The bill amends the Rhode Island Health Care Reform Act of 2004 to enhance the powers and duties of the health insurance commissioner. Key provisions include the requirement for the commissioner to submit a comprehensive report to the General Assembly by June 30, 2024, and a specific report focusing on prescription drug prior authorizations by January 1, 2026. The reports shall include recommendations the commissioner may implement, along with supporting rationale.

Additionally, the bill establishes a workgroup that will consider and make recommendations on various healthcare issues, with members required to comply with the commissioner's requests for information and documents within specified timelines. The commissioner is granted authority to take necessary enforcement actions to implement this section.

The act emphasizes the need for transparency in healthcare costs and the adequacy of health plans, while also requiring the Office of the Health Insurance Commissioner to monitor the transition to alternative payment methodologies. It introduces a framework for biennial assessments of social and human service program rates and accountability measures to ensure adequate reimbursement and access to services. The act will take effect upon passage.

Statutes affected:
5433: 42-14.5-3