The bill amends Section 27-18.5-2 of the General Laws regarding "Individual Health Insurance Coverage" by introducing new definitions and clarifying existing ones. It adds a definition for "generic," which refers to the chemical or established name of a drug or drug product. Additionally, it includes a new definition for "prior authorization" (PA), which is a requirement from a health insurance company that a doctor or provider must obtain approval before prescribing a medication or providing other health care services.
Furthermore, the bill establishes a new section, 27-18.5-12, which prohibits individual health insurance policies in the state from requiring prior authorization for prescriptions of generic medications. This provision aims to streamline access to generic drugs for individuals covered under these policies. The act is set to take effect on January 1, 2026.
Statutes affected: 684: 27-18.5-2