2026 -- H 8246

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LC005999

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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

     

     Introduced By: Representatives Bennett, Edwards, Hull, Diaz, Santucci, Hopkins,
Nardone, Casimiro, Ackerman, and Kennedy

     Date Introduced: March 06, 2026

     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

     27-18-96. Insurance coverage for lung cancer screening.

4

     (a) The Rhode Island general assembly recognizes that lung cancer remains the leading

5

cause of cancer deaths in Rhode Island and further that early detection of lung cancer will ensure

6

that patients get the critical care they need without delay. Accordingly, it is in the best interests of

7

the people of the state to promote widespread availability by eliminating out-of-pocket costs for

8

lung cancer screenings.

9

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

10

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

11

January 1, 2027, shall provide coverage for follow-up screening or diagnostic services for lung

12

cancer upon the recommendation of a health care provider acting within the provider's scope of

13

practice, and as recommended by current American Cancer Society guidelines for lung cancer

14

screening. There shall be no copayment required, and no deductible shall need to be met for follow-

15

up screening or diagnostic services for lung cancer. A deductible may be applied to health plans

16

that are paired with a federally qualified health savings account pursuant to 26 U.S.C. § 223.

17

Nothing in this section would prohibit a health plan from implementing this benefit prior to January

18

1, 2027.

19

     (c) Nothing in this section shall be construed to prevent medical management or utilization

 

1

review of the services, including preauthorization, to ensure that such services are consistent with

2

current American Cancer Society guidelines for lung cancer screening.

3

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

4

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

5

     27-19-88. Insurance coverage for lung cancer screening.

6

     (a) The Rhode Island general assembly recognizes that lung cancer remains the leading

7

cause of cancer deaths in Rhode Island and further that early detection of lung cancer will ensure

8

that patients get the critical care they need without delay. Accordingly, it is in the best interests of

9

the people of the state to promote widespread availability by eliminating out-of-pocket costs for

10

lung cancer screenings.

11

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

12

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

13

January 1, 2027, shall provide coverage for all follow-up screening or diagnostic services for lung

14

cancer that are administered at a frequency identified in the current American Cancer Society

15

guidelines, including follow up examinations. Follow up examinations include, but are not limited

16

to, chest x-ray, computed tomography scan, magnetic resonance imaging, positron emission

17

tomography, or biopsy. There shall be no copayment, coinsurance, or any other cost-sharing

18

required, and no deductible shall need to be met for follow-up screening or diagnostic services for

19

lung cancer. A deductible may be applied to health plans that are paired with a federally qualified

20

health savings account pursuant to 26 U.S.C. § 223. Nothing in this section would prohibit a health

21

plan from implementing this benefit prior to January 1, 2027.

22

     (c) Nothing in this section shall be construed to prevent medical management or utilization

23

review of the services, including preauthorization, to ensure that such services are consistent with

24

current American Cancer Society guidelines for lung cancer screening.

25

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

26

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

27

     27-20-84. Insurance coverage for lung cancer screening.

28

     (a) The Rhode Island general assembly recognizes that lung cancer remains the leading

29

cause of cancer deaths in Rhode Island and further that early detection of lung cancer will ensure

30

that patients get the critical care they need without delay. Accordingly, it is in the best interests of

31

the people of the state to promote widespread availability by eliminating out-of-pocket costs for

32

lung cancer screenings.

33

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

34

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

 

LC005999 - Page 2 of 5

1

January 1, 2027, shall provide coverage for all follow-up screening or diagnostic services for lung

2

cancer upon the recommendation of a health care provider acting within the provider's scope of

3

practice, and as recommended by current American Cancer Society guidelines for lung cancer

4

screening. There shall be no copayment, coinsurance, or any other cost-sharing required, and no

5

deductible shall need to be met for follow-up screening or diagnostic services for lung cancer. A

6

deductible may be applied to health plans that are paired with a federally qualified health savings

7

account pursuant to 26 U.S.C. § 223. Nothing in this section would prohibit a health plan from

8

implementing this benefit prior to January 1, 2027.

9

     (c) Nothing in this section shall be construed to prevent medical management or utilization

10

review of the services, including preauthorization, to ensure that such services are consistent with

11

current American Cancer Society guidelines for lung cancer screening.

12

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

13

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

14

     27-41-101. Insurance coverage for lung cancer screening.

15

     (a) The Rhode Island general assembly recognizes that lung cancer remains the leading

16

cause of cancer deaths in Rhode Island and further that early detection of lung cancer will ensure

17

that patients get the critical care they need without delay. Accordingly, it is in the best interests of

18

the people of the state to promote widespread availability by eliminating out-of-pocket costs for

19

lung cancer screenings.

20

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

21

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

22

January 1, 2027, shall provide coverage for all follow-up screening or diagnostic services for lung

23

cancer that are administered at a frequency identified in the current American Cancer Society

24

guidelines, including follow up examinations. Follow up examinations include, but are not limited

25

to, chest x-ray, computed tomography scan, magnetic resonance imaging, positron emission

26

tomography, or biopsy. There shall be no copayment, coinsurance, or any other cost-sharing

27

required, and no deductible shall need to be met for follow-up screening or diagnostic services for

28

lung cancer. A deductible may be applied to health plans that are paired with a federally qualified

29

health savings account pursuant to 26 U.S.C. § 223. Nothing in this section would prohibit a health

30

plan from implementing this benefit prior to January 1, 2027.

31

     (c) Nothing in this section shall be construed to prevent medical management or utilization

32

review of the services, including preauthorization, to ensure that such services are consistent with

33

current American Cancer Society guidelines for lung cancer screening.

 

LC005999 - Page 3 of 5

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     SECTION 5. This act shall take effect upon passage.

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LC005999

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES

***

1

     This act would mandate health insurance coverage by eliminating out-of-pocket costs for

2

lung cancer screenings in order to enable patients to get the critical care they need without delay.

3

     This act would take effect upon passage.

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LC005999 - Page 5 of 5