The bill amends Section 5-19.1-35 of the General Laws concerning audits of pharmacies by insurers and their intermediaries. Key provisions include that a pharmacy shall not be subject to more than one on-site audit in connection with a carrier every twelve (12) months, unless there is an identified problem or fraud or misrepresentation is suspected. The bill also grants the Rhode Island attorney general the authority to enforce and ensure compliance with these audit regulations. Additionally, it clarifies that a document or record required under the Medicaid program does not constitute a willful violation without proof of intent to commit fraud. The act is designed to limit the frequency of audits while maintaining accountability in the auditing process. The provisions will take effect upon passage.

Statutes affected:
314: 5-19.1-35
314  SUB A: 5-19.1-35