Amends the method for the calculation of the permanent foundation education aid to school districts, and would make an adjustment based upon students residing in qualified low-income housing.
Provides a definition for intermediate care facility for individuals with intellectual disabilities, includes the facilities under the nursing facility assessment, and includes a Medicaid Section 1115 Demonstration waiver request.
Includes immediate family members and related parties to be included in the definitions applicable to the chapter and require that information for nursing facility applicants for initial licensure or change of ownership.
Restricts audits of pharmacists conducted by insurers and their intermediaries, limiting audits to 1 per year unless fraud or misrepresentation is reasonably suspected. The Rhode Island attorney would have the authority to impose sanctions for violations.
Requires insurance coverage for all community health workers' services to include health and promotion coaching, health education and training, health system navigation and resource coordination services, care planning and follow-up care recommendations.
Requires executive office of health and human services to establish an early childhood mental health hub program focused on improving access to infant and early childhood mental health services for children under age 6 and their families.
Limits the use by insurers of step therapy, a protocol that establishes a specific sequence in which prescription drugs for a specified medical condition are covered by an insurer, by allowing medical providers to request step therapy exceptions.
Requires that any insurance contract issued, amended or renewed on or after January 1, 2025, that provides hospital, medical or surgical coverage shall provide coverage for medically necessary treatment of mental health or substance use disorders.
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.