2008 -- H 7906 SUBSTITUTE A | |
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LC01091/SUB A | |
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STATE OF RHODE ISLAND | |
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IN GENERAL ASSEMBLY | |
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JANUARY SESSION, A.D. 2008 | |
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A N A C T | |
RELATING TO STATUTES AND STATUTORY CONSTRUCTION | |
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     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 |
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|
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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 |
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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 |
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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 |
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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 |
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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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|
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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 |
8-24 |
filters and closed crankcase ventilation systems or could be achieved with a natural gas bus that |
8-25 |
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 |
8-33 |
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, |
9-1 |
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 |
9-4 |
maximum PM reductions from the aforementioned fleets including legislative changes, regulatory |
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changes, funding sources, contract requirements, procurement requirements, and other |
9-6 |
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 |
9-11 |
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 |
9-13 |
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 |
9-15 |
Assistance" is hereby amended to read as follows: |
9-16 |
     40-8-19. Rates of payment to nursing facilities. -- (a) Rate reform. The rates to be paid |
9-17 |
by the state to nursing facilities licensed pursuant to chapter 17 of title 23, and certified to |
9-18 |
participate in the Title XIX Medicaid program for services rendered to Medicaid-eligible |
9-19 |
residents, shall be reasonable and adequate to meet the costs which must be incurred by |
9-20 |
efficiently and economically operated facilities in accordance with 42 U.S.C. 1396a(a)(13). The |
9-21 |
department of human services shall promulgate or modify the principles of reimbursement for |
9-22 |
nursing facilities currently in effect on July 1, 2003 to be consistent with the provisions of this |
9-23 |
section and Title XIX, 42 U.S.C. 1396 et seq., of the Social Security Act. |
9-24 |
     (b) Rate reform. Subject to the phase-in provisions in subsections (c) and (d), the |
9-25 |
department shall, on or before October 1, 2005, modify the principles of reimbursement for |
9-26 |
nursing facilities to include the following elements: |
9-27 |
     (1) Annual base years; |
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     (2) Four (4) cost centers: direct labor, property, other operating, and pass through items; |
9-29 |
     (3) Re-array of costs of all facilities in the labor and other operating cost centers every |
9-30 |
three (3) years beginning with calendar year 2002; |
9-31 |
     (4) A ceiling maximum for allowable costs in the direct labor cost center to be |
9-32 |
established by the department between one hundred ten percent (110%) and one hundred twenty- |
9-33 |
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 |
10-1 |
established by the department between ninety percent (90%) and one hundred fifteen percent |
10-2 |
(115%) of the median for all facilities for the most recent array year; |
10-3 |
     (6) Adjustment of costs and ceiling maximums by the increase in the National Nursing |
10-4 |
Home Price Index ("NNHPI") for the direct labor cost center and the other operating cost center |
10-5 |
for year between array years; such adjustments to be applied on October 1st of each year |
10-6 |
beginning October 1, 2003 for the direct labor cost center and October 1, 2005 for the other |
10-7 |
operating cost center, except for the fiscal year beginning July 1, 2006 for which the price index |
10-8 |
shall be applied on February 1, 2007 and for the fiscal year beginning October 1, 2007 for which |
10-9 |
the adjustment of costs and ceiling maximums shall be one and one-tenth percent (1.1%) |
10-10 |
(7) Application of a fair rental value system to be developed by the department for |
10-11 |
calculating allowable reimbursement for the property cost center; |
10-12 |
     (8) Such quality of care and cost containment incentives as may be established by |
10-13 |
departmental regulations. |
10-14 |
     (c) Phase I Implementation. The department shall file a state plan amendment with the |
10-15 |
U.S. Department of Health and Human Services on or before August 1, 2003 to modify the |
10-16 |
principles of reimbursement for nursing facilities, to be effective on October 1, 2003, or as soon |
10-17 |
thereafter as is authorized by an approved state plan amendment, to establish the direct labor cost |
10-18 |
center and the pass through items cost center utilizing calendar year 2002 cost data, and to apply |
10-19 |
the ceiling maximums in subsections (b)(4) and (b)(5). Nursing facilities whose allowable 2002 |
10-20 |
direct labor costs are below the median in the direct labor cost center may make application to the |
10-21 |
department for a direct labor cost interim payment adjustment equal to twenty-five percent (25%) |
10-22 |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
12-5 |
Act, as amended; |
12-6 |
      |
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 |
      |
12-10 |
municipal or public entity receiving federal reimbursement under Titles XIX and XXI of the |
12-11 |
|
12-12 |
      |
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 |
      |
12-18 |
among departments and their executive staffs and make necessary recommendations to the |
12-19 |
governor. |
12-20 |
      |
12-21 |
accountability and the efficiency of state-administered health and human services. In this |
12-22 |
capacity, the secretary shall: |
12-23 |
      |
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 |
      |
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 |
      |
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 |
      |
13-4 |
functions by centralizing adjudicative and legal services and overseeing their timely and judicious |
13-5 |
administration. |
13-6 |
      |
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 |
      |
13-12 |
use and outcome evaluation and to perform short and long-term policy planning and |
13-13 |
development. |
13-14 |
      |
13-15 |
management that will facilitate the transition to consumer-centered system of state administered |
13-16 |
health and human services. |
13-17 |
      |
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 |
      |
13-24 |
with respect to the state's health and human services agenda. |
13-25 |
      |
13-26 |
required to perform the powers and duties lawfully conferred upon the secretary. |
13-27 |
      |
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 |
      |
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 |
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 |
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 |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
17-32 |
of the membership of a public body. |
17-33 |
      |
17-34 |
parties" pursuant to 42 U.S.C. 1988. |
18-1 |
      |
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 |
      |
23-4 |
|
23-5 |
|
23-6 |
|
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. -- |
26-13 |
|
26-14 |
|
26-15 |
|
26-16 |
|
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 |
27-23 |
|
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 |
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 |
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 |
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 |
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 |
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 |
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 |
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 § |
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 |
      |
33-32 |
|
33-33 |
|
33-34 |
|
34-1 |
|
34-2 |
|
34-3 |
|
34-4 |
|
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 |
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 § |
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 |
36-27 |
|
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 § |
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 |
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 |
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 |
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 |
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 |
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 |
|
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 § |
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 § |
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 |
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 |
|
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 § |
43-5 |
|
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 § |
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 § |
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 |
|
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 |
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 |
45-32 |
|
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) |
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) |
47-28 |
data related to those records. |
47-29 |
      |
47-30 |
|
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) |
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) |
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 |
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 |
      |
50-20 |
|
50-21 |
|
50-22 |
|
50-23 |
|
50-24 |
      |
50-25 |
      |
50-26 |
      |
50-27 |
      |
50-28 |
      |
50-29 |
      |
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 |
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 §§ |
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 § |
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 |
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 |
|
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 |
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 |
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 |
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 |
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 |
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 § |
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 |
58-22 |
U.S.C. § |
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 |
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 |
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 |
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 |
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 |
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 |
      |
64-12 |
      |
64-13 |
diminish the impact of birth defects and infant mortality; |
64-14 |
      |
64-15 |
treatment. |
64-16 |
     23-13.3-4. Advisory council. -- (a) Not later than thirty (30) days after |
64-17 |
|
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 |
      |
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 |
      |
65-11 |
increased fortyfold in human breast milk since the 1970s. |
65-12 |
      |
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 |
      |
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 |
      |
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 |
      |
65-25 |
      |
65-26 |
which octabrominated diphenyl ether is a predominate congener. |
65-27 |
      |
65-28 |
      |
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 |
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 |
66-11 |
scientific research to address the following issues: |
66-12 |
      |
66-13 |
whether the levels of decaBDE are increasing, decreasing, or staying the same; |
66-14 |
      |
66-15 |
      |
66-16 |
of exposure at levels that could produce these effects; |
66-17 |
      |
66-18 |
public health; and |
66-19 |
      |
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 |
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 |
      |
66-28 |
      |
66-29 |
other chemicals that could pose public health concerns; and |
66-30 |
      |
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) |
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 |
68-2 |
16, 2006 |
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 |
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 |
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 |
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 |
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: |
71-6 |
identified during and after the inspection and investigation processes; and |
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 |
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 |
71-30 |
|
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. -- |
72-13 |
      |
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 |
      |
72-17 |
patient handling. |
72-18 |
      |
72-19 |
      |
72-20 |
patient lifts, transfers, and repositioning in accordance with safe patient handling policy. |
72-21 |
      |
72-22 |
muscles, and supporting structures of the body. |
72-23 |
      |
72-24 |
following as a condition of licensure: |
72-25 |
      |
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 |
      |
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 |
      |
73-28 |
as assigned during their shift. |
73-29 |
      |
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 § |
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 § |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
75-21 |
protect the confidentiality of individual medical records are followed; |
75-22 |
      |
75-23 |
interviews by the review agent; |
75-24 |
      |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
79-12 |
response within one (1) business day of the request for a peer discussion; |
79-13 |
      |
79-14 |
services, a response within a reasonable period of time of the request for a peer discussion; and |
79-15 |
      |
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 |
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 |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
89-12 |
|
89-13 |
      |
89-14 |
|
89-15 |
|
89-16 |
|
89-17 |
      |
89-18 |
|
89-19 |
      |
89-20 |
|
89-21 |
|
89-22 |
|
89-23 |
|
89-24 |
|
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 |
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 |
      |
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 |
      |
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 |
      |
91-2 |
|
91-3 |
|
91-4 |
|
91-5 |
      |
91-6 |
|
91-7 |
|
91-8 |
|
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 |
|
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 |
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 |
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 |
92-34 |
2006 |
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 |
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 |
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 |
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 |
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 |
96-26 |
Law, chapter 12 of title 46, and the |
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 § |
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 |
      |
97-20 |
feature bordering a tidal water area [corresponding to the jurisdiction of the RI Coastal Resources |
97-21 |
Management Council]; |
97-22 |
      |
97-23 |
and |
97-24 |
      |
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: |
98-7 |
cesspool as defined herein; |
98-8 |
cesspool or add bedrooms to the building served by the cesspool; |
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 |
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 |
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 |
|
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 |
      |
100-6 |
|
100-7 |
|
100-8 |
|
100-9 |
|
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 |
      |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
101-6 |
stamps on packages of cigarettes. |
101-7 |
      |
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 |
      |
101-14 |
      |
101-15 |
      |
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 |
      |
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 |
      |
101-22 |
of this subdivision. |
101-23 |
      |
101-24 |
cigarette test trails from a single laboratory will fall ninety-five percent (95%) of the time. |
101-25 |
      |
101-26 |
dealer engaged in selling cigarettes or tobacco products. |
101-27 |
      |
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 |
      |
101-32 |
      |
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 |
      |
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 |
      |
102-16 |
      |
102-17 |
dues; or |
102-18 |
      |
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. -- |
102-27 |
association, corporation, city, or town. |
102-28 |
      |
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 |
      |
103-7 |
idling vehicles emit higher concentrations of harmful pollutants than moving vehicles; |
103-8 |
      |
103-9 |
vehicles to increased rates of cancer, lung and heart disease, asthma and allergies, urban smog |
103-10 |
and climate change; |
103-11 |
      |
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 |
      |
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 |
      |
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 |
      |
103-23 |
speeds engine wear, reducing the amount of time before an engine needs to be rebuilt; |
103-24 |
      |
103-25 |
minutes to warm up; and |
103-26 |
      |
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 |
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 |
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 |
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 |
      |
106-8 |
17.4-2 and the regulations promulgated thereunder. |
106-9 |
      |
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 |
      |
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 |
      |
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 |
      |
106-34 |
a person who has no health insurance and who otherwise lacks reasonable means to purchase |
107-1 |
prescribed drugs. |
107-2 |
      |
107-3 |
|
107-4 |
      |
107-5 |
|
107-6 |
      |
107-7 |
|
107-8 |
      |
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 |
      |
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 |
      |
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 |
      |
107-28 |
dose containers or perforated blister packages shall be accepted and re-dispensed; |
107-29 |
      |
107-30 |
      |
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 |
      |
107-34 |
      |
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 |
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 |
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 |
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 |
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 |
111-27 |
the requirements of subsection |
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 |
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 |
      |
112-3 |
|
112-4 |
      |
112-5 |
      |
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 |
      |
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 |
|
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 |
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 |
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 |
      |
116-26 |
percent (5%) of the insured value. |
116-27 |
      |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
117-18 |
      |
117-19 |
the premium credit to be realized with the completion of the mitigation efforts; |
117-20 |
      |
117-21 |
given for the mitigation efforts will apply; and |
117-22 |
      |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
118-16 |
      |
118-17 |
designee; |
118-18 |
      |
118-19 |
      |
118-20 |
Association appointed by the governor; |
118-21 |
      |
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 |
      |
118-31 |
the commission as long as they maintain the respective offices designated in subparagraphs |
118-32 |
|
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 |
      |
119-3 |
serve as chair. |
119-4 |
      |
119-5 |
reimbursed for per diem and travel expenses. |
119-6 |
      |
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 |
      |
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 |
      |
119-18 |
principles, standards, models, or output ranges at least annually. |
119-19 |
      |
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 |
      |
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 |
      |
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 § |
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 |
      |
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 |
      |
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 |
      |
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 § |
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 § |
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 |
      |
126-34 |
      |
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 |
      |
127-4 |
claims for contribution, indemnity or subrogation, equitable or otherwise; |
127-5 |
      |
127-6 |
policy issued by the insolvent insurer; |
127-7 |
      |
127-8 |
under the terms of the policy; and |
127-9 |
      |
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 § |
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 |
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. -- |
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 |
      |
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 |
      |
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 |
      |
130-3 |
      |
130-4 |
      |
130-5 |
      |
130-6 |
      |
130-7 |
      |
130-8 |
      |
130-9 |
      |
130-10 |
      |
130-11 |
      |
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 |
      |
130-21 |
10(5). |
130-22 |
      |
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 |
      |
130-32 |
for employers, providers, health plans and consumers to, among other things: |
130-33 |
      |
130-34 |
      |
131-1 |
      |
131-2 |
      |
131-3 |
      |
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 |
131-26 |
|
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 |
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. -- |
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 |
      |
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 |
      |
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 |
      |
133-18 |
      |
133-19 |
      |
133-20 |
      |
133-21 |
      |
133-22 |
      |
133-23 |
      |
133-24 |
      |
133-25 |
      |
133-26 |
      |
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 § |
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 |
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 |
134-25 |
|
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 |
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. -- |
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 |
      |
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 |
      |
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 |
      |
136-17 |
      |
136-18 |
      |
136-19 |
      |
136-20 |
      |
136-21 |
      |
136-22 |
      |
136-23 |
      |
136-24 |
      |
136-25 |
      |
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 |
      |
136-31 |
      |
136-32 |
41 of this title. |
136-33 |
      |
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 |
      |
137-12 |
insurer and a health care provider for the delivery of health care services to others. |
137-13 |
      |
137-14 |
medicine, pharmacy, chiropractic, nursing, physical therapy, podiatry, dentistry, optometry, |
137-15 |
occupational therapy, or other healing arts. |
137-16 |
      |
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 |
      |
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 |
      |
137-34 |
|
138-1 |
|
138-2 |
      |
138-3 |
      |
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 |
      |
138-9 |
      |
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 |
      |
138-14 |
of title 27. |
138-15 |
      |
138-16 |
by an insurer pursuant to a policy, certificate, contract or agreement of insurance or coverage. |
138-17 |
      |
138-18 |
pharmacy to participate on substantially uniform terms and conditions established by an insurer |
138-19 |
or pharmacy benefits manager. |
138-20 |
      |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
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 |
      |
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 |
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 |
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 |
      |
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 |
144-24 |
|
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 |
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. -- |
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 |
      |
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 |
      |
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 |
      |
146-16 |
      |
146-17 |
      |
146-18 |
      |
146-19 |
      |
146-20 |
      |
146-21 |
      |
146-22 |
      |
146-23 |
      |
146-24 |
      |
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. |
149-20 |
     (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: |
149-28 |
     (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 |
149-32 |
section. |
149-33 |
     (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 § |
150-15 |
     (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. |
150-19 |
     (f) The director may establish regulations to implement the provisions of this section and |
150-20 |
to assure that rating practices used by small employer carriers are consistent with the purposes of |
150-21 |
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). |
150-25 |
     (g) In connection with the offering for sale of any health benefit plan to a small employer, |
150-26 |
a small employer carrier shall make a reasonable disclosure, as part of its solicitation and sales |
150-27 |
materials, of all of the following: |
150-28 |
     (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; |
150-31 |
     (2) The provisions relating to renewability of policies and contracts; |
150-32 |
     (3) The provisions relating to any preexisting condition provision; and |
150-33 |
     (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 |
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 |
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. |
      | |
======= | |
LC01091/SUB A | |
======== | |
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. |
      | |
======= | |
LC01091/SUB A | |
======= |