2026 -- S 3065 SUBSTITUTE A

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LC005016/SUB A

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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: Senators DiMario, Britto, Bissaillon, Zurier, Kallman, Mack, Acosta,
Lauria, Valverde, and Lawson

     Date Introduced: March 12, 2026

     Referred To: Senate Health & Human Services

     It is enacted by the General Assembly as follows:

     SECTION 1. Section 27-18-95 of the General Laws in Chapter 27-18 entitled "Accident

and Sickness Insurance Policies" is hereby amended to read as follows:

     27-18-95. Acute mental health crisis mobile response and stabilization services.

[Effective January 1, 2026.]

     (a) As used in this section, “mobile response and stabilization services” means a behavioral

health crisis intervention system providing immediate de-escalation, stabilization services, and

follow-up care, provided by a certified licensed provider. These services are delivered to provide

rapid response to, assessment of, and early intervention for a child or youth eighteen (18) years of

age and younger children and youth up to the age of twenty-one (21) experiencing an acute mental

health crisis. Symptoms might include, but are not limited to:

     (1) Aggression;

     (2) Self-injury;

     (3) Trauma;

     (4) Acute depression/anxiety;

     (5) Challenges at school; Suicidal or homicidal thoughts/behaviors; and

     (6) Extreme parent/child conflict.

     Mobile response and stabilization services are provided by “certified licensed providers”

meaning licensed behavioral health organizations providing outpatient services, which have

demonstrated expertise in delivering child-specific mobile response and stabilization services, and

have obtained relevant state licensure or certification.

     (b) Every individual or group health insurance contract, or every individual or group

hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery,

or renewed in this state on or after January 1, 2026, shall provide coverage for mobile response and

stabilization services, consistent with the core components of the mobile crisis model, and in

accordance with the insurer’s existing reimbursement, credentialing, and contracting processes,

provided any utilization review processes do not limit timely access or fidelity to the model.

     (c) This section shall not apply to insurance coverage providing benefits for:

     (1) Hospital confinement indemnity;

     (2) Disability income;

     (3) Accident only;

     (4) Long-term care;

     (5) Medicare supplement;

     (6) Limited benefit health;

     (7) Specified disease indemnity;

     (8) Sickness or bodily injury or death by accident or both; and

     (9) Other limited benefit policies.

     (d) Insurers shall reimburse licensed providers for mobile response and stabilization

services as defined in this section at rates of reimbursement equal to or greater than the prevailing

integrated state Medicaid rate for mobile response and stabilization services on or after October 1,

2026, using the state Medicaid payment methodology as established by the executive office of

health and human services.

     SECTION 2. Section 27-19-87 of the General Laws in Chapter 27-19 entitled "Nonprofit

Hospital Service Corporations" is hereby amended to read as follows:

     27-19-87. Acute mental health crisis mobile response and stabilization services.

[Effective January 1, 2026.]

     (a) As used in this section, “mobile response and stabilization services” means a behavioral

health crisis intervention system providing immediate de-escalation, stabilization services, and

follow-up care, provided by a certified licensed provider. These services are delivered to provide

rapid response to, assessment of, and early intervention for a child or youth eighteen (18) years of

age and younger children and youth up to the age of twenty-one (21) experiencing an acute mental

health crisis. Symptoms might include, but are not limited to:

     (1) Aggression;

     (2) Self-injury;

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     (3) Trauma;

     (4) Acute depression/anxiety;

     (5) Challenges at school; Suicidal or homicidal thoughts/behaviors; and

     (6) Extreme parent/child conflict.

     Mobile response and stabilization services are provided by “certified licensed providers”

meaning licensed behavioral health organizations providing outpatient services, which have

demonstrated expertise in delivering child-specific mobile response and stabilization services, and

have obtained relevant state licensure or certification.

     (b) Every individual or group health insurance contract, or every individual or group

hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery,

or renewed in this state on or after January 1, 2026, shall provide coverage for mobile response and

stabilization services, consistent with the core components of the mobile crisis model, and in

accordance with the insurer’s existing reimbursement, credentialing, and contracting processes,

provided any utilization review processes do not limit timely access or fidelity to the model.

     (c) This section shall not apply to insurance coverage providing benefits for:

     (1) Hospital confinement indemnity;

     (2) Disability income;

     (3) Accident only;

     (4) Long-term care;

     (5) Medicare supplement;

     (6) Limited benefit health;

     (7) Specified disease indemnity;

     (8) Sickness or bodily injury or death by accident or both; and

     (9) Other limited benefit policies.

     (d) Insurers shall reimburse licensed providers for mobile response and stabilization

services as defined in this section at rates of reimbursement equal to or greater than the prevailing

integrated state Medicaid rate for mobile response and stabilization services on or after October 1,

2026, using the state Medicaid payment methodology as established by the executive office of

health and human services.

     SECTION 3. Section 27-20-83 of the General Laws in Chapter 27-20 entitled "Nonprofit

Medical Service Corporations" is hereby amended to read as follows:

     27-20-83. Acute mental health crisis mobile response and stabilization services.

[Effective January 1, 2026.]

     (a) As used in this section, “mobile response and stabilization services” means a behavioral

LC005016/SUB A - Page 3 of 6

health crisis intervention system providing immediate de-escalation, stabilization services, and

follow-up care, provided by a certified licensed provider. These services are delivered to provide

rapid response to, assessment of, and early intervention for a child or youth eighteen (18) years of

age and younger children and youth up to the age of twenty-one (21) experiencing an acute mental

health crisis. Symptoms might include, but are not limited to:

     (1) Aggression;

     (2) Self-injury;

     (3) Trauma;

     (4) Acute depression/anxiety;

     (5) Challenges at school; Suicidal or homicidal thoughts/behaviors; and

     (6) Extreme parent/child conflict.

     Mobile response and stabilization services are provided by “certified licensed providers”

meaning licensed behavioral health organizations providing outpatient services, which have

demonstrated expertise in delivering child-specific mobile response and stabilization services, and

have obtained relevant state licensure or certification.

     (b) Every individual or group health insurance contract, or every individual or group

hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery,

or renewed in this state on or after January 1, 2026, shall provide coverage for mobile response and

stabilization services, consistent with the core components of the mobile crisis model, and in

accordance with the insurer’s existing reimbursement, credentialing, and contracting processes,

provided any utilization review processes do not limit timely access or fidelity to the model.

     (c) This section shall not apply to insurance coverage providing benefits for:

     (1) Hospital confinement indemnity;

     (2) Disability income;

     (3) Accident only;

     (4) Long-term care;

     (5) Medicare supplement;

     (6) Limited benefit health;

     (7) Specified disease indemnity;

     (8) Sickness or bodily injury or death by accident or both; and

     (9) Other limited benefit policies.

     (d) Insurers shall reimburse licensed providers for mobile response and stabilization

services as defined in this section at rates of reimbursement equal to or greater than the prevailing

integrated state Medicaid rate for mobile response and stabilization services on or after October 1,

LC005016/SUB A - Page 4 of 6

2026, using the state Medicaid payment methodology as established by the executive office of

health and human services.

     SECTION 4. Section 27-41-100 of the General Laws in Chapter 27-41 entitled "Health

Maintenance Organizations" is hereby amended to read as follows:

     27-41-100. Acute mental health crisis mobile response and stabilization services.

[Effective January 1, 2026.]

     (a) As used in this section, “mobile response and stabilization services” means a behavioral

health crisis intervention system providing immediate de-escalation, stabilization services, and

follow-up care, provided by a certified licensed provider. These services are delivered to provide

rapid response to, assessment of, and early intervention for a child or youth eighteen (18) years of

age and younger children and youth up to the age of twenty-one (21) experiencing an acute mental

health crisis. Symptoms might include, but are not limited to:

     (1) Aggression;

     (2) Self-injury;

     (3) Trauma;

     (4) Acute depression/anxiety;

     (5) Challenges at school; Suicidal or homicidal thoughts/behaviors; and

     (6) Extreme parent/child conflict.

     Mobile response and stabilization services are provided by “certified licensed providers”

meaning licensed behavioral health organizations providing outpatient services, which have

demonstrated expertise in delivering child-specific mobile response and stabilization services, and

have obtained relevant state licensure or certification.

     (b) Every individual or group health insurance contract, or every individual or group

hospital or medical expense insurance policy, plan, or group policy delivered, issued for delivery,

or renewed in this state on or after January 1, 2026, shall provide coverage for mobile response and

stabilization services, consistent with the core components of the mobile crisis model, and in

accordance with the insurer’s existing reimbursement, credentialing, and contracting processes,

provided any utilization review processes do not limit timely access or fidelity to the model.

     (c) This section shall not apply to insurance coverage providing benefits for:

     (1) Hospital confinement indemnity;

     (2) Disability income;

     (3) Accident only;

     (4) Long-term care;

     (5) Medicare supplement;

LC005016/SUB A - Page 5 of 6

     (6) Limited benefit health;

     (7) Specified disease indemnity;

     (8) Sickness or bodily injury or death by accident or both; and

     (9) Other limited benefit policies.

     (d) Insurers shall reimburse licensed providers for mobile response and stabilization

services as defined in this section at rates of reimbursement equal to or greater than the prevailing

integrated state Medicaid rate for mobile response and stabilization services on or after October 1,

2026, using the state Medicaid payment methodology as established by the executive office of

health and human services.

     SECTION 5. 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 -- ACCIDENT AND SICKNESS INSURANCE POLICIES

***

     This act would require that reimbursement rates for licensed mobile response and

stabilization services be equal to or greater than the prevailing integrated state Medicaid rate for

mobile response and stabilizations services as established by EOHHS.

     This act would take effect upon passage.

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