The bill amends Section 5-19.1-35 of the General Laws concerning audits of pharmacies by insurers and their intermediaries. Key provisions include limiting pharmacies to one on-site audit every twelve (12) months, unless there is an identified problem or fraud or misrepresentation is suspected. The bill clarifies that a document or record required under the Medicaid program does not constitute a willful violation without proof of intent to commit fraud. Additionally, the Rhode Island attorney general is granted the authority to enforce compliance with these audit regulations. The act will take effect upon passage.

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