Rhode Island 2024 Regular Session

Rhode Island Senate Bill S2613

Introduced
3/1/24  

Caption

Prohibits a health insurer from denying a claim for any medical bill based on sole reasoning that the bill may arise from a motor vehicle accident or other third-party claim and prohibits a medical provider from refusing to submit medical for same reason.

Impact

The enactment of S2613 would rewrite various existing regulations concerning health care entities and medical providers. By clarifying that insurers cannot deny claims under the aforementioned circumstances, the bill aims to simplify the claims process, thereby making it easier for patients to receive timely treatment. This change is seen as a way to promote a more patient-centered approach in health care where patients do not have to worry about insurance companies refusing to cover legitimate medical expenses due to the circumstances surrounding their injuries.

Summary

Bill S2613 aims to enhance the rights of health care providers and patients regarding the processing of medical insurance claims. Specifically, it prohibits health insurers from denying claims solely because they may arise from motor vehicle accidents or other third-party claims. Additionally, it prohibits medical providers from refusing to submit such claims based on the same reasoning. This legislative change is designed to ensure that patients receive the medical attention they need without the added stress of insurance complications related to the nature of their claims.

Contention

While there are certainly advocates for this legislation who argue that it is a necessary step to improve patient access to care, there are also concerns raised by opponents regarding the potential for abuse of the system. Some critics worry that eliminating insurers’ ability to deny claims in specific situations may lead to increased costs for insurance companies, which could ultimately be passed down to consumers in the form of higher premiums. As such, there may be ongoing debates surrounding the balance between protecting patient rights and ensuring the sustainability of the insurance model.

Companion Bills

No companion bills found.

Previously Filed As

RI H5165

Board Of Medical Licensure And Discipline -- Prompt Processing Of Insurance Claims

RI S0102

Board Of Medical Licensure And Discipline -- Prompt Processing Of Insurance Claims

RI H5877

Medical Spas Safety Act

RI H5504

Edward O. Hawkins And Thomas C. Slater Medical Marijuana Act

RI S0959

Medical Ethics Defense Act

RI H5827

The Edward O. Hawkins And Thomas C. Slater Medical Marijuana Act

RI S0810

The Edward O. Hawkins And Thomas C. Slater Medical Marijuana Act

RI S0583

Medicare Supplement Insurance Policies

RI H6179

Medicare Supplement Insurance Policies

RI S0569

Covid-19 Vaccination Mandate Prohibited

Similar Bills

RI H5066

Prohibits certain claim practices of health insurers and medical providers. The act would further require fulfillment of medical record requests within fourteen (14) days.

RI S0052

Prohibits certain claim practices of health insurers and medical providers. The act would further require fulfillment of medical record requests within fourteen (14) days.

RI H7143

Prohibits a health insurer from denying a claim for any medical bill based on sole reasoning that the bill may arise from a motor vehicle accident or other third-party claim and prohibits a medical provider from refusing to submit medical for same reason.

RI S0846

Prohibits healthcare providers and health plans from denying the payment of a medical bill, solely because the bill may have arisen from a third-party claim.

RI H5561

Prohibits healthcare providers and health plans from denying the payment of a medical bill, solely because the bill may have arisen from a third-party claim.

RI S0102

Board Of Medical Licensure And Discipline -- Prompt Processing Of Insurance Claims

RI H5165

Board Of Medical Licensure And Discipline -- Prompt Processing Of Insurance Claims

CA AB744

Health care coverage: telehealth.