Rhode Island 2023 Regular Session

Rhode Island House Bill H6220 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 6220
6	6	========
7	7	LC002567
8	8	========
9	9	S T A T E O F R H O D E I S L A N D
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 – INSURANCE COVERAGE FOR MENTAL ILLNESS AND
16	16	SUBSTANCE ABUSE
17	17	Introduced By: Representative Stephen M. Casey
18	18	Date Introduced: March 29, 2023
19	19	Referred To: House Finance
20	20
21	21
22	22	It is enacted by the General Assembly as follows:
23	23	SECTION 1. Chapter 27-38.2 of the General Laws entitled "Insurance Coverage for Mental 1
24	24	Illness and Substance Abuse" is hereby amended by adding thereto the following section: 2
25	25	27-38.2-7. Payments for long-acting injectable medications for mental health or 3
26	26	substance use disorders. 4
27	27	(a) Notwithstanding any other provisions to the contrary, a group health plan, an individual 5
28	28	or group health insurance plan, as defined under chapters 18, 19, 20, and 41 of title 27, the Rhode 6
29	29	Island medical assistance program, as defined under chapter 8 of title 40, and any contract between 7
30	30	the Rhode Island medical assistance program and a managed care organization shall separately 8
31	31	reimburse, at the prevailing fee schedule, for long-acting injectable medications administered for a 9
32	32	mental health condition or extended-release medications administered for a substance use disorder 10
33	33	in hospital emergency department and inpatient settings. 11
34	34	(b) The executive office of health and human services, in consultation with the Hospital 12
35	35	Association of Rhode Island, shall implement a reimbursement policy for the use of long-acting 13
36	36	injectable medications administered for a mental health condition or extended-release medications 14
37	37	administered for a substance use disorder in hospital emergency department and inpatient settings. 15
38	38	(c) If it determines that authorization from a federal agency is necessary for the 16
39	39	implementation of this section, the executive office of health and human services is authorized to 17
40	40	seek a state plan amendment and may delay implementing the provisions until the authorization is 18
41	41
42	42
43	43	LC002567 - Page 2 of 3
44	44	granted. 1
45	45	(d) The Rhode Island medical assistance program, as defined under chapter 8 of title 40, 2
46	46	shall require through amending current and future medical assistance managed care contracts that 3
47	47	the managed care organizations meet the provisions of this section. 4
48	48	SECTION 2. This act shall take effect upon passage and applies to all policies, contracts, 5
49	49	and certificates executed, delivered, issued for delivery, continued or renewed in this state on or 6
50	50	after January 1, 2024. 7
51	51	========
52	52	LC002567
53	53	========
54	54
55	55
56	56	LC002567 - Page 3 of 3
57	57	EXPLANATION
58	58	BY THE LEGISLATIVE COUNCIL
59	59	OF
60	60	A N A C T
61	61	RELATING TO INSURANCE – INSURANCE COVERAGE F OR MENTAL ILLNESS AND
62	62	SUBSTANCE ABUSE
63	63	***
64	64	This act would require a group health plan, an individual or group health insurance plan, 1
65	65	as defined under chapters 18, 19, 20, and 41 of title 27, the Rhode Island medical assistance 2
66	66	program, as defined under chapter 8 of title 40, and any contract between the Rhode Island medical 3
67	67	assistance program and a managed care organization to separately reimburse, at the prevailing fee 4
68	68	schedule, for long-acting injectable medications administered for a mental health condition or 5
69	69	extended-release medications administered for a substance use disorder in hospital emergency 6
70	70	department and inpatient settings. 7
71	71	This act would take effect upon passage and would apply to all policies, contracts, and 8
72	72	plans executed, delivered, issued for delivery, continued or renewed in this state on or after January 9
73	73	1, 2024. 10
74	74	========
75	75	LC002567
76	76	========