2) Disability income;

136-19

     (c) (3) Accident only;

136-20

     (d) (4) Long-term care;

136-21

     (e) (5) Medicare supplement;

136-22

     (f) (6) Limited benefit health;

136-23

     (g) (7) Specified disease indemnity;

136-24

     (h) (8) Sickness or bodily injury or death by accident or both; and

136-25

     (i) (9) Other limited benefit policies.

136-26

     SECTION 86. Section 27-20.8-1 of the General Laws in Chapter 27-20.8 entitled

136-27

"Prescription Drug Benefits" is hereby amended to read as follows:

136-28

     27-20.8-1. Definitions. -- For the purposes of this chapter, the following terms shall

136-29

mean:

136-30

     (a) (1) “Director” shall mean the director of the department of business regulation.

136-31

     (b) (2) “Health plan” shall mean an insurance carrier as defined in chapters 18, 19, 20 and

136-32

41 of this title.

136-33

     (c) (3) “Insured” shall mean any person who is entitled to have pharmacy services paid

136-34

by a health plan pursuant to a policy, certificate, contract or agreement of insurance or coverage

137-1

including those administered for the health plan under a contract with a third-party administrator

137-2

that manages pharmacy benefits or pharmacy network contracts.

137-3

     SECTION 87. Section 27-20.9-1 of the General Laws in Chapter 27-20.9 entitled

137-4

"Contract with Health Care Providers" is hereby amended to read as follows:

137-5

     27-20.9-1. Health care contracts - Required provisions - Definitions. -- (a) On and

137-6

after January 1, 2008, a health insurer that contracts with a health care provider shall comply with

137-7

the provisions of this chapter and shall include the provisions required by this chapter in the

137-8

health care contract. A contract in existence prior to January 1, 2008, that is renewed or renews

137-9

by its terms shall comply with the provisions of this chapter no later than December 31, 2008.

137-10

     (b) As used in this chapter, unless the context otherwise requires:

137-11

     (i) (1) “Health care contract” means a contract entered into or renewed between a health

137-12

insurer and a health care provider for the delivery of health care services to others.

137-13

     (ii) (2) “Health care provider” means a person licensed or certified in this state to practice

137-14

medicine, pharmacy, chiropractic, nursing, physical therapy, podiatry, dentistry, optometry,

137-15

occupational therapy, or other healing arts.

137-16

     (iii) (3) “Health insurer” means every nonprofit medical service corporation, hospital

137-17

service corporation, health maintenance organization, or other insurer offering and/or insuring

137-18

health services; the term shall in addition include any entity defined as an insurer under § 42-62-4

137-19

and any third-party administrator when interacting with health care providers and enrollees on

137-20

behalf of such an insurer.

137-21

     SECTION 88. Section 27-29-17.1 of the General Laws in Chapter 27-29 entitled "Unfair

137-22

Competition and Practices" is hereby amended to read as follows:

137-23

     27-29-17.1. Definitions. -- For the purpose of §§ 27-29-17 — 27-29-17.4:

137-24

     (1) “Commissioner” means the commissioner of insurance.

137-25

     (2) “Expiration date” means the date upon which coverage under a policy ends. It also

137-26

means, for a policy written for a term longer than one year or with no fixed expiration date, each

137-27

annual anniversary date of such policy.

137-28

     (3) “Nonrenewal” means termination of a policy at its expiration date.

137-29

     (a) (4) “Renewal” or “to renew” means the issuance of or the offer by an insurer to issue

137-30

a policy succeeding a policy previously issued and delivered by the same insurer or an insurer

137-31

within the same group of insurers, or the issuance of a certificate or notice extending the term of

137-32

an existing policy for a specified period beyond its expiration date.

137-33

     (b) “Expiration date” means the date upon which coverage under a policy ends. It also

137-34

means, for a policy written for a term longer than one year or with no fixed expiration date, each

138-1

annual anniversary date of such policy.

138-2

     (c) “Nonrenewal” means termination of a policy at its expiration date.

138-3

     (d) “Commissioner” means the commissioner of insurance.

138-4

     SECTION 89. Sections 27-29.1-1 and 27-29.1-5 of the General Laws in Chapter 27-29.1

138-5

entitled "Pharmacy Freedom of Choice – Fair Competition and Practices" are hereby amended to

138-6

read as follows:

138-7

     27-29.1-1. Definitions. -- For purposes of this chapter, the following terms shall mean:

138-8

     (a) (1) “Director” shall mean the director of the department of business regulation.

138-9

     (b) (2) “Eligible bidder” shall mean a retail pharmacy, community pharmacy or pharmacy

138-10

department registered pursuant to chapter 19 of title 5, irrespective of corporate structure or

138-11

number of locations at which it conducts business, located within the geographical service area of

138-12

a carrier and willing to bid for participation in a restricted pharmacy network contract.

138-13

     (c) (3) “Insurer” shall mean an insurance carrier as defined in chapters 18, 19, 20 and 41

138-14

of title 27.

138-15

     (d) (4) “Insured” shall mean any person who is entitled to have pharmacy services paid

138-16

by an insurer pursuant to a policy, certificate, contract or agreement of insurance or coverage.

138-17

     (e) (5) “Non-restricted pharmacy network” shall mean a network that permits any

138-18

pharmacy to participate on substantially uniform terms and conditions established by an insurer

138-19

or pharmacy benefits manager.

138-20

     (f) (6) “Pharmacy benefits manager” shall mean any person or entity that is not licensed

138-21

in Rhode Island as an insurer and that develops or manages pharmacy benefits, pharmacy

138-22

network contracts, or the pharmacy benefit bid process.

138-23

     (g) (7) “Restricted pharmacy network” shall mean an arrangement for the provision of

138-24

pharmaceutical drug services to insureds which under the terms of an insurer's policy, certificate,

138-25

contract or agreement of insurance or coverage requires an insured or creates a financial incentive

138-26

for an insured to obtain prescription drug services from one or more participating pharmacies that

138-27

have entered into a specific contractual relationship with the carrier.

138-28

     27-29.1-5. Participation of independent community pharmacies. -- (a) Any

138-29

pharmacies licensed in the state of Rhode Island that are not owned or controlled, directly or

138-30

indirectly by an entity that owns pharmacies licensed in two (2) or more jurisdictions other than

138-31

Rhode Island, which are not participating in an insurer's restricted pharmacy network contract

138-32

shall nevertheless have the right to provide prescription drug services to the insurer's insureds and

138-33

be paid by the insurer as if the pharmacy were participating in the insurer's restricted pharmacy

138-34

network, provided that such non-network independent pharmacies agree:

139-1

     (1) To accept as the insurer's payments in full the price required of pharmacies in the

139-2

insurer's restricted pharmacy network;

139-3

     (2) To bill to the insured up to and not in excess of any copayment, coinsurance,

139-4

deductible, other amount required of an insured by the insurer, or for other uncovered services;

139-5

     (3) To be reimbursed on the same methodological basis, including, but not limited to,

139-6

capitation or other risk-sharing methodology, as required of pharmacies, in the insurer's restricted

139-7

pharmacy network;

139-8

     (4) To participate in the insurer's utilization review and quality assurance programs,

139-9

including utilization and drug management reports as required of pharmacies in the carrier's

139-10

restricted pharmacy network;

139-11

     (5) To provide computerized online eligibility determinations and claims submissions as

139-12

required of pharmacies in the insurer's restricted pharmacy network;

139-13

     (6) To participate in the insurer's satisfaction surveys and complaint resolution programs

139-14

for its insureds;

139-15

     (7) To protect the insurer's proprietary information and an insured's confidentiality and

139-16

privacy;

139-17

     (8) To abide by the insurer's performance standards with respect to waiting times, fill

139-18

rates and inventory management, including formulary restrictions;

139-19

     (9) To comply with the insurer's claims audit provisions; and

139-20

     (10) To certify, using audit results or accountant statements, the fiscal soundness of the

139-21

non-network pharmacy.

139-22

     (b) An insurer may waive any of the aforementioned agreements in arranging for the

139-23

provision of pharmaceutical drug benefits to insureds through a non-network pharmacy. An

139-24

insurer shall not impose any agreements, terms or conditions on any non-network independent

139-25

community pharmacy, or on any association of pharmacies, which are more restrictive than those

139-26

required of pharmacies in the insurer's restricted pharmacy network. The failure of a non-network

139-27

pharmacy to abide by the aforementioned agreements may, at the option of the insurer, serve as

139-28

the basis for cancellation of the non-network pharmacy's participation.

139-29

     SECTION 90. Section 27-29.2-2 of the General Laws in Chapter 27-29.2 entitled

139-30

"Freedom of Choice for Orthotic or Prosthetic Services" is hereby amended to read as follows:

139-31

     27-29.2-2. Definitions. -- As used in this chapter:

139-32

     (a) (1) “Orthosis” means a custom fabricated brace or support that is designed based on

139-33

medical necessity. “Orthosis” does not include prefabricated or direct-formed orthotic devices, or

139-34

any of the following assistive technology devices: Commercially available knee orthoses used

140-1

following injury or surgery; spastic muscle-tone inhibiting orthoses; upper extremity adaptive

140-2

equipment; finger splints; hand splints; wrists gauntlets; face masks used following burns;

140-3

wheelchair seating that is an integral part of the wheelchair and not worn by the patient

140-4

independent of the wheelchair; fabric or elastic supports; corsets; low-temperature formed plastic

140-5

splints; trusses; elastic hose; canes; crutches; cervical collars; dental appliances; and other similar

140-6

devises as determined by the director of the department of business regulation such as those

140-7

commonly carried in stock by a pharmacy, department store, corset shop, or surgical supply

140-8

facility.

140-9

     (b) (2) “Orthotics” means the science and practice of evaluating, measuring, designing,

140-10

fabricating, assembling, fitting, adjusting or servicing, as well as providing the initial training

140-11

necessary to accomplish the fitting of an orthosis for the support, correction, or alleviation of

140-12

neuromuscular or musculoskeletal dysfunction, disease, injury or deformity. The practice of

140-13

orthotics encompasses evaluation, treatment and consultation with basic observational gait and

140-14

postural analysis. Orthotists assess and design orthoses to maximize function and provide not

140-15

only the support but the alignment necessary to either prevent or correct deformity or to improve

140-16

the safety and efficiency of mobility or locomotion, or both. Orthotic practice includes, providing

140-17

continuing patient care in order to assess its effect on the patient's tissues and to assure proper fit

140-18

and function of the orthotic device by periodic evaluation.

140-19

     (c) (3) “Prosthesis” means an artificial limb that is alignable or, in lower extremity

140-20

applications, capable of weight bearing. Prosthesis means an artificial medical device that is not

140-21

surgically implanted and that is used to replace a missing limb, appendage, or other external

140-22

human body part including an artificial limb, hand, or foot. The term does not include artificial

140-23

eyes, ears, noses, dental appliances, osotmy products, or devices such as eyelashes or wigs.

140-24

     (d) (4) “Prosthetics” means the science and practice of evaluating, measuring, designing,

140-25

fabricating, assembling, fitting, aligning, adjusting or servicing, as well as providing the initial

140-26

training necessary to accomplish the fitting of a prosthesis through the replacement of external

140-27

parts of a human body lost due to amputation or congenital deformities or absences. The practice

140-28

of prosthetics also includes the generation of an image, form, or mold that replicates the patient's

140-29

body or body segment and that requires rectification of dimensions, contours and volumes for use

140-30

in the design and fabrication of a socket to accept a residual anatomic limb to, in turn, create an

140-31

artificial appendage that is designed either to support body weight or to improve or restore

140-32

function or cosmesis, or both. Involved in the practice of prosthetics is observational gait analysis

140-33

and clinical assessment of the requirements necessary to refine and mechanically fix the relative

140-34

position of various parts of the prosthesis to maximize function, stability, and safety of the

141-1

patient. The practice of prosthetics includes providing and continuing patient care in order to

141-2

assess the prosthetic device's effect on the patient's tissues and to assure proper fit and function of

141-3

the prosthetic device by periodic evaluation.

141-4

     SECTION 91. Section 27-34.2-21 of the General Laws in Chapter 27-34.2 entitled "Long

141-5

Term Care Insurance" is hereby amended to read as follows:

141-6

     27-34.2-21. Producer training requirements. -- (a) On or after January 1, 2008, an

141-7

individual may not sell, solicit or negotiate long-term care insurance unless the individual is

141-8

licensed as an insurance producer for accident and health or sickness or life and has completed a

141-9

one-time training course. The training shall meet the requirements set forth in this section.

141-10

     (b) An individual already licensed and selling, soliciting or negotiating long-term care

141-11

insurance on the effective date of this act [July 3, 2007] may not continue to sell, solicit or

141-12

negotiate long-term care insurance unless the individual has completed a one-time training course

141-13

as set forth in the section, within one year from the effective date of this act [July 3, 2007].

141-14

     (c) In addition to the one-time training course required in this section, an individual who

141-15

sells, solicits or negotiates long-term care insurance shall complete ongoing training as set forth

141-16

in this section.

141-17

     (d) The training requirements of this section may be approved as continuing education

141-18

courses.

141-19

     (e) The one-time training required by this section shall be no less than eight (8) hours

141-20

and the ongoing training required by this section shall be no less than four (4) hours every

141-21

twenty-four (24) months.

141-22

     (f) The training required under paragraph (a) shall consist of topics related to long-term

141-23

care insurance, long-term care services and, if applicable, qualified state long-term care

141-24

insurance. Partnership programs, including, but not limited to:

141-25

     (1) State and federal regulations and requirements and the relationship between qualified

141-26

state long-term care insurance partnership programs and other public and private coverage of

141-27

long-term services, including Medicaid;

141-28

     (2) Available long-term care services and providers;

141-29

     (3) Changes or improvements in long-term care services or providers;

141-30

     (4) Alternatives to the purchase of private long-term care insurance;

141-31

     (5) The effect of inflation on benefits and the importance of inflation protection; and

141-32

     (6) Consumer suitability standards and guidelines.

141-33

     (g) The training required by this section shall not include training that is insurer or

141-34

company product specific or that includes any sales or marketing information, materials, or

142-1

training, other than those required by state or federal law.

142-2

     (h) Insurers subject to this act shall obtain verification that a producer receives training

142-3

required by this section before a producer is permitted to sell, solicit or negotiate the insurer's

142-4

long-term care insurance products, maintain records subject to the state's record retention

142-5

requirements, and make that verification available to the commissioner upon request.

142-6

     (i) Insurers subject to this act shall maintain records with respect to the training of its

142-7

producers concerning the distribution of its partnership policies that will allow the state insurance

142-8

department to provide assurance to the state Medicaid agency that producers have received the

142-9

training contained in this section and that producers have demonstrated an understanding of the

142-10

partnership policies and their relationship to public and private coverage of long-term care,

142-11

including Medicaid, in this state. These records shall be maintained in accordance with the state's

142-12

record retention requirements and shall be made available to the commissioner upon request.

142-13

     (j) The satisfaction of these training requirements in any state shall be deemed to satisfy

142-14

the training requirements in this state.

142-15

     SECTION 92. Sections 27-34.3-6 and 27-34.3-7 of the General Laws in Chapter 27-34.3

142-16

entitled "Rhode Island Life and Health Insurance Guaranty Association Act" are hereby amended

142-17

to read as follows:

142-18

     27-34.3-6. Creation of the association. -- (a) There is created a nonprofit legal entity to

142-19

be known as the Rhode Island life and health insurance guaranty association. All member insurers

142-20

shall be and remain members of the association as a condition of their authority to transact

142-21

insurance in this state. The association shall perform its functions under the plan of operation

142-22

established and approved under § 27-34.3-10, or as previously established and approved under §

142-23

27-34.1-11 [Repealed.] and shall exercise its powers through a board of directors established

142-24

under § 27-34.3-7 or as previously established under § 27-34.1-8 [Repealed.]. For purposes of

142-25

administration and assessment, the association shall maintain two (2) accounts:

142-26

     (1) The life insurance and annuity account which includes the following subaccounts:

142-27

     (i) Life insurance account;

142-28

     (ii) Annuity account; which shall include annuity contracts owned by a governmental

142-29

retirement plan (or its trustee) established under section 401, 403(b) or 457 of the United States

142-30

Internal Revenue Code, 26 U.S.C. section 401, 403(b) or 457, but shall otherwise exclude

142-31

unallocated annuities; and

142-32

     (iii) Unallocated annuity account which shall exclude contracts owned by a governmental

142-33

retirement benefit plan (or its trustee) established under § 401, 403(b) or 457 of the United States

142-34

Internal Revenue Code, 26 U.S.C. § 401, 403(b) or 457.

143-1

     (2) The health insurance account.

143-2

     (b) The association shall come under the immediate supervision of the commissioner and

143-3

shall be subject to the applicable provisions of the insurance laws of this state. Meetings or

143-4

records of the association may be open to the public upon majority vote of the board of directors.

143-5

     27-34.3-7. Board of directors. -- (a) The board of directors of the association shall

143-6

consist of not less than five (5) nor more than nine (9) member insurers serving terms as

143-7

established in the plan of operation. The insurer members of the board shall be selected by

143-8

member insurers subject to the approval of the commissioner. The board of directors, previously

143-9

established under § 27-34.1-8 [Repealed.], shall continue to operate in accordance with the

143-10

provision of this section. Vacancies on the board shall be filled for the remaining period of the

143-11

term by a majority vote of the remaining board members, subject to the approval of the

143-12

commissioner.

143-13

     (b) In approving selections to the board, the commissioner shall consider, among other

143-14

things, whether all member insurers are fairly represented.

143-15

     (c) Members of the board may be reimbursed from the assets of the association for

143-16

expenses incurred by them as members of the board of directors but members of the board shall

143-17

not be compensated by the association for their services.

143-18

     SECTION 93. Section 27-38.2-3 of the General Laws in Chapter 27-38.2 entitled

143-19

"Insurance Coverage for Mental Illness and Substance Abuse" is hereby amended to read as

143-20

follows:

143-21

     27-38.2-3. Medical necessity and appropriateness of treatment. -- (a) Upon request of

143-22

the reimbursing health insurers, all providers of treatment of mental illness shall furnish medical

143-23

records or other necessary data which substantiates that initial or continued treatment is at all

143-24

times medically necessary and appropriate. When the provider cannot establish the medical

143-25

necessity and/or appropriateness of the treatment modality being provided, neither the health

143-26

insurer nor the patient shall be obligated to reimburse for that period or type of care that was not

143-27

established. The exception to the preceding can only be made if the patient has been informed of

143-28

the provisions of this subsection and has agreed in writing to continue to receive treatment at his

143-29

or her own expense.

143-30

     (b) The health insurers, when making the determination of medically necessary and

143-31

appropriate treatment, must do so in a manner consistent with that used to make the determination

143-32

for the treatment of other diseases or injuries covered under the health insurance policy or

143-33

agreement.

143-34

     (b) (c) Any subscriber who is aggrieved by a denial of benefits provided under this

144-1

chapter may appeal a denial in accordance with the rules and regulations promulgated by the

144-2

department of health pursuant to chapter 17.12 of title 23.

144-3

     SECTION 94. Sections 27-41-56, 27-41-68 and 27-41-70 of the General Laws in Chapter

144-4

27-41 entitled "Health Maintenance Organizations" are hereby amended to read as follows:

144-5

     27-41-56. Magnetic resonance imaging - Quality assurance standards. -- (a) Except

144-6

as otherwise provided in subsection (b) of this section, a magnetic resonance imaging

144-7

examination eligible for reimbursement under the provisions of any individual or group health

144-8

insurance contract, plan or policy delivered in this state shall be reimbursed only if the facility at

144-9

which the examination has been conducted and processed is accredited by either the American

144-10

College of Radiology (ACR), the Intersocietal Accreditation Commission (IAC) or an alternate

144-11

nationally recognized accrediting organization whose accreditation standards are substantially

144-12

similar to and no less stringent than current or subsequent ACR or IAC standards and have been

144-13

reviewed and deemed adequate by the department of health. All accreditation standards under this

144-14

section, whether promulgated by the ACR, IAC, or an alternate nationally recognized accrediting

144-15

organization, shall include, but shall not be limited to, provisions for establishing the

144-16

qualifications of the physician, standards for quality control and routine performance monitoring

144-17

by a medical physicist, qualifications of the technologist including minimum standards of

144-18

supervised clinical experience, personnel and patient safety guidelines, and standards for initial

144-19

and ongoing quality control using clinical image review and quantitative testing.

144-20

     (b) Any facility conducting and processing magnetic resonance imaging examinations

144-21

which, as of June 30, 2006 is receiving reimbursement for such services by a health insurer,

144-22

health maintenance organization or health plan, but is not accredited pursuant to subsection (a),

144-23

shall file its application for accreditation within eighteen (18) months of the effective date of this

144-24

section [June 28, 2007]. Such accreditation shall be obtained not later than twelve (12) months

144-25

after submission of its application. A facility which begins conducting and processing, of

144-26

magnetic resonance imaging examinations after June 30, 2006 shall file its application for

144-27

accreditation within twelve (12) months of the date of initiation of the magnetic resonance

144-28

imaging examinations. Such accreditation shall be obtained not later than twelve (12) months

144-29

after submission of its application. After such accreditation is obtained, a facility conducting and

144-30

processing, magnetic resonance imaging examinations shall, at all times, maintain accreditation

144-31

with the appropriate accrediting body. Notwithstanding anything herein to the contrary, any

144-32

facility which has filed for accreditation pursuant to this subsection (b) and which has not been

144-33

refused accreditation or withdrawn its application, will be deemed provisionally accredited for the

144-34

twelve (12) month period dating from the application filing date. Provided, further, that

145-1

notwithstanding any provisions of the general or public laws to the contrary, any facility

145-2

conducting and processing magnetic resonance imaging examinations shall conform to the

145-3

standards of the appropriate accrediting body at all times, including during the accreditation

145-4

process and shall certify said conformance to any reimbursing health insurer, health maintenance

145-5

organization or health plan.

145-6

     27-41-68. Coverage for early intervention services. -- (a) Every individual or group

145-7

hospital or medical expense insurance policy or contract providing coverage for dependent

145-8

children, delivered or renewed in this state on or after the effective date of this act [July 1, 2004],

145-9

shall include coverage of early intervention services which coverage shall take effect no later than

145-10

January 1, 2005. Such coverage shall be limited to a benefit of five thousand dollars ($5,000) per

145-11

dependent child per policy or calendar year and shall not be subject to deductibles and

145-12

coinsurance factors. Any amount paid by an insurer under this section for a dependent child shall

145-13

not be applied to any annual or lifetime maximum benefit contained in the policy or contract. For

145-14

the purpose of this section, “early intervention services” means, but is not limited to, speech and

145-15

language therapy, occupational therapy, physical therapy, evaluation, case management, nutrition,

145-16

service plan development and review, nursing services, and assistive technology services and

145-17

devices for dependents from birth to age three (3) who are certified by the department of human

145-18

services as eligible for services under part C of the Individuals with Disabilities Education Act

145-19

(20 U.S.C. § 1471 et seq.).

145-20

     (b) Subject to the annual limits provided in this section, insurers shall reimburse certified

145-21

early intervention providers, who are designated as such by the Department of Human Services,

145-22

for early intervention services as defined in this section at rates of reimbursement equal to or

145-23

greater than the prevailing integrated state/Medicaid rate for early intervention services as

145-24

established by the Department of Human Services.

145-25

     (c) This section shall not apply to insurance coverage providing benefits for: (1) hospital

145-26

confinement indemnity; (2) disability income; (3) accident only; (4) long-term care; (5) Medicare

145-27

supplement; (6) limited benefit health; (7) specified disease indemnity; (8) sickness or bodily

145-28

injury or death by accident or both; and (9) other limited benefit policies.

145-29

     27-41-70. Tobacco cessation programs. -- (1) (a) Every individual or group health

145-30

insurance contract, plan or policy delivered, issued for delivery or renewed in this state on or after

145-31

January 1, 2007, which provides medical coverage that includes coverage for physician services

145-32

in a physician's office, and every policy which provides major medical or similar comprehensive-

145-33

type coverage, shall include coverage for smoking cessation treatment, provided that if such

145-34

medical coverage does not include prescription drug coverage, such contract, plan or policy shall

146-1

not be required to include coverage for prescription nicotine replacement therapy.

146-2

     (2) (b) As used in this section, smoking cessation treatment includes the use of an over-

146-3

the-counter (OTC) or prescription US Food and Drug Administration (FDA) approved nicotine

146-4

replacement therapy, when recommended and prescribed by a prescriber who holds prescriptive

146-5

privileges in the state in which they are licensed, and used in combination with an annual

146-6

outpatient benefit of eight (8) one-half (1/2) hour smoking cessation counseling sessions provided

146-7

by a qualified practitioner for each covered individual. Smoking cessation treatment may be

146-8

further defined through regulation promulgated by the health insurance commissioner.

146-9

     (3) (c) Health insurance contracts, plans, or policies to which this section applies, may

146-10

impose copayments and/or deductibles for the benefits mandated by this section consistent with

146-11

the contracts', plans' or policies' copayments and/or deductibles for physician services and

146-12

medications. Nothing contained in this section shall impact the reimbursement, medical necessity

146-13

or utilization review, managed care, or case management practices of these health insurance

146-14

contracts, plans or policies.

146-15

     (4) (d) This section shall not apply to insurance coverage providing benefits for:

146-16

     (a) (1) Hospital confinement indemnity;

146-17

     (b) (2) Disability income;

146-18

     (c) (3) Accident only;

146-19

     (d) (4) Long-term care;

146-20

     (e) (5) Medicare supplement;

146-21

     (f) (6) Limited benefit health;

146-22

     (g) (7) Specified disease indemnity;

146-23

     (h) (8) Sickness or bodily injury or death by accident or both; and

146-24

     (i) (9) Other limited benefit policies.

146-25

     SECTION 95. Section 27-49-3.1 of the General Laws in Chapter 27-49 entitled "Motor

146-26

Vehicle Theft and Motor Vehicle Insurance Fraud Reporting – Immunity Act" is hereby amended

146-27

to read as follows:

146-28

     27-49-3.1. Disclosure of personal information obtained in connection with motor

146-29

vehicle records. -- (a) Purpose. The purpose of this section is to implement the federal Driver's

146-30

Privacy Protection Act of 1994 (“DPPA”), 18 U.S.C. § 2721 et seq..

146-31

     (b) Definitions. As defined in 18 U.S.C. § 2725, the following definitions apply to this

146-32

section:

146-33

     (1) “Motor vehicle record” means any record that pertains to a motor vehicle operator's

146-34

permit, motor vehicle title, motor vehicle registration, or identification card issued by the

147-1

department of motor vehicles;

147-2

     (2) “Person” means an individual, organization, or entity, but does not include a state or

147-3

agency of a state; and

147-4

     (3) “Personal information” means information that identifies an individual, including an

147-5

individual's photograph, social security number, driver identification number, name, address (but

147-6

not the 5 digit zip code), telephone number, and medical or disability information, but does not

147-7

include information on vehicular accidents, driving violations, and driver's status.

147-8

     (c) Prohibition on release and use of certain personal information from state motor

147-9

vehicle records.

147-10

     (1) In general. Except as provided in subdivision (2) of this section, the division of motor

147-11

vehicles, and any officer, employee, or contractor of the division, shall not knowingly disclose or

147-12

make available to any person or entity personal information about any individual obtained by the

147-13

division in connection with a motor vehicle record.

147-14

     (2) Permissible uses. Personal information referred to in subdivision (1) of this section

147-15

shall be disclosed for use in connection with matters of motor vehicle or driver safety and theft,

147-16

motor vehicle emissions, motor vehicle product alterations, recalls, or advisories, performance

147-17

monitoring of motor vehicles and dealers by motor vehicle manufacturers, and removal of

147-18

nonowner records from the original owner records of motor vehicles manufacturers to carry out

147-19

the purposes of the Automobile Information Disclosure Act, 15 U.S.C. § 1231 et seq., the Motor

147-20

Vehicle Information and Cost Saving Act (see now 49 U.S.C. § 32101 et seq.), the National

147-21

Traffic and Motor Vehicle Safety Act of 1966 (see now 49 U.S.C. § 30101 et seq.), and Anti-Car

147-22

Theft Act of 1992 (see now 49 U.S.C. § 32101 et seq.), and the Clean Air Act, 42 U.S.C. § 7401

147-23

et seq., and may be disclosed as follows:

147-24

     (i) For use by any government agency, including any court or law enforcement agency, in

147-25

carrying out its functions, or any private person or entity acting on behalf of a federal, state, or

147-26

local agency in carrying out its functions.

147-27

     (ii) use in connection with matters of motor vehicle or driver safety and theft; motor

147-28

vehicle emissions; motor vehicle product alterations, recalls or advisories; performance

147-29

monitoring of motor vehicles, motor vehicle parts and dealers; motor vehicle market research

147-30

activities, including survey research; and removal of nonowner records from the original owner

147-31

records of motor vehicle manufacturers.

147-32

     (iii) For use in the normal course of business by a legitimate business or its agents,

147-33

employees, or contractors, but only:

147-34

     (A) To verify the accuracy of personal information submitted by the individual to the

148-1

business of its agents, employees, or contractors, and

148-2

     (B) If the information as submitted is not correct or is no longer correct, to obtain the

148-3

correct information, but only for the purposes of preventing fraud by pursuing legal remedies

148-4

against, or recovering on a debt or security interest against, the individual.

148-5

     (iv) For use in connection with any civil, criminal, administrative, or arbitral proceeding

148-6

in any federal, state, or local agency or before any self-regulatory body, including the service of

148-7

process, investigation in anticipation of litigation, and the execution or enforcement of judgments

148-8

and orders, or pursuant to an order of a federal, state, or local court.

148-9

     (v) For use in research activities, and for use in producing statistical reports, so long as

148-10

the personal information is not published, redisclosed, or used to contact the individuals.

148-11

     (vi) For use by any insurer or insurance support organization, or by a self-insured entity,

148-12

or its agents, employees, or contractors in connection with claims investigation activities, anti-

148-13

fraud activities, rating or underwriting.

148-14

     (vii) For use in providing notice to the owners of towed or impounded vehicles.

148-15

     (viii) For use by any licensed private investigative agency or licensed security service for

148-16

any purpose permitted under this subsection.

148-17

     (ix) For use by an employer or its agent or insurer to obtain or verify information relating

148-18

to a holder of a commercial driver's license that is required under the Commercial Motor Vehicle

148-19

Safety Act of 1986 (see now 49 U.S.C. § 31301 et seq.).

148-20

     (x) For use in connection with the operation of private toll transportation facilities.

148-21

     (xi) For any other use in response to a request for individual motor vehicle records, unless

148-22

that use is prohibited by the individual.

148-23

     (xii) For bulk distribution for surveys, marketing or solicitations, provided that the

148-24

information will be used, rented or sold solely for bulk distribution for surveys, marketing, and

148-25

solicitations and that surveys, marketing, and solicitations will not be directed at those individuals

148-26

who have requested in a timely fashion that they not be directed at them.

148-27

     (3) Notice. The division of motor vehicles shall provide in a clear and conspicuous

148-28

manner on forms for issuance or renewal of operators permits, titles, registrations or identification

148-29

cards, notice that personal information collected by the division may be disclosed to any business

148-30

or person and provide in a clear and conspicuous manner on the forms an opportunity to prohibit

148-31

the disclosures; provided, that social security numbers and medical or disability information shall

148-32

not be subject to disclosure under this chapter.

148-33

     SECTION 96. Sections 27-50-5 and 27-50-17 of the General Laws in Chapter 27-50

148-34

entitled "Small Employer Health Insurance Availability Act" are hereby amended to read as

149-1

follows:

149-2

     27-50-5. Restrictions relating to premium rates. -- (a) Premium rates for health benefit

149-3

plans subject to this chapter are subject to the following provisions:

149-4

     (1) Subject to subdivision (2) of this subsection, a small employer carrier shall develop its

149-5

rates based on an adjusted community rate and may only vary the adjusted community rate for:

149-6

     (i) Age;

149-7

     (ii) Gender; and

149-8

     (iii) Family composition.

149-9

     (2) A small employer carrier who as of June 1, 2000, varied rates by health status may

149-10

vary the adjusted community rates for health status by ten percent (10%), provided that the

149-11

resulting rates comply with the other requirements of this section, including subdivision (5) of

149-12

this subsection.

149-13

     (3) The adjustment for age in paragraph (1)(i) of this subsection may not use age brackets

149-14

smaller than five (5) year increments and these shall begin with age thirty (30) and end with age

149-15

sixty-five (65).

149-16

     (4) The small employer carriers are permitted to develop separate rates for individuals

149-17

age sixty-five (65) or older for coverage for which Medicare is the primary payer and coverage

149-18

for which Medicare is not the primary payer. Both rates are subject to the requirements of this

149-19

subsection.

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     (5) For each health benefit plan offered by a carrier, the highest premium rate for each

149-21

family composition type shall not exceed four (4) times the premium rate that could be charged to

149-22

a small employer with the lowest premium rate for that family composition.

149-23

     (6) Premium rates for bona fide associations except for the Rhode Island Builders'

149-24

Association whose membership is limited to those who are actively involved in supporting the

149-25

construction industry in Rhode Island shall comply with the requirements of § 27-50-5.

149-26

     (b) The premium charged for a health benefit plan may not be adjusted more frequently

149-27

than annually except that the rates may be changed to reflect:

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     (1) Changes to the enrollment of the small employer;

149-29

     (2) Changes to the family composition of the employee; or

149-30

     (3) Changes to the health benefit plan requested by the small employer.

149-31

     (c) Premium rates for health benefit plans shall comply with the requirements of this

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section.

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     (d) Small employer carriers shall apply rating factors consistently with respect to all

149-34

small employers. Rating factors shall produce premiums for identical groups that differ only by

150-1

the amounts attributable to plan design and do not reflect differences due to the nature of the

150-2

groups assumed to select particular health benefit plans. Nothing in this section shall be construed

150-3

to prevent a group health plan and a health insurance carrier offering health insurance coverage

150-4

from establishing premium discounts or rebates or modifying otherwise applicable copayments or

150-5

deductibles in return for adherence to programs of health promotion and disease prevention,

150-6

including those included in affordable health benefit plans, provided that the resulting rates

150-7

comply with the other requirements of this section, including subdivision (a)(5) of this section.

150-8

     The calculation of premium discounts, rebates, or modifications to otherwise applicable

150-9

copayments or deductibles for affordable health benefit plans shall be made in a manner

150-10

consistent with accepted actuarial standards and based on actual or reasonably anticipated small

150-11

employer claims experience. As used in the preceding sentence, “accepted actuarial standards”

150-12

includes actuarially appropriate use of relevant data from outside the claims experience of small

150-13

employers covered by affordable health plans, including, but not limited to, experience derived

150-14

from the large group market, as this term is defined in § 27-18.6-2(20) 27-18.6-2(19).

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     (e) For the purposes of this section, a health benefit plan that contains a restricted

150-16

network provision shall not be considered similar coverage to a health benefit plan that does not

150-17

contain such a provision, provided that the restriction of benefits to network providers results in

150-18

substantial differences in claim costs.

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     (f) The director may establish regulations to implement the provisions of this section and

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to assure that rating practices used by small employer carriers are consistent with the purposes of

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this chapter, including regulations that assure that differences in rates charged for health benefit

150-22

plans by small employer carriers are reasonable and reflect objective differences in plan design or

150-23

coverage (not including differences due to the nature of the groups assumed to select particular

150-24

health benefit plans or separate claim experience for individual health benefit plans).

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     (g) In connection with the offering for sale of any health benefit plan to a small employer,

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a small employer carrier shall make a reasonable disclosure, as part of its solicitation and sales

150-27

materials, of all of the following:

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     (1) The provisions of the health benefit plan concerning the small employer carrier's right

150-29

to change premium rates and the factors, other than claim experience, that affect changes in

150-30

premium rates;

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     (2) The provisions relating to renewability of policies and contracts;

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     (3) The provisions relating to any preexisting condition provision; and

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     (4) A listing of and descriptive information, including benefits and premiums, about all

150-34

benefit plans for which the small employer is qualified.

151-1

     (h) (1) Each small employer carrier shall maintain at its principal place of business a

151-2

complete and detailed description of its rating practices and renewal underwriting practices,

151-3

including information and documentation that demonstrate that its rating methods and practices

151-4

are based upon commonly accepted actuarial assumptions and are in accordance with sound

151-5

actuarial principles.

151-6

     (2) Each small employer carrier shall file with the director annually on or before March

151-7

15 an actuarial certification certifying that the carrier is in compliance with this chapter and that

151-8

the rating methods of the small employer carrier are actuarially sound. The certification shall be

151-9

in a form and manner, and shall contain the information, specified by the director. A copy of the

151-10

certification shall be retained by the small employer carrier at its principal place of business.

151-11

     (3) A small employer carrier shall make the information and documentation described in

151-12

subdivision (1) of this subsection available to the director upon request. Except in cases of

151-13

violations of this chapter, the information shall be considered proprietary and trade secret

151-14

information and shall not be subject to disclosure by the director to persons outside of the

151-15

department except as agreed to by the small employer carrier or as ordered by a court of

151-16

competent jurisdiction.

151-17

     (4) For the wellness health benefit plan described in § 27-50-10, the rates proposed to be

151-18

charged and the plan design to be offered by any carrier shall be filed by the carrier at the office

151-19

of the health insurance commissioner no less than thirty (30) days prior to their proposed date of

151-20

use. The carrier shall be required to establish that the rates proposed to be charged and the plan

151-21

design to be offered are consistent with the proper conduct of its business and with the interest of

151-22

the public. The health insurance commissioner may approve, disapprove, or modify the rates

151-23

and/or approve or disapprove the plan design proposed to be offered by the carrier. Any

151-24

disapproval by the health insurance commissioner of a plan design proposed to be offered shall be

151-25

based upon a determination that the plan design is not consistent with the criteria established

151-26

pursuant to subsection 27-50-10(b).

151-27

     (i) The requirements of this section apply to all health benefit plans issued or renewed on

151-28

or after October 1, 2000.

151-29

     27-50-17. Affordable health plan reinsurance program for small businesses. -- (a)

151-30

The commissioner shall allocate funds from the affordable health plan reinsurance fund for the

151-31

affordable health reinsurance program.

151-32

     (b) The affordable health reinsurance program for small businesses shall only be

151-33

available to low wage firms, as defined in § 27-50-3, who pay a minimum of fifty percent (50%),

151-34

as defined in § 27-50-3, of single coverage premiums for their eligible employees, and who

152-1

purchase the wellness health benefit plan pursuant to § 27-50-10. Eligibility shall be determined

152-2

based on state and federal corporate tax filings. All eligible employees, as defined in § 27-50-3,

152-3

employed by low wage forms firms as defined in § 27-50-3-(oo) shall be eligible for the

152-4

reinsurance program if at least one low wage eligible employee as defined in regulation is

152-5

enrolled in the employer's wellness health benefit plan.

152-6

     (c) The affordable health plan reinsurance shall be in the firms of a carrier cost-sharing

152-7

arrangement, which encourages carriers to offer a discounted premium rate to participating

152-8

individuals, and whereby the reinsurance fund subsidizes the carriers' losses within a prescribed

152-9

corridor of risk as determined by regulation.

152-10

     (d) The specific structure of the reinsurance arrangement shall be defined by regulations

152-11

promulgated by the commissioner.

152-12

     (e) All carriers who participate in the Rhode Island RIte Care program as defined in § 42-

152-13

12.3-4 and the procurement process for the Rhode Island state employee account, as described in

152-14

chapter 36-12, must participate in the affordable health plan reinsurance program.

152-15

     (f) The commissioner shall determine total eligible enrollment under qualifying small

152-16

group health insurance contracts by dividing the funds available for distribution from the

152-17

reinsurance fund by the estimated per member annual cost of claims reimbursement from the

152-18

reinsurance fund.

152-19

     (g) The commissioner shall suspend the enrollment of new employers under qualifying

152-20

small group health insurance contracts if the director determines that the total enrollment reported

152-21

under such contracts is projected to exceed the total eligible enrollment, thereby resulting in

152-22

anticipated annual expenditures from the reinsurance fund in excess of ninety-five percent (95%)

152-23

of the total funds available for distribution from the fund.

152-24

     (h) In the event the available funds in the affordable health reinsurance fund as created in

152-25

§ 42-14.5-3 are insufficient to satisfy all claims submitted to the fund in any calendar year, those

152-26

claims in excess of the available funds shall be due and payable in the succeeding calendar year,

152-27

or when sufficient funds become available whichever shall first occur. Unpaid claims from any

152-28

prior year shall take precedence over new claims submitted in any one year.

152-29

     (i) The commissioner shall provide the health maintenance organization, health insurers

152-30

and health plans with notification of any enrollment suspensions as soon as practicable after

152-31

receipt of all enrollment data. However, the suspension of issuance of qualifying small group

152-32

health insurance contracts shall not preclude the addition of new employees of an employer

152-33

already covered under such a contract or new dependents of employees already covered under

152-34

such contracts.

153-1

     (j) The premiums of qualifying small group health insurance contracts must be no more

153-2

than ninety percent (90%) of the actuarially-determined and commissioner approved premium for

153-3

this health plan without the reinsurance program assistance.

153-4

     (k) The commissioner shall prepare periodic public reports in order to facilitate

153-5

evaluation and ensure orderly operation of the funds, including, but not limited to, an annual

153-6

report of the affairs and operations of the fund, containing an accounting of the administrative

153-7

expenses charged to the fund. Such reports shall be delivered to the co-chairs of the joint

153-8

legislative committee on health care oversight by March 1st of each year.

153-9

     SECTION 97. Section 27-64-6 of the General Laws in Chapter 27-64 entitled "The

153-10

Protected Cell Companies Act" is hereby amended to read as follows:

153-11

     27-64-6. Reach of creditors and other claimants. -- (a) (1) Protected cell assets shall

153-12

only be available to the creditors of the protected cell company that are creditors in respect to that

153-13

protected cell and shall be entitled, in conformity with the provisions of this Act chapter, to have

153-14

recourse to the protected cell assets attributable to that protected cell, and shall be absolutely

153-15

protected from the creditors of the protected cell company that are not creditors in respect of that

153-16

protected cell and, who accordingly, shall not be entitled to have recourse to the protected cell

153-17

assets attributable to that protected cell. Creditors with respect to a protected cell shall not be

153-18

entitled to have recourse against the protected cell assets of other protected cells or the assets of

153-19

the protected cell company's general account.

153-20

     (2) Protected cell assets shall only be available to creditors of a protected cell company

153-21

after all protected cell liabilities have been extinguished or provided for in accordance with the

153-22

plan of operation relating to that protected cell.

153-23

     (b) When an obligation of a protected cell company to a person arises from a transaction,

153-24

or is imposed, in respect of a protected cell: (1) that obligation of the protected cell company shall

153-25

extend only to the protected cell assets attributable to that protected cell, and the person shall,

153-26

with respect to that obligation, be entitled to have recourse only to the protected cell assets

153-27

attributable to that protected cell, and (2) that obligation of the company shall not extend to the

153-28

protected cell assets of any other protected cell or the assets of the protected cell company's

153-29

general account, and that person shall not, with respect to that obligation, be entitled to have

153-30

recourse to the protected cell assets of any other protected cell or the assets of the protected cell

153-31

company's general account.

153-32

     (c) When an obligation of a protected cell company relates solely to the general account,

153-33

the obligation of the protected cell company shall extend only to, and that creditor shall, with

153-34

respect to that obligation, be entitled to have recourse only to the assets of the protected cell

154-1

company's general account.

154-2

     (d) The activities, assets, and obligations relating to a protected cell are not subject to the

154-3

provisions of chapters 34, 34.1 and 34.3 of this title and neither a protected cell nor a protected

154-4

cell company shall be assessed by or be required to contribute to any guaranty fund or guaranty

154-5

association in this state with respect to the activities, assets or obligations of a protected cell.

154-6

Nothing in this section shall affect the activities or obligations of an insurer's general account.

154-7

     (e) In no event shall the establishment of one or more protected cells alone constitute or

154-8

be deemed to be a fraudulent conveyance, an intent by the protected cell company to defraud

154-9

creditors or the carrying out of business by the protected cell company for any other fraudulent

154-10

purpose.

154-11

      SECTION 98. This act shall take effect upon passage.

     

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LC01091/SUB A

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N A C T

RELATING TO STATUTES AND STATUTORY CONSTRUCTION

***

155-1

     This act would make technical adjustments to various statutes as recommended by the

155-2

Law Revision Office of the Joint Committee on Legislative Services.

155-3

     This act would take effect upon passage.

     

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LC01091/SUB A

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H7906A