The bill amends the Rhode Island Health Care Reform Act of 2004 by introducing new definitions and clarifying the responsibilities of the health insurance commissioner. It includes a definition for "primary care services," which refers to professional services rendered by primary care providers at a primary care site of care. The bill establishes that all biennial reports from the Office of the Health Insurance Commissioner shall include a review and recommendations of rates for primary care services starting September 1, 2025.

Additionally, the bill enhances oversight of health insurance by focusing on prior authorization processes and integrating behavioral health care. It establishes selective prior authorization programs for providers in risk-based payment contracts, mandates annual reviews of services and drugs requiring prior authorization, and encourages improved communication among health plans, providers, and patients. The act will take effect upon passage.