Would promote transparency and accountability in the use of artificial intelligence by health insurers to manage coverage and claims.
Provides an insurer would not impose prior authorization requirements for any service ordered by an in-network primary care provider.
Provides an insurer would not impose prior authorization requirements for any service ordered by an in-network primary care provider.
Prohibits an insurer from imposing a requirement of prior authorization for any admission, item, service, treatment or procedure ordered by a primary care provider.
Includes the definition of "primary care services" and requires that all biennial reports shall include a review and recommendation of rates for primary care services on and after September 1, 2025.
Includes the definition of "primary care services" and requires that all biennial reports shall include a review and recommendation of rates for primary care services on and after September 1, 2025.
Adds to the powers and duties of the OHIC the undertaking of analyses, reports, studies, and recommendations with respect to reimbursement and financing for the provision of primary care services to Rhode Islanders.
Provides for a two-point three percent (2.3%) increase of provider reimbursement rates for intellectual and developmental disabilities commencing October 1, 2025.