The bill amends "The Rhode Island Health Care Reform Act of 2004 — Health Insurance Oversight" by inserting new definitions and expanding the health insurance commissioner's duties. It defines "primary care services" and establishes the commissioner's responsibilities, including conducting public meetings, making recommendations, and forming an advisory council. The council is tasked with developing small business health insurance proposals, informing businesses about the insurance complaint process, and assessing community views on insurance rates and practices. The bill also mandates the creation of a subcommittee for transparency between healthcare providers and health plans, including the disclosure of fee schedules. There are no deletions indicated in the provided text.

Additionally, the bill sets forth guidelines for healthcare administration and insurance practices, such as standardized provider applications, uniform claim forms, and making facility-specific data on quality and costs available to patients. It addresses contractual disclosure, insurance enrollment status confirmation, temporary credentialing, contract renegotiations, and the impact of silent PPOs. The bill also calls for the enforcement of provisions in titles 27 and 42, analysis of the Rhode Island affordable health plan reinsurance fund, and the study of rating guidelines and market mergers. A task force and contracted organization will assist with fiscal analysis, and a workgroup will develop recommendations for streamlining healthcare administration by June 30, 2024. The bill includes provisions for claim adjudication, preauthorization, and continuity of care, and mandates reports on various healthcare topics. It also requires a comprehensive review of social and human service programs, with a new insertion mandating the inclusion of primary care services in biennial reports starting September 1, 2025. The bill emphasizes transparency, public participation, and aligning budget submissions with recommended rates from assessments. It would take effect upon passage with the necessary funding appropriated by the General Assembly.