2025 -- H 6158

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LC002437

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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 Ackerman, McNamara, Serpa, Fellela, McEntee, and
Diaz

     Date Introduced: April 02, 2025

     Referred To: House Health & Human Services

     It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness Insurance

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Policies" is hereby amended by adding thereto the following section:

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     27-18-68.1. Mandatory coverage for scalp cooling systems.

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     (a) Every individual or group hospital or medical expense insurance policy or individual

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or group hospital or medical services plan contract delivered, issued for delivery, or renewed in this

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state on or after January 1, 2026, shall provide coverage to individuals diagnosed with breast cancer

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and undergoing chemotherapy treatments for scalp cooling systems to preserve hair during

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chemotherapy treatments.

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     (b) This section shall not apply to insurance coverage providing benefits for:

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     (1) Hospital confinement indemnity;

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     (2) Disability income;

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     (3) Accident only;

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     (4) Long-term care;

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     (5) Medicare supplement;

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     (6) Limited benefit health;

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     (7) Specified disease indemnity;

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     (8) Sickness or bodily injury or death by accident or both; and

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     (9) Other limited benefit policies.

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     SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service

 

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Corporations" is hereby amended by adding thereto the following section:

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     27-19-59.1. Mandatory coverage for scalp cooling systems.

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     (a) Every individual or group hospital or medical expense insurance policy or individual

4

or group hospital or medical services plan contract delivered, issued for delivery, or renewed in this

5

state on or after January 1, 2026, shall provide coverage to individuals diagnosed with breast cancer

6

and undergoing chemotherapy treatments for scalp cooling systems to preserve hair during

7

chemotherapy treatments.

8

     (b) This section shall not apply to insurance coverage providing benefits for:

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     (1) Hospital confinement indemnity;

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     (2) Disability income;

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     (3) Accident only;

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     (4) Long-term care;

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     (5) Medicare supplement;

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     (6) Limited benefit health;

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     (7) Specified disease indemnity;

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     (8) Sickness or bodily injury or death by accident, or both; and

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     (9) Other limited benefit policies.

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     SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service

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Corporations" is hereby amended by adding thereto the following section:

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     27-20-54.1. Mandatory coverage for scalp cooling systems.

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     (a) Every individual or group hospital or medical expense insurance policy or individual

22

or group hospital or medical services plan contract delivered, issued for delivery, or renewed in this

23

state on or after January 1, 2026, shall provide coverage to individuals diagnosed with breast cancer

24

and undergoing chemotherapy treatments for scalp cooling systems to preserve hair during

25

chemotherapy treatments.

26

     (b) This section shall not apply to insurance coverage providing benefits for:

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     (1) Hospital confinement indemnity;

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     (2) Disability income;

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     (3) Accident only;

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     (4) Long-term care;

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     (5) Medicare supplement;

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     (6) Limited benefit health;

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     (7) Specified disease indemnity;

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     (8) Sickness or bodily injury or death by accident, or both; and

 

LC002437 - Page 2 of 4

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     (9) Other limited benefit policies.

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     SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance

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Organizations" is hereby amended by adding thereto the following section:

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     27-41-71.1. Mandatory coverage for scalp cooling systems.

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     (a) Every individual or group hospital or medical expense insurance policy or individual

6

or group hospital or medical services plan contract delivered, issued for delivery, or renewed in this

7

state on or after January 1, 2026, shall provide coverage to individuals diagnosed with breast cancer

8

and undergoing chemotherapy treatments for scalp cooling systems to preserve hair during

9

chemotherapy treatments.

10

     (b) This section shall not apply to insurance coverage providing benefits for:

11

     (1) Hospital confinement indemnity;

12

     (2) Disability income;

13

     (3) Accident only;

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     (4) Long-term care;

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     (5) Medicare supplement;

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     (6) Limited benefit health;

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     (7) Specified disease indemnity;

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     (8) Sickness or bodily injury or death by accident, or both; and

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     (9) Other limited benefit policies.

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     SECTION 5. This act shall take effect upon passage.

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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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     This act would mandate insurance coverage for scalp cooling treatments for breast cancer

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patients undergoing chemotherapy to prevent hair loss during chemotherapy treatments.

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     This act would take effect upon passage.

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