Rhode Island 2025 Regular Session

Rhode Island House Bill H5432

Introduced
2/12/25  
Refer
2/12/25  
Report Pass
6/16/25  
Engrossed
6/18/25  

Caption

This act would prohibit health insurance providers from requiring preauthorization for in- network mental health or substance use disorder services.

Impact

The implementation of HB 5432 could significantly influence insurance practices in Rhode Island by aligning the treatment of mental health and substance use disorders with that of other medical conditions. This entails removing financial limitations and ensuring that coverage terms for mental health treatments are on par with those for physical health issues. The bill's passage is expected to foster a more equitable healthcare environment, where mental health services are not relegated to secondary status within insurance frameworks.

Summary

House Bill 5432 aims to amend existing insurance laws in Rhode Island to enhance access to mental health and substance use disorder treatment. Specifically, the bill prohibits health insurance providers from requiring preauthorization for in-network mental health or substance use disorder services. This legislative measure is designed to reduce barriers that patients face in accessing necessary care, which is particularly crucial given the rising awareness of mental health issues and substance abuse in society. By ensuring that patients have easier access to these services, the bill seeks to promote overall mental wellness and public health in the state.

Sentiment

The sentiment surrounding HB 5432 seems generally positive among healthcare advocates and mental health professionals, who view the elimination of preauthorization as a necessary step towards improving healthcare access and patient outcomes. Proponents argue that easing these requirements will allow for timely interventions and treatments, ultimately benefiting the broader community. Conversely, some opponents may express concerns about potential impacts on healthcare costs and the implications of reduced oversight; however, specifics from the discussions indicate more support than contention overall.

Contention

While the bill aims to streamline access to mental health and substance use disorder services, it might encounter discussions about safeguards to prevent misuse of the system without preauthorization checks. Concerns could arise regarding how insurance companies will manage the potential increase in service requests and the overall financial implications for their organizations. Nonetheless, the current emphasis on mental health initiatives amidst the ongoing health crises signifies a broader legislative trend towards prioritizing this area.

Companion Bills

No companion bills found.

Previously Filed As

RI S2393

Prohibits health insurance providers from requiring preauthorization for in-network mental health or substance use disorder services.

RI H7624

Prohibits health insurance providers from requiring preauthorization for in-network mental health or substance use disorder services.

RI H7735

Requires insurance coverage for at a minimum up to ninety (90) days of residential or inpatient services for mental health and/or substance use disorders for American Society of Addiction Medicine levels of care 3.1 and 3.3.

RI S3047

Requires insurance coverage for at a minimum up to ninety (90) days of residential or inpatient services for mental health and/or substance use disorders for American Society of Addiction Medicine levels of care 3.1 and 3.3.

RI S2872

Requires coverage for residential/inpatient mental health services for detox/stabilization/substance abuse disorders without preauthorization or be subject to concurrent review during the first 28 days.

RI H7901

Requires coverage for residential/inpatient mental health services for detox/stabilization/substance abuse disorders without preauthorization or be subject to concurrent review during the first 28 days.

RI S0287

Insurance Coverage For Mental Illness And Substance Abuse

RI H5347

Insurance Coverage For Mental Illness And Substance Abuse

RI S2726

Prohibits insurance companies from paying a rate that is less than the approved Medicaid rate set by the executive office of health and human services.

RI H7876

Outlines the insurance coverage standards, protocols and guidelines for medically necessary treatment of individuals with mental health or substance abuse use disorders.

Similar Bills

HI SB132

Relating To Alcohol And Substance Abuse.

HI SB132

Relating To Alcohol And Substance Abuse.

CA SB904

Controlled substances: treatment.

CA SB748

Disability access and information: local government: notice.

CA SB46

Controlled substances: treatment.

CA AB1750

Controlled substances: treatment.

NJ S1845

Requires DOC and county correctional facilities to provide certain inmates with medication-assisted treatment.

NJ A2256

Requires DOC and county correctional facilities to provide certain inmates with medication-assisted treatment.