2024 -- H 7717

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LC005283

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2024

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A N   A C T

RELATING TO INSURANCE -- HEALTH CARE ACCESSIBILITY AND QUALITY

ASSURANCE ACT

     

     Introduced By: Representatives Ackerman, Edwards, Kennedy, Donovan, and
McNamara

     Date Introduced: February 28, 2024

     Referred To: House Corporations

     It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 27-18.8 of the General Laws entitled "Health Care Accessibility and

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Quality Assurance Act" is hereby amended by adding thereto the following section:

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     27-18.8-3.1. Sixty (60) day notice of amendments to provider agreements.

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     A healthcare entity as defined in ยง 27-18.8-2, offering or renewing a health plan in this

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state shall notify a participating provider of a proposed amendment to a provider agreement at least

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sixty (60) days prior to the amendment's proposed effective date. In addition, if an amendment that

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has impact on the rights and obligations of providers, is made to a manual, policy or procedure

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document referenced in the provider agreement, such as changes to fee schedules or changes to

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procedural coding rules specified in the manual, policy or procedure document, the carrier shall

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provide notice to the provider at least sixty (60) days prior to the proposed effective date of the

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amendment.

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     SECTION 2. This act shall take effect upon passage.

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LC005283

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO INSURANCE -- HEALTH CARE ACCESSIBILITY AND QUALITY

ASSURANCE ACT

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     This act would require new or renewed healthcare plans in Rhode Island to notify providers

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of any proposed amendments to an agreement sixty (60) days prior to the effective date of the

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change. The act would also require sixty (60) days notice of any amendment to a manual, policy or

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procedure that is referred to in a provider agreement.

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     This act would take effect upon passage.

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LC005283

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