Requires insurance coverage for all community health workers' services to include health and promotion coaching, health education and training, health system navigation and resource coordination services, care planning and follow-up care recommendations.
Impact
The implementation of H7875 is expected to significantly transform the health insurance landscape in Rhode Island by ensuring that services provided by community health workers are recognized and reimbursed by health insurance plans. This is intended to enhance access to care for patients who may encounter barriers to health services, thereby improving health outcomes, particularly for those with chronic health issues. By including services such as health education, coaching, and care planning as necessary coverage, the bill aims to integrate these professionals more fully into the healthcare system.
Summary
House Bill H7875 seeks to amend the General Laws related to insurance, specifically focusing on the insurance coverage of community health workers' services. Introduced by a set of Rhode Island representatives, this bill mandates that every individual or group health insurance contract delivered or renewed in the state after January 1, 2025, must include coverage for community health workers. These professionals are defined as trained individuals who provide essential services designed to meet the healthcare needs of individuals with chronic health conditions, including behavioral health support.
Conclusion
Overall, H7875 presents a forward-thinking approach to addressing gaps in healthcare coverage for chronic conditions. It emphasizes the importance of community health workers as vital components of the healthcare delivery system. As discussions around this bill progress, stakeholders will likely engage in deliberations over its potential effects on existing insurance practices and the overall framework of healthcare policy in Rhode Island.
Contention
Notably, the bill does not apply to certain insurance coverages, such as those providing benefits for long-term care, Medicare supplements, or limited benefit policies. This exclusion has raised concerns about the ongoing challenge of comprehensive access to care, particularly for vulnerable populations who may rely on these specific types of insurance. Critics argue that while the focus on community health workers is commendable, the limitations within the bill could leave some groups without the critical support they need.
Determination Of Need For New Healthcare Equipment And New Institutional Health Services -- Licensing Of Healthcare Facilities -- The Hospital Conversions Act
To Require Fair And Transparent Reimbursement Rates; To Ensure Parity Of Healthcare Services; To Amend The Billing In The Best Interest Of Patients Act; And To Declare An Emergency.
Requires insurance coverage for all community health workers' services to include health and promotion coaching, health education and training, health system navigation and resource coordination services, care planning and follow-up care recommendations.
Requires insurance coverage for all community health workers' services to include health and promotion coaching, health education and training, health system navigation and resource coordination services, care planning and follow-up care recommendations.
Requires insurance coverage for all community health workers' services to include health and promotion coaching, health education and training, health system navigation and resource coordination services, care planning and follow-up care recommendations.