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SB 116
  • Introduced
    Jan 31, 2025
  • Passed Senate
  • Passed House
  • Signed into Law
SB 116
Rhode Island Senate Bill
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AN ACT RELATING TO INSURANCE -- BENEFIT DETERMINATION AND UTILIZATION REVIEW ACT (Limits the use by insurers of step therapy, a protocol that establishes a specific sequence in which prescription drugs for a specified medical condition are covered by an insurer, by allowing medical providers to request step therapy exceptions.)
Last Action See all actions
Senate • Mar 13, 2025: 03/13/2025 Committee recommended measure be held for further study
Latest Bill Text See all bill texts
116
Companion Bills
RI2025HB 5119
AN ACT RELATING TO INSURANCE -- BENEFIT DETERMINATION AND UTILIZATION REVIEW ACT (Limits the use by insurers of step therapy, a protocol that establishes a specific sequence in which prescription drugs for a specified medical condition are covered by an insurer, by allowing medical providers to request step therapy exceptions.)
RI2025HB 5433
AN ACT RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE RHODE ISLAND HEALTH CARE REFORM ACT OF 2004 -- HEALTH INSURANCE OVERSIGHT (Requires a report to be produced that focuses on prescription drug prior authorizations by January 1, 2026.)
RI2025HB 5255
AN ACT RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE RHODE ISLAND HEALTH CARE REFORM ACT OF 2004 -- HEALTH INSURANCE OVERSIGHT (Includes the definition of "primary care services" and requires that all biennial reports shall include a review and recommendation of rates for primary care services on and after September 1, 2025.)
RI2025HB 5989
AN ACT RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE RHODE ISLAND HEALTHCARE REFORM ACT OF 2004 -- HEALTH INSURANCE OVERSIGHT (Provides for a two-point three percent (2.3%) increase of provider reimbursement rates for intellectual and developmental disabilities commencing October 1, 2025.)
RI2025HB 5832
AN ACT RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE RHODE ISLAND HEALTH CARE REFORM ACT OF 2004 -- HEALTH INSURANCE OVERSIGHT (Amends powers/duties of the office of the health insurance commissioner to increase total cost of care for services reimbursed under contracts after risk adjustment that exceeds the Consumer Price Index for all Urban Consumers percentage increase.)
RI2025HB 6119
AN ACT RELATING TO STATE AFFAIRS AND GOVERNMENT -- THE RHODE ISLAND HEALTH CARE REFORM ACT OF 2004 -- HEALTH INSURANCE OVERSIGHT (Adds to the powers and duties of the OHIC the undertaking of analyses, reports, studies, and recommendations with respect to reimbursement and financing for the provision of primary care services to Rhode Islanders.)
RI2025HB 5429
AN ACT RELATING TO INSURANCE -- THIRD-PARTY HEALTH INSURANCE ADMINISTRATORS -- PRESCRIPTION DRUG COST CONTROL AND TRANSPARENCY (Provides certain controls over prescription drug costs by imposing transparency, oversight and accountability requirements on commercial insurers and their pharmacy benefit managers.)
RI2025HB 5172
AN ACT RELATING TO INSURANCE -- THE TRANSPARENCY AND ACCOUNTABILITY IN ARTIFICIAL INTELLIGENCE USE BY HEALTH INSURERS TO MANAGE COVERAGE AND CLAIMS ACT (Would promote transparency and accountability in the use of artificial intelligence by health insurers to manage coverage and claims.)
RI2025HB 5120
AN ACT RELATING TO INSURANCE -- BENEFIT DETERMINATION AND UTILIZATION REVIEW ACT (Provides an insurer would not impose prior authorization requirements for any service ordered by an in-network primary care provider.)
RI2025HB 6317
AN ACT RELATING TO INSURANCE -- BENEFIT DETERMINATION AND UTILIZATION ACT (Prohibits an insurer from imposing a requirement of prior authorization for any admission, item, service, treatment, test, exam, study, procedure, or any generic or brand name prescription drug ordered by a primary care provider.)
RI2025HB 5465
AN ACT RELATING TO HEALTH AND SAFETY -- THE RHODE ISLAND COMPREHENSIVE HEALTH INSURANCE PROGRAM (Establishes a single-payer health care insurance system, consolidating public and private payments into a more efficient Medicare-for-all style program, funded by progressive taxes, to reduce health care costs.)
RI2025HB 5076
AN ACT MAKING APPROPRIATIONS FOR THE SUPPORT OF THE STATE FOR THE FISCAL YEAR ENDING JUNE 30, 2026 (MAKING APPROPRIATIONS FOR THE SUPPORT OF THE STATE FOR THE FISCAL YEAR ENDING JUNE 30, 2026)

Summary/Bill Text

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Actions
  • Mar 13, 2025 | Senate
    • 03/13/2025 Committee recommended measure be held for further study
  • Mar 07, 2025 | Senate
    • 03/07/2025 Scheduled for hearing and/or consideration (03/13/2025)
  • Jan 31, 2025 | Senate
    • 01/31/2025 Introduced, referred to Senate Health and Human Services
Bill Texts
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