The bill amends the Rhode Island Health Care Reform Act of 2004 by introducing new definitions, including "primary care services," which refers to professional services rendered by primary care providers at a primary care site of care. It clarifies the powers and duties of the health insurance commissioner, requiring that all biennial reports conducted thereafter include a review and recommendations of rates for primary care services starting September 1, 2025.

The bill enhances oversight and regulation of health insurance by establishing selective prior authorization programs for providers in risk-based payment contracts and requiring annual reviews of medical services and prescription drugs that need prior authorization. It emphasizes continuity of care during treatment transitions and encourages the use of electronic prior authorization technology.

The act will take effect upon passage.