Amends powers/duties of the office of the health insurance commissioner to increase total cost of care for services reimbursed under contracts after risk adjustment that exceeds the Consumer Price Index for all Urban Consumers percentage increase.
Adds new sections that set forth conditions for pharmacists to prescribe tobacco cessation drug therapies, including education approved by state board of pharmacy. The cessation therapies to be covered by all health insurance carriers on or after 1/1/26.
Requires health insurance policies to cover licensed certified lactation counselor services for childbearing families. It also prohibits requiring supervision or duplicate payments for services and mandates annual reporting.
Requires individual and group health insurance policies that provide pregnancy-related benefits to cover medically necessary expenses for diagnosis and treatment of infertility and standard fertility-preservation services.
Recognizes the program run by the Rhode Island Medical Society or comparable program for physicians, physician assistants, dentists, and podiatrists, to address burnout, substance abuse, and mental and physical health issues.
Authorizes an increase in resource eligibility limits for persons with long-term-care needs who reside at home and requires semi-annual reports from Medicaid certified assisted living facilities and adult day service providers to the EOHHS.
Allows the office of health insurance commissioner (OHIC) as the state agency that has the authority to designate patient-centered medical home (PCMH) care to obtain maximal health outcomes.
Includes the COVID-19 immunization under the consent and reporting provisions required for pharmacy administered immunizations to individuals between nine (9) and eighteen (18) years of age.
Makes a technical amendment to correctly reference a section of general law that allows for a tax refund deduction for contributions to the Rhode Island organ transplant fund.
Authorizes a pharmacy technician or pharmacy intern to perform technology-assisted dispensing process validation for medications prepared for distribution by another pharmacy technician or intern within an institutional pharmacy.
Mandates that EOHHS assemble a network of equity zones where local multisector groups of nonprofits, service providers, advocates, community members, state agencies, and municipalities can address social factors of health at a local level.
Amends provisions relative to confidentiality of health care communications and the process for requesting records and/or confidential health care information.