Rhode Island 2023 Regular Session

Rhode Island House Bill H5744 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1
2	2
3	3
4	4
5	5	2023 -- H 5744
6	6	========
7	7	LC000252
8	8	========
9	9	S TATE OF RHODE IS LAND
10	10	IN GENERAL ASSEMBLY
11	11	JANUARY SESSION, A.D. 2023
12	12	____________
13	13
14	14	A N A C T
15	15	RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES
16	16	Introduced By: Representatives Morales, Alzate, McGaw, Carson, Cruz, Kislak, Tanzi,
17	17	Giraldo, Donovan, and Kennedy
18	18	Date Introduced: February 21, 2023
19	19	Referred To: House Health & Human Services
20	20
21	21
22	22	It is enacted by the General Assembly as follows:
23	23	SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness Insurance 1
24	24	Policies" is hereby amended by adding thereto the following section: 2
25	25	27-18-91. Mandatory coverage for treatment of pre-exposure prophylaxis (PrEP) for 3
26	26	the prevention of HIV and post-exposure prophylaxis to prevent HIV infection. 4
27	27	(a) Every group health insurance contract, or every group hospital or medical expense 5
28	28	insurance policy, plan, or group policy delivered, issued for delivery, or renewed in this state, by 6
29	29	any health insurance carrier, on or after January 1, 2024, shall provide coverage for treatment of 7
30	30	pre-exposure prophylaxis (PrEP) for the prevention of HIV and post-exposure prophylaxis (PEP) 8
31	31	to prevent HIV infection. 9
32	32	(b) The healthcare benefits outlined in this section apply only to services delivered within 10
33	33	the state of Rhode Island; provided, that all health insurance carriers shall be required to provide 11
34	34	coverage for those benefits mandated by this section outside of the state of Rhode Island where it 12
35	35	can be established through a pre-authorization process that the required services are not available 13
36	36	in the state of Rhode Island from a provider in the health insurance carrier’s network. 14
37	37	(c) Each health insurance carrier shall collect and provide to the office of the health 15
38	38	insurance commissioner, in a form and frequency acceptable to the commissioner, information and 16
39	39	data reflecting the costs and the savings of adding the benefit coverage provided in this section. 17
40	40	SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service 18
41	41	Corporations" is hereby amended by adding thereto the following section: 19
42	42
43	43
44	44	LC000252 - Page 2 of 4
45	45	27-19-83. Mandatory coverage for treatment of pre-exposure prophylaxis (PrEP) for 1
46	46	the prevention of HIV and post-exposure prophylaxis to prevent HIV infection. 2
47	47	(a) Every group health insurance contract, or every group hospital or medical expense 3
48	48	insurance policy, plan, or group policy delivered, issued for delivery, or renewed in this state, by 4
49	49	any health insurance carrier, on or after January 1, 2024, shall provide coverage for treatment of 5
50	50	pre-exposure prophylaxis (PrEP) for the prevention of HIV and post-exposure prophylaxis (PEP) 6
51	51	to prevent HIV infection. 7
52	52	(b) The healthcare benefits outlined in this section apply only to services delivered within 8
53	53	the state of Rhode Island; provided, that all health insurance carriers shall be required to provide 9
54	54	coverage for those benefits mandated by this section outside of the state of Rhode Island where it 10
55	55	can be established through a pre-authorization process that the required services are not available 11
56	56	in the state of Rhode Island from a provider in the health insurance carrier’s network. 12
57	57	(c) Each health insurance carrier shall collect and provide to the office of the health 13
58	58	insurance commissioner, in a form and frequency acceptable to the commissioner, information and 14
59	59	data reflecting the costs and the savings of adding the benefit coverage provided in this section. 15
60	60	SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service 16
61	61	Corporations" is hereby amended by adding thereto the following section: 17
62	62	27-20-79. Mandatory coverage for treatment of pre-exposure prophylaxis (PrEP) for 18
63	63	the prevention of HIV and post-exposure prophylaxis to prevent HIV infection. 19
64	64	(a) Every group health insurance contract, or every group hospital or medical expense 20
65	65	insurance policy, plan, or group policy delivered, issued for delivery, or renewed in this state, by 21
66	66	any health insurance carrier, on or after January 1, 2024, shall provide coverage for treatment of 22
67	67	pre-exposure prophylaxis (PrEP) for the prevention of HIV and post-exposure prophylaxis (PEP) 23
68	68	to prevent HIV infection. 24
69	69	(b) The healthcare benefits outlined in this section apply only to services delivered within 25
70	70	the state of Rhode Island; provided, that all health insurance carriers shall be required to provide 26
71	71	coverage for those benefits mandated by this section outside of the state of Rhode Island where it 27
72	72	can be established through a pre-authorization process that the required services are not available 28
73	73	in the state of Rhode Island from a provider in the health insurance carrier’s network. 29
74	74	(c) Each health insurance carrier shall collect and provide to the office of the health 30
75	75	insurance commissioner, in a form and frequency acceptable to the commissioner, information and 31
76	76	data reflecting the costs and the savings of adding the benefit coverage provided in this section. 32
77	77	SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance 33
78	78	Organizations" is hereby amended by adding thereto the following section: 34
79	79
80	80
81	81	LC000252 - Page 3 of 4
82	82	27-41-96. Mandatory coverage for treatment of pre-exposure prophylaxis (PrEP) for 1
83	83	the prevention of HIV and post-exposure prophylaxis to prevent HIV infection. 2
84	84	(a) Every group health insurance contract, or every group hospital or medical expense 3
85	85	insurance policy, plan, or group policy delivered, issued for delivery, or renewed in this state, by 4
86	86	any health insurance carrier, on or after January 1, 2024, shall provide coverage for treatment of 5
87	87	pre-exposure prophylaxis (PrEP) for the prevention of HIV and post-exposure prophylaxis (PEP) 6
88	88	to prevent HIV infection. 7
89	89	(b) The healthcare benefits outlined in this section apply only to services delivered within 8
90	90	the state of Rhode Island; provided, that all health insurance carriers shall be required to provide 9
91	91	coverage for those benefits mandated by this section outside of the state of Rhode Island where it 10
92	92	can be established through a pre-authorization process that the required services are not available 11
93	93	in the state of Rhode Island from a provider in the health insurance carrier’s network. 12
94	94	(c) Each health insurance carrier shall collect and provide to the office of the health 13
95	95	insurance commissioner, in a form and frequency acceptable to the commissioner, information and 14
96	96	data reflecting the costs and the savings of adding the benefit coverage provided in this section. 15
97	97	SECTION 5. This act shall take effect upon passage. 16
98	98	========
99	99	LC000252
100	100	========
101	101
102	102
103	103	LC000252 - Page 4 of 4
104	104	EXPLANATION
105	105	BY THE LEGISLATIVE COUNCIL
106	106	OF
107	107	A N A C T
108	108	RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES
109	109	***
110	110	This act would require coverage for the treatment of pre-exposure prophylaxis (PrEP) for 1
111	111	the prevention of HIV and post-exposure prophylaxis (PEP) to prevent HIV infection, commencing 2
112	112	January 1, 2024. 3
113	113	This act would take effect upon passage. 4
114	114	========
115	115	LC000252
116	116	========