2023 -- S 0470
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LC002165
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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
Introduced By: Senators Sosnowski, Miller, DiPalma, Euer, and Felag
Date Introduced: March 07, 2023
Referred To: Senate Commerce
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. Physicians’ reimbursement rate from health insurers. 3
Every individual or group health insurance contract, plan or policy delivered, issued for 4
delivery or renewed in this state on or after January 1, 2024, shall increase the rate of reimbursement 5
for each in-network health care service that is reimbursed below the average reimbursement rates 6
set by Connecticut and Massachusetts. The office of health insurance commissioner shall determine 7
the increase based upon a review and analysis of Connecticut and Massachusetts reimbursement 8
rates. The rate will increase annually commensurate with the average reimbursement rates set by 9
Connecticut and Massachusetts. 10
SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service 11
Corporations" is hereby amended by adding thereto the following section: 12
27-19-83. Physicians’ reimbursement rate from health insurers. 13
Every individual or group health insurance contract, plan or policy delivered, issued for 14
delivery or renewed in this state on or after January 1, 2024, shall increase the rate of reimbursement 15
for each in-network health care service that is reimbursed below the average reimbursement rates 16
set by Connecticut and Massachusetts. The office of health insurance commissioner shall determine 17
the increase based upon a review and analysis of Connecticut and Massachusetts reimbursement 18
rates. The rate will increase annually commensurate with the average reimbursement rates set by 19
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Connecticut and Massachusetts. 1
SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service 2
Corporations" is hereby amended by adding thereto the following section: 3
27-20-79. Physicians’ reimbursement rate from health insurers. 4
Every individual or group health insurance contract, plan or policy delivered, issued for 5
delivery or renewed in this state on or after January 1, 2024, shall increase the rate of reimbursement 6
for each in-network health care service that is reimbursed below the average reimbursement rates 7
set by Connecticut and Massachusetts. The office of health insurance commissioner shall determine 8
the increase based upon a review and analysis of Connecticut and Massachusetts reimbursement 9
rates. The rate will increase annually commensurate with the average reimbursement rates set by 10
Connecticut and Massachusetts. 11
SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance 12
Organizations" is hereby amended by adding thereto the following section: 13
27-41-96. Physicians’ reimbursement rate from health insurers. 14
Every individual or group health insurance contract, plan or policy delivered, issued for 15
delivery or renewed in this state on or after January 1, 2024, shall increase the rate of reimbursement 16
for each in-network health care service that is reimbursed below the average reimbursement rates 17
set by Connecticut and Massachusetts. The office of health insurance commissioner shall determine 18
the increase based upon a review and analysis of Connecticut and Massachusetts reimbursement 19
rates. The rate will increase annually commensurate with the average reimbursement rates set by 20
Connecticut and Massachusetts. 21
SECTION 5. This act shall take effect upon passage. 22
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LC002165
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EXPLANATION
BY THE LEGISLATIVE COUNCIL
OF
A N A C T
RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES
***
This act would annually increase the rate of physicians’ reimbursement for each in-network 1
health care service that are reimbursed below the average reimbursement rates set by Connecticut 2
and Massachusetts. The office of health insurance commissioner (OHIC) would determine the 3
increase. 4
This act would take effect upon passage. 5
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LC002165
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