2026 -- H 8309

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LC006086

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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 -- FEE SCHEDULE TRANSPARENCY AND FAIR BILLING

ACT

     

     Introduced By: Representatives Place, Hopkins, Cotter, Santucci, Shanley, Stewart,
Noret, and Knight

     Date Introduced: March 18, 2026

     Referred To: House Corporations

     It is enacted by the General Assembly as follows:

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     SECTION 1. Title 27 of the General Laws entitled "INSURANCE" is hereby amended by

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adding thereto the following chapter:

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CHAPTER 84

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FEE SCHEDULE TRANSPARENCY AND FAIR BILLING ACT

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     27-84-1. Short title.

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     This chapter shall be known and may be cited as the “Fee Schedule Transparency and Fair

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Billing Act.”

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     27-84-2. Publication of fee schedules.

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     (a) Every insurer shall publish and provide participating physicians, physician practices,

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physician corporations, physician partnerships or any other entity providing medical services, with

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a complete, current fee schedule listing the maximum allowable reimbursement for every covered

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service and procedure code.

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     (b) Physicians, physician practices, physician corporations, physician partnerships or any

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other entity providing medical services shall include, but not be limited to, those healthcare

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providers in chapters 18, 19, 20 and 41 of title 27.

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     (c) Updates must be provided within thirty (30) days of any change via secure provider

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portals.

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     27-84-3. Fair reimbursement.

 

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     An insurer shall reimburse any claim submitted at or below the published maximum

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allowable rate in full, without requiring inflated “usual and customary” charges. No reductions,

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bundling restrictions, or penalties shall be applied solely based on the charge amount when it does

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not exceed the published maximum.

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     27-84-4. Insurer – Definition.

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     For purposes of this chapter, “insurer” means every nonprofit medical service corporation,

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hospital service corporation, health maintenance organization, or other insurer offering and/or

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insuring health services; the term shall in addition include any entity defined as an insurer under §

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42-62-4.

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     27-84-5. Enforcement.

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     (a) The office of the health insurance commissioner shall oversee compliance and may

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impose penalties of up to twenty-five thousand dollars ($25,000) for each violation of this chapter.

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     (b) Annual reports on fee schedule availability and billing disputes shall be published by

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the office of the health insurance commissioner by July 1 of each year.

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     SECTION 2. This act shall take effect ninety (90) days after passage.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO INSURANCE -- FEE SCHEDULE TRANSPARENCY AND FAIR BILLING

ACT

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     This act would require that every insurer providing health coverage insurance provide

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every physician or physician group with a complete fee schedule listing the maximum allowable

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reimbursement for each covered service.

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     This act would take effect ninety (90) days after passage.

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