Regulates price increases for prescription drugs.
The Rhode Island Health Care Reform Act Of 2004 -- Health Insurance Oversight
Requires a report to be produced that focuses on prescription drug prior authorizations by January 1, 2025.
Requires a report to be produced that focuses on prescription drug prior authorizations by January 1, 2025.
Includes the definition of "primary care services" and requires that all biennial reports shall include a review and recommendation of rates for primary care services on and after September 1, 2025.
Limits the use by insurers of step therapy, a protocol that establishes a specific sequence in which prescription drugs for a specified medical condition are covered by an insurer, by allowing medical providers to request step therapy exceptions.
Limits the use by insurers of step therapy, a protocol that establishes a specific sequence in which prescription drugs for a specified medical condition are covered by an insurer, by allowing medical providers to request step therapy exceptions.
Protects the solvency of health systems, physicians, and advance practice providers and insurers, encourage fair treatment of hospitals and ensure adequate clinical workforce while advancing health equity.
Protects the solvency of health systems, physicians, and advance practice providers and insurers, encourage fair treatment of hospitals and ensure adequate clinical workforce while advancing health equity.
Requires that the department of human services and the department of behavioral healthcare, developmental disabilities and hospitals provide forecasted costs reflecting the recommended rate review on a monthly basis.