2026 -- H 7075 | |
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LC003546 | |
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STATE OF RHODE ISLAND | |
IN GENERAL ASSEMBLY | |
JANUARY SESSION, A.D. 2026 | |
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A N A C T | |
RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES -- | |
THE MATTHEW FEDERICO DIABETIC SAFETY ACT | |
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Introduced By: Representatives McGaw, Shekarchi, Hull, Craven, Corvese, J. Lombardi, | |
Date Introduced: January 14, 2026 | |
Referred To: House Health & Human Services | |
It is enacted by the General Assembly as follows: | |
1 | SECTION 1. The general assembly hereby finds and declares that: |
2 | The Rhode Island general assembly recognizes that glucagon auto-injectors are life-saving |
3 | medications, that must be administered quickly to be effective. Such administration is often done |
4 | by persons who are not health care professionals, and is done in an emergency situation. |
5 | Accordingly, it is in the best interests of the people of the state to promote the widespread |
6 | availability of glucagon, that does not require reconstitution. Hypoglycemia, or low blood glucose, |
7 | is a barrier to diabetes control, leads to worse clinical outcomes, stress, increased cost of care and |
8 | polypharmacy. For unconscious patients, and those unable to ingest oral glucose, glucagon in the |
9 | ambulatory setting is indicated, but often underutilized, due to excessive cost. |
10 | SECTION 2. Chapter 27-18 of the General Laws entitled "Accident and Sickness Insurance |
11 | Policies" is hereby amended by adding thereto the following section: |
12 | 27-18-96. Glucagon hypoglycemia medications. |
13 | Every individual or group health insurance contract, plan, or policy that provides |
14 | prescription coverage and that is delivered, issued for delivery, prescribed, or renewed in this state |
15 | on or after January 1, 2027, shall provide coverage for at least one type of glucagon auto-injector, |
16 | nasal spray or formulation not requiring reconstitution. There shall be no copayment required and |
17 | no deductible shall need to be met, to obtain two (2) glucagon auto-injectors, nasal spray or non- |
18 | reconstituted formulation covered by the contract, plan, or policy, every twelve (12) month plan |
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1 | year. A deductible may be applied to health plans that are paired with federally qualified health |
2 | savings account pursuant to 26 U.S.C § 223. Nothing in this section would prohibit a health plan |
3 | from implementing this benefit prior to January 1, 2027. |
4 | SECTION 3. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service |
5 | Corporations" is hereby amended by adding thereto the following section: |
6 | 27-19-88. Glucagon hypoglycemia medications. |
7 | 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, 2027, shall provide coverage for at least one type of glucagon auto-injector, |
10 | nasal spray or formulation not requiring reconstitution. There shall be no copayment required and |
11 | no deductible shall need to be met, to obtain two (2) glucagon auto-injectors, nasal spray or non- |
12 | reconstituted formulation covered by the contract, plan, or policy, every twelve (12) month plan |
13 | year. A deductible may be applied to health plans that are paired with federally qualified health |
14 | savings account pursuant to 26 U.S.C § 223. Nothing in this section would prohibit a health plan |
15 | from implementing this benefit prior to January 1, 2027. |
16 | SECTION 4. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service |
17 | Corporations" is hereby amended by adding thereto the following section: |
18 | 27-20-84. Glucagon hypoglycemia medications. |
19 | Every individual or group health insurance contract, plan, or policy that provides |
20 | prescription coverage and that is delivered, issued for delivery, prescribed, or renewed in this state |
21 | on or after January 1, 2027, shall provide coverage for at least one type of glucagon auto-injector, |
22 | nasal spray or formulation not requiring reconstitution. There shall be no copayment required and |
23 | no deductible shall need to be met, to obtain two (2) glucagon auto-injectors, nasal spray or non- |
24 | reconstituted formulation covered by the contract, plan, or policy, every twelve (12) month plan |
25 | year. A deductible may be applied to health plans that are paired with federally qualified health |
26 | savings account pursuant to 26 U.S.C § 223. Nothing in this section would prohibit a health plan |
27 | from implementing this benefit prior to January 1, 2027. |
28 | SECTION 5. Chapter 27-41 of the General Laws entitled "Health Maintenance |
29 | Organizations" is hereby amended by adding thereto the following section: |
30 | 27-41-101. Glucagon hypoglycemia medications. |
31 | Every individual or group health insurance contract, plan, or policy that provides |
32 | prescription coverage and that is delivered, issued for delivery, prescribed, or renewed in this state |
33 | on or after January 1, 2027, shall provide coverage for at least one type of glucagon auto-injector, |
34 | nasal spray or formulation not requiring reconstitution. There shall be no copayment required and |
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1 | no deductible shall need to be met, to obtain two (2) glucagon auto-injectors, nasal spray or non- |
2 | reconstituted formulation covered by the contract, plan, or policy, every twelve (12) month plan |
3 | year. A deductible may be applied to health plans that are paired with federally qualified health |
4 | savings account pursuant to 26 U.S.C § 223. Nothing in this section would prohibit a health plan |
5 | from implementing this benefit prior to January 1, 2027. |
6 | SECTION 6. This act shall take effect upon passage. |
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LC003546 | |
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EXPLANATION | |
BY THE LEGISLATIVE COUNCIL | |
OF | |
A N A C T | |
RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES -- | |
THE MATTHEW FEDERICO DIABETIC SAFETY ACT | |
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1 | This act would require, commencing January 1, 2027, group health plans and health |
2 | insurance issuers that provide prescription benefits to cover at least one type of glucagon auto- |
3 | injector, nasal spray, or formulation which does not require reconstitution to treat hypoglycemia |
4 | with two (2) glucagon auto-injectors every plan year. No copayment or deductible would be |
5 | required to obtain prescribed glucagon medications. |
6 | This act would take effect upon passage. |
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LC003546 | |
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