H5628

	2025 -- H 5628
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	LC001456
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	STATE OF RHODE ISLAND
	IN GENERAL ASSEMBLY
	JANUARY SESSION, A.D. 2025
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	A N A C T
	RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

	Introduced By: Representatives Place, Santucci, Quattrocchi, Hopkins, and Nardone
	Date Introduced: February 26, 2025
	Referred To: House Health & Human Services
	It is enacted by the General Assembly as follows:
1	SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness Insurance
2	Policies" is hereby amended by adding thereto the following section:
3	27-18-57.1. Single site parity.
4	(a) Subject to the provisions of the appropriate federal law, any health insurance contract,
5	plan, or policy delivered or issued for delivery or renewed in this state, shall provide equal
6	reimbursement to independent healthcare facilities as that of hospital affiliated facilities where
7	identical healthcare services are provided.
8	(b) The health insurance commissioner shall promulgate any rules and regulations as the
9	commissioner deems necessary for the efficient administration and enforcement of this section.
10	SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service
11	Corporations" is hereby amended by adding thereto the following section:
12	27-19-48.1. Single site parity.
13	(a) Subject to the provisions of the appropriate federal law, any health insurance contract,
14	plan, or policy delivered or issued for delivery or renewed in this state, shall provide equal
15	reimbursement to independent healthcare facilities as that of hospital affiliated facilities where
16	identical healthcare services are provided.
17	(b) The health insurance commissioner shall promulgate any rules and regulations as the
18	commissioner deems necessary for the efficient administration and enforcement of this section.
19	SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service

1	Corporations" is hereby amended by adding thereto the following section:
2	27-20-43.1. Single site parity.
3	(a) Subject to the provisions of the appropriate federal law, any health insurance contract,
4	plan, or policy delivered or issued for delivery or renewed in this state, shall provide equal
5	reimbursement to independent healthcare facilities as that of hospital affiliated facilities where
6	identical healthcare services are provided.
7	(b) The health insurance commissioner shall promulgate any rules and regulations as the
8	commissioner deems necessary for the efficient administration and enforcement of this section.
9	SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance
10	Organizations" is hereby amended by adding thereto the following section:
11	27-41-59.1. Single site parity.
12	(a) Subject to the provisions of the appropriate federal law, any health insurance contract,
13	plan, or policy delivered or issued for delivery or renewed in this state, shall provide equal
14	reimbursement to independent healthcare facilities as that of hospital affiliated facilities where
15	identical healthcare services are provided.
16	(b) The health insurance commissioner shall promulgate any rules and regulations as the
17	commissioner deems necessary for the efficient administration and enforcement of this section.
18	SECTION 5. This act shall take effect on January 1, 2026.
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	EXPLANATION
	BY THE LEGISLATIVE COUNCIL
	OF
	A N A C T
	RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES
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1	This act would mandate all health insurance contracts, plans, or policies provide the same
2	reimbursement to independent healthcare facilities as that of hospital affiliated facilities where the
3	same healthcare service is provided.
4	This act would take effect on January 1, 2026.
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