2026 -- S 2109

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LC003217

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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: Senators Urso, DiMario, Kallman, Murray, Acosta, Rogers, Gu, and
Britto

     Date Introduced: January 16, 2026

     Referred To: Senate 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 for the treatment of alcohol or substance use

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disorder.

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     (a) For health benefit plans issued or renewed on or after the effective date of this section,

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an insurer or pharmacy benefit manager shall not require or conduct a prospective or concurrent

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review for a prescription medicine:

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     (1) That is used in the treatment of alcohol or opioid use disorder and contains methadone,

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buprenorphine or naltrexone; or

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     (2) That is used in the treatment of alcohol or opioid use disorder and has been approved

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by the United States Food and Drug Administration for the management of alcohol or opioid use

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disorder, or the mitigation of opioid withdrawal symptoms.

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     SECTION 2. Chapter 40-8 of the General Laws entitled "Medical Assistance" is hereby

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amended by adding thereto the following section:

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     40-8-33. Utilization reviews for Medicaid benefits.

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     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 executive office of health and

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human services for making determinations of medical necessity and clinical appropriateness

 

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pursuant to the utilization review plan.

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     SECTION 3. 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 or pharmacy benefit managers from requiring

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or conducting a review for prescription medicine that is used in the treatment of alcohol or opioid

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use disorder, that contains methadone, burenorphine, or naltrexone or that was approved for the

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mitigation of opioid withdrawal symptoms.

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     This act would take effect upon passage.

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