Rhode Island 2023 Regular Session

Rhode Island Senate Bill S0579 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 -- S 0579
6	6	========
7	7	LC002184
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 -- HEALTH CARE ACCESSIBILITY AND QUALITY
16	16	ASSURANCE ACT
17	17	Introduced By: Senators Lauria, Miller, DiPalma, Euer, DiMario, Lawson, Valverde,
18	18	Murray, and Kallman
19	19	Date Introduced: March 07, 2023
20	20	Referred To: Senate Health & Human Services
21	21
22	22
23	23	It is enacted by the General Assembly as follows:
24	24	SECTION 1. Chapter 27-18.8 of the General Laws entitled "Health Care Accessibility and 1
25	25	Quality Assurance Act" is hereby amended by adding thereto the following section: 2
26	26	27-18.8-11. Contracts with providers for mental health and substance use disorder 3
27	27	services. 4
28	28	(a) Before January 1, 2024, and whenever necessitated by changes thereafter, but no less 5
29	29	frequently than annually, each healthcare entity or network plan shall compile and report to the 6
30	30	office of the health insurance commissioner a summary of how the healthcare entity or network 7
31	31	plan requires its contracted providers to submit claims for in-network outpatient behavioral health 8
32	32	services, including through the use of particular current procedural terminology (CPT) codes 9
33	33	specific to behavioral health services, through the use of modifiers particular to behavioral health 10
34	34	services appended to CPT codes of general usage, or through other formal requirements which 11
35	35	identify a particular claim as pertaining to in-network outpatient behavioral health services. 12
36	36	(b) A healthcare entity or network plan shall include in every contract with a provider for 13
37	37	in-network outpatient behavioral health (including substance use disorder) services, or for 14
38	38	outpatient diagnostic or therapeutic services with a behavioral health (including substance use 15
39	39	disorder) modifier, a provision that, as of January 1, 2024, rates paid under such contract for those 16
40	40	services shall be subject to a one-time average increase of no less than the United States Department 17
41	41	of Labor All Urban Consumer All Items Less Food and Energy CPI (“CPI-Urban”) percentage 18
42	42
43	43
44	44	LC002184 - Page 2 of 3
45	45	increase (determined by the health insurance commissioner by October 1, 2023, based on the most 1
46	46	recently published United States Department of Labor data as of that date) plus five percent (5%). 2
47	47	SECTION 2. This act shall take effect upon passage. 3
48	48	========
49	49	LC002184
50	50	========
51	51
52	52
53	53	LC002184 - Page 3 of 3
54	54	EXPLANATION
55	55	BY THE LEGISLATIVE COUNCIL
56	56	OF
57	57	A N A C T
58	58	RELATING TO INSURANCE -- HEALTH CARE ACCESSIBILITY AND QUALITY
59	59	ASSURANCE ACT
60	60	***
61	61	This act would require each healthcare entity or network plan to compile and report to the 1
62	62	health insurance commissioner a summary of how the healthcare entity or network plan requires 2
63	63	its contracted providers to submit claims for in-network outpatient behavioral health services, 3
64	64	before January 1, 2024, and at least annually thereafter and require rates paid under those contracts 4
65	65	for services be increased by the rate of inflation as of October 1, 2023, plus five percent (5%). 5
66	66	This act would take effect upon passage. 6
67	67	========
68	68	LC002184
69	69	========
70	70