2023 -- H 6220
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LC002567
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S T A T E O F R H O D E I S L A N D
IN GENERAL ASSEMBLY
JANUARY SESSION, A.D. 2023
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A N A C T
RELATING TO INSURANCE – INSURANCE COVERAGE FOR MENTAL ILLNESS AND
SUBSTANCE ABUSE
Introduced By: Representative Stephen M. Casey
Date Introduced: March 29, 2023
Referred To: House Finance
It is enacted by the General Assembly as follows:
SECTION 1. Chapter 27-38.2 of the General Laws entitled "Insurance Coverage for Mental 1
Illness and Substance Abuse" is hereby amended by adding thereto the following section: 2
27-38.2-7. Payments for long-acting injectable medications for mental health or 3
substance use disorders. 4
(a) Notwithstanding any other provisions to the contrary, a group health plan, an individual 5
or group health insurance plan, as defined under chapters 18, 19, 20, and 41 of title 27, the Rhode 6
Island medical assistance program, as defined under chapter 8 of title 40, and any contract between 7
the Rhode Island medical assistance program and a managed care organization shall separately 8
reimburse, at the prevailing fee schedule, for long-acting injectable medications administered for a 9
mental health condition or extended-release medications administered for a substance use disorder 10
in hospital emergency department and inpatient settings. 11
(b) The executive office of health and human services, in consultation with the Hospital 12
Association of Rhode Island, shall implement a reimbursement policy for the use of long-acting 13
injectable medications administered for a mental health condition or extended-release medications 14
administered for a substance use disorder in hospital emergency department and inpatient settings. 15
(c) If it determines that authorization from a federal agency is necessary for the 16
implementation of this section, the executive office of health and human services is authorized to 17
seek a state plan amendment and may delay implementing the provisions until the authorization is 18
LC002567 - Page 2 of 3
granted. 1
(d) The Rhode Island medical assistance program, as defined under chapter 8 of title 40, 2
shall require through amending current and future medical assistance managed care contracts that 3
the managed care organizations meet the provisions of this section. 4
SECTION 2. This act shall take effect upon passage and applies to all policies, contracts, 5
and certificates executed, delivered, issued for delivery, continued or renewed in this state on or 6
after January 1, 2024. 7
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LC002567
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LC002567 - Page 3 of 3
EXPLANATION
BY THE LEGISLATIVE COUNCIL
OF
A N A C T
RELATING TO INSURANCE – INSURANCE COVERAGE F OR MENTAL ILLNESS AND
SUBSTANCE ABUSE
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This act would require a group health plan, an individual or group health insurance plan, 1
as defined under chapters 18, 19, 20, and 41 of title 27, the Rhode Island medical assistance 2
program, as defined under chapter 8 of title 40, and any contract between the Rhode Island medical 3
assistance program and a managed care organization to separately reimburse, at the prevailing fee 4
schedule, for long-acting injectable medications administered for a mental health condition or 5
extended-release medications administered for a substance use disorder in hospital emergency 6
department and inpatient settings. 7
This act would take effect upon passage and would apply to all policies, contracts, and 8
plans executed, delivered, issued for delivery, continued or renewed in this state on or after January 9
1, 2024. 10
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LC002567
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