2023 -- H 5012
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LC000322
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S TATE OF RHODE IS LAND
IN GENERAL ASSEMBLY
JANUARY SESSION, A.D. 2023
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A N A C T
RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES --
PHYSICAL THERAPY COP AY
Introduced By: Representatives Bennett, Baginski, McGaw, Fenton-Fung, Corvese, and
Solomon
Date Introduced: January 06, 2023
Referred To: House Health & Human Services
It is enacted by the General Assembly as follows:
SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness Insurance 1
Policies" is hereby amended by adding thereto the following section: 2
27-18-91. Physical therapists. 3
(a) An individual or group health insurance plan or policy delivered, issued for delivery, or 4
renewed in this state on or after January 1, 2024, shall not impose a copayment, coinsurance, or 5
office visit deductible amount charged to the insured for services rendered by a physical therapist 6
licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible 7
amount charged to the insured for the services of a primary care physician or osteopath licensed 8
under chapter 37 of title 5. 9
(b) An insurer shall state clearly the availability of physical therapy coverage under its plan 10
and all related limitations, conditions, and exclusions. 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. Physical therapists. 14
(a) An individual or group health insurance plan or policy delivered, issued for delivery, or 15
renewed in this state on or after January 1, 2024, shall not impose a copayment, coinsurance, or 16
office visit deductible amount charged to the insured for services rendered by a physical therapist 17
licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible 18
LC000322 - Page 2 of 3
amount charged to the insured for the services of a primary care physician or osteopath licensed 1
under chapter 37 of title 5. 2
(b) An insurer shall state clearly the availability of physical therapy coverage under its plan 3
and all related limitations, conditions, and exclusions. 4
SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service 5
Corporations" is hereby amended by adding thereto the following section: 6
27-20-79. Physical therapists. 7
(a) An individual or group health insurance plan or policy delivered, issued for delivery, or 8
renewed in this state on or after January 1, 2024, shall not impose a copayment, coinsurance, or 9
office visit deductible amount charged to the insured for services rendered by a physical therapist 10
licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible 11
amount charged to the insured for the services of a primary care physician or osteopath licensed 12
under chapter 37 of title 5. 13
(b) An insurer shall state clearly the availability of physical therapy coverage under its plan 14
and all related limitations, conditions, and exclusions. 15
SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance 16
Organizations" is hereby amended by adding thereto the following section: 17
27-41-96. Physical therapists. 18
(a) An individual or group health insurance plan or policy delivered, issued for delivery, or 19
renewed in this state on or after January 1, 2024, shall not impose a copayment, coinsurance, or 20
office visit deductible amount charged to the insured for services rendered by a physical therapist 21
licensed under § 5-40-7 that is greater than the copayment, coinsurance or office visit deductible 22
amount charged to the insured for the services of a primary care physician or osteopath licensed 23
under chapter 37 of title 5. 24
(b) An insurer shall state clearly the availability of physical therapy coverage under its plan 25
and all related limitations, conditions, and exclusions. 26
SECTION 5. This act shall take effect upon passage. 27
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LC000322
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EXPLANATION
BY THE LEGISLATIVE COUNCIL
OF
A N A C T
RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES --
PHYSICAL THERAPY COP AY
***
This act would limit copays, coinsurance or office deductibles for services of a physical 1
therapist to the amount authorized for the services of a primary care physician or osteopath. 2
This act would take effect upon passage. 3
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LC000322
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