2025 -- H 6422

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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: Representative Paul M. Santucci

     Date Introduced: June 17, 2025

     Referred To: House Corporations

     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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     27-18-95. Buprenorphine.

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     Every individual or group health insurance contract, plan, or policy that provides

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prescription coverage and that is delivered, issued for delivery, prescribed, or renewed in this state

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on or after January 1, 2026, shall provide coverage for at least one type of buprenorphine for each

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form of administration. There shall be no copayment required and no deductible shall need to be

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met by the contract, plan, or policy, every twelve (12) month plan year. A deductible may be applied

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to health plans that are paired with a federally qualified health savings account pursuant to 26 U.S.C

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§ 223. Nothing in this section would prohibit a health plan from implementing this benefit prior to

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January 1. 2026

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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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     27-19-87. Buprenorphine.

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     Every individual or group health insurance contract, plan, or policy that provides

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prescription coverage and that is delivered, issued for delivery, prescribed, or renewed in this state

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on or after January 1, 2026, shall provide coverage for at least one type of buprenorphine for each

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form of administration. There shall be no copayment required and no deductible shall need to be

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met by the contract, plan, or policy, every twelve (12) month plan year. A deductible may be applied

 

1

to health plans that are paired with a federally qualified health savings account pursuant to 26 U.S.C

2

§ 223. Nothing in this section would prohibit a health plan from implementing this benefit prior to

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January 1. 2026.

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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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     27-20-83. Buprenorphine.

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     Every individual or group health insurance contract, plan, or policy that provides

8

prescription coverage and that is delivered, issued for delivery, prescribed, or renewed in this state

9

on or after January 1, 2026, shall provide coverage for at least one type of buprenorphine for each

10

form of administration. There shall be no copayment required and no deductible shall need to be

11

met by the contract, plan, or policy, every twelve (12) month plan year. A deductible may be applied

12

to health plans that are paired with a federally qualified health savings account pursuant to 26 U.S.C

13

§ 223. Nothing in this section would prohibit a health plan from implementing this benefit prior to

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January 1. 2026.

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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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     27-41-100. Buprenorphine.

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     Every individual or group health insurance contract, plan, or policy that provides

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prescription coverage and that is delivered, issued for delivery, prescribed, or renewed in this state

20

on or after January 1, 2026, shall provide coverage for at least one type of buprenorphine for each

21

form of administration. There shall be no copayment required and no deductible shall need to be

22

met by the contract, plan, or policy, every twelve (12) month plan year. A deductible may be applied

23

to health plans that are paired with a federally qualified health savings account pursuant to 26 U.S.C

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§ 223. Nothing in this section would prohibit a health plan from implementing this benefit prior to

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January 1. 2026.

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     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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     This act would require every individual or group health insurance contract, plan, or policy

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that provides prescription coverage and that is delivered, issued for delivery, prescribed, or renewed

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in this state on or after January 1, 2026, to provide coverage for at least one type of buprenorphine

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for each form of administration.

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     This act would take effect on January 1, 2026.

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