2023 -- S 0470
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LC002165
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STATE OF RHODE ISLAND
IN GENERAL ASSEMBLY
JANUARY SESSION, A.D. 2023
____________
AN ACT
RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES
Introduced By: Senators Sosnowski, Miller, DiPalma, Euer, and Felag
Date Introduced: March 07, 2023
Referred To: Senate Health & Human Services
It is enacted by the General Assembly as follows:
1 SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness Insurance
2 Policies" is hereby amended by adding thereto the following section:
3 27-18-91. Physicians’ reimbursement rate from health insurers.
4 Every individual or group health insurance contract, plan or policy delivered, issued for
5 delivery or renewed in this state on or after January 1, 2024, shall increase the rate of reimbursement
6 for each in-network health care service that is reimbursed below the average reimbursement rates
7 set by Connecticut and Massachusetts. The office of health insurance commissioner shall determine
8 the increase based upon a review and analysis of Connecticut and Massachusetts reimbursement
9 rates. The rate will increase annually commensurate with the average reimbursement rates set by
10 Connecticut and Massachusetts.
11 SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service
12 Corporations" is hereby amended by adding thereto the following section:
13 27-19-83. Physicians’ reimbursement rate from health insurers.
14 Every individual or group health insurance contract, plan or policy delivered, issued for
15 delivery or renewed in this state on or after January 1, 2024, shall increase the rate of reimbursement
16 for each in-network health care service that is reimbursed below the average reimbursement rates
17 set by Connecticut and Massachusetts. The office of health insurance commissioner shall determine
18 the increase based upon a review and analysis of Connecticut and Massachusetts reimbursement
19 rates. The rate will increase annually commensurate with the average reimbursement rates set by
1 Connecticut and Massachusetts.
2 SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service
3 Corporations" is hereby amended by adding thereto the following section:
4 27-20-79. Physicians’ reimbursement rate from health insurers.
5 Every individual or group health insurance contract, plan or policy delivered, issued for
6 delivery or renewed in this state on or after January 1, 2024, shall increase the rate of reimbursement
7 for each in-network health care service that is reimbursed below the average reimbursement rates
8 set by Connecticut and Massachusetts. The office of health insurance commissioner shall determine
9 the increase based upon a review and analysis of Connecticut and Massachusetts reimbursement
10 rates. The rate will increase annually commensurate with the average reimbursement rates set by
11 Connecticut and Massachusetts.
12 SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance
13 Organizations" is hereby amended by adding thereto the following section:
14 27-41-96. Physicians’ reimbursement rate from health insurers.
15 Every individual or group health insurance contract, plan or policy delivered, issued for
16 delivery or renewed in this state on or after January 1, 2024, shall increase the rate of reimbursement
17 for each in-network health care service that is reimbursed below the average reimbursement rates
18 set by Connecticut and Massachusetts. The office of health insurance commissioner shall determine
19 the increase based upon a review and analysis of Connecticut and Massachusetts reimbursement
20 rates. The rate will increase annually commensurate with the average reimbursement rates set by
21 Connecticut and Massachusetts.
22 SECTION 5. This act shall take effect upon passage.
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EXPLANATION
BY THE LEGISLATIVE COUNCIL
OF
AN ACT
RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES
***
1 This act would annually increase the rate of physicians’ reimbursement for each in-network
2 health care service that are reimbursed below the average reimbursement rates set by Connecticut
3 and Massachusetts. The office of health insurance commissioner (OHIC) would determine the
4 increase.
5 This act would take effect upon passage.
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