2026 -- H 7187

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LC004118

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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 -- BENEFIT DETERMINATION AND UTILIZATION

REVIEW ACT

     

     Introduced By: Representatives Edwards, Bennett, Potter, Carson, Fogarty, and Casimiro

     Date Introduced: January 21, 2026

     Referred To: House Health & Human Services

     It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 27-18.9 of the General Laws entitled "Benefit Determination and

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Utilization Review Act" is hereby amended by adding thereto the following section:

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     27-18.9-17. Utilization review decisions.

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     (a) A utilization review decision shall not retrospectively deny coverage for healthcare

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services provided to a covered person, when prior approval has been obtained from the insurer or

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its designee for those services, unless the approval was based upon fraudulent, materially

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inaccurate, or misrepresented information submitted by the covered person, authorized person, or

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the provider.

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     (b) For health benefit plans issued or renewed on or after January 1, 2027, an insurer shall

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not require or conduct a prospective or concurrent review for a prescription medicine:

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     (1) That is used in the treatment of alcohol or opioid use disorder;

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     (2) That contains Methadone, Buprenorphine or Naltrexone; or

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     (3) That was approved before January 1, 2027, by the United States Food and Drug

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Administration for the mitigation of opioid withdrawal symptoms.

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     (c) In conducting utilization reviews for Medicaid benefits, each Medicaid managed care

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organization shall use the medical necessity criteria selected by the Rhode Island division of

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insurance for making determinations of medical necessity and clinical appropriateness pursuant to

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the utilization review plan.

 

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     SECTION 2. 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 -- BENEFIT DETERMINATION AND UTILIZATION

REVIEW ACT

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     This act would prohibit healthcare insurers from requiring or conducting a review for

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prescription medicine that is used in the treatment of alcohol or opioid use disorder, that contains

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Methadone, Burenorphine, or Naltrexone or that was approved for the mitigation of opioid

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withdrawal symptoms, commencing January 1, 2027.

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     This act would take effect upon passage.

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