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4 | 4 | | |
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5 | 5 | | 2025 -- H 6158 |
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6 | 6 | | ======== |
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7 | 7 | | LC002437 |
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8 | 8 | | ======== |
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9 | 9 | | S T A T E O F R H O D E I S L A N D |
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10 | 10 | | IN GENERAL ASSEMBLY |
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11 | 11 | | JANUARY SESSION, A.D. 2025 |
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12 | 12 | | ____________ |
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13 | 13 | | |
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14 | 14 | | A N A C T |
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15 | 15 | | RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES |
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16 | 16 | | Introduced By: Representatives Ackerman, McNamara, Serpa, Fellela, McEntee, and |
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17 | 17 | | Diaz |
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18 | 18 | | Date Introduced: April 02, 2025 |
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19 | 19 | | Referred To: House Health & Human Services |
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20 | 20 | | |
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21 | 21 | | |
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22 | 22 | | It is enacted by the General Assembly as follows: |
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23 | 23 | | SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness Insurance 1 |
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24 | 24 | | Policies" is hereby amended by adding thereto the following section: 2 |
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25 | 25 | | 27-18-68.1. Mandatory coverage for scalp cooling systems. 3 |
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26 | 26 | | (a) Every individual or group hospital or medical expense insurance policy or individual 4 |
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27 | 27 | | or group hospital or medical services plan contract delivered, issued for delivery, or renewed in this 5 |
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28 | 28 | | state on or after January 1, 2026, shall provide coverage to individuals diagnosed with breast cancer 6 |
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29 | 29 | | and undergoing chemotherapy treatments for scalp cooling systems to preserve hair during 7 |
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30 | 30 | | chemotherapy treatments. 8 |
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31 | 31 | | (b) This section shall not apply to insurance coverage providing benefits for: 9 |
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32 | 32 | | (1) Hospital confinement indemnity; 10 |
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33 | 33 | | (2) Disability income; 11 |
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34 | 34 | | (3) Accident only; 12 |
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35 | 35 | | (4) Long-term care; 13 |
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36 | 36 | | (5) Medicare supplement; 14 |
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37 | 37 | | (6) Limited benefit health; 15 |
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38 | 38 | | (7) Specified disease indemnity; 16 |
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39 | 39 | | (8) Sickness or bodily injury or death by accident or both; and 17 |
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40 | 40 | | (9) Other limited benefit policies. 18 |
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41 | 41 | | SECTION 2. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service 19 |
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42 | 42 | | |
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43 | 43 | | |
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44 | 44 | | LC002437 - Page 2 of 4 |
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45 | 45 | | Corporations" is hereby amended by adding thereto the following section: 1 |
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46 | 46 | | 27-19-59.1. Mandatory coverage for scalp cooling systems. 2 |
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47 | 47 | | (a) Every individual or group hospital or medical expense insurance policy or individual 3 |
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48 | 48 | | or group hospital or medical services plan contract delivered, issued for delivery, or renewed in this 4 |
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49 | 49 | | state on or after January 1, 2026, shall provide coverage to individuals diagnosed with breast cancer 5 |
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50 | 50 | | and undergoing chemotherapy treatments for scalp cooling systems to preserve hair during 6 |
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51 | 51 | | chemotherapy treatments. 7 |
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52 | 52 | | (b) This section shall not apply to insurance coverage providing benefits for: 8 |
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53 | 53 | | (1) Hospital confinement indemnity; 9 |
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54 | 54 | | (2) Disability income; 10 |
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55 | 55 | | (3) Accident only; 11 |
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56 | 56 | | (4) Long-term care; 12 |
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57 | 57 | | (5) Medicare supplement; 13 |
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58 | 58 | | (6) Limited benefit health; 14 |
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59 | 59 | | (7) Specified disease indemnity; 15 |
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60 | 60 | | (8) Sickness or bodily injury or death by accident, or both; and 16 |
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61 | 61 | | (9) Other limited benefit policies. 17 |
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62 | 62 | | SECTION 3. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service 18 |
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63 | 63 | | Corporations" is hereby amended by adding thereto the following section: 19 |
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64 | 64 | | 27-20-54.1. Mandatory coverage for scalp cooling systems. 20 |
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65 | 65 | | (a) Every individual or group hospital or medical expense insurance policy or individual 21 |
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66 | 66 | | or group hospital or medical services plan contract delivered, issued for delivery, or renewed in this 22 |
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67 | 67 | | state on or after January 1, 2026, shall provide coverage to individuals diagnosed with breast cancer 23 |
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68 | 68 | | and undergoing chemotherapy treatments for scalp cooling systems to preserve hair during 24 |
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69 | 69 | | chemotherapy treatments. 25 |
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70 | 70 | | (b) This section shall not apply to insurance coverage providing benefits for: 26 |
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71 | 71 | | (1) Hospital confinement indemnity; 27 |
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72 | 72 | | (2) Disability income; 28 |
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73 | 73 | | (3) Accident only; 29 |
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74 | 74 | | (4) Long-term care; 30 |
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75 | 75 | | (5) Medicare supplement; 31 |
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76 | 76 | | (6) Limited benefit health; 32 |
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77 | 77 | | (7) Specified disease indemnity; 33 |
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78 | 78 | | (8) Sickness or bodily injury or death by accident, or both; and 34 |
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79 | 79 | | |
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80 | 80 | | |
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81 | 81 | | LC002437 - Page 3 of 4 |
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82 | 82 | | (9) Other limited benefit policies. 1 |
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83 | 83 | | SECTION 4. Chapter 27-41 of the General Laws entitled "Health Maintenance 2 |
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84 | 84 | | Organizations" is hereby amended by adding thereto the following section: 3 |
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85 | 85 | | 27-41-71.1. Mandatory coverage for scalp cooling systems. 4 |
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86 | 86 | | (a) Every individual or group hospital or medical expense insurance policy or individual 5 |
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87 | 87 | | or group hospital or medical services plan contract delivered, issued for delivery, or renewed in this 6 |
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88 | 88 | | state on or after January 1, 2026, shall provide coverage to individuals diagnosed with breast cancer 7 |
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89 | 89 | | and undergoing chemotherapy treatments for scalp cooling systems to preserve hair during 8 |
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90 | 90 | | chemotherapy treatments. 9 |
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91 | 91 | | (b) This section shall not apply to insurance coverage providing benefits for: 10 |
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92 | 92 | | (1) Hospital confinement indemnity; 11 |
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93 | 93 | | (2) Disability income; 12 |
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94 | 94 | | (3) Accident only; 13 |
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95 | 95 | | (4) Long-term care; 14 |
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96 | 96 | | (5) Medicare supplement; 15 |
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97 | 97 | | (6) Limited benefit health; 16 |
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98 | 98 | | (7) Specified disease indemnity; 17 |
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99 | 99 | | (8) Sickness or bodily injury or death by accident, or both; and 18 |
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100 | 100 | | (9) Other limited benefit policies. 19 |
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101 | 101 | | SECTION 5. This act shall take effect upon passage. 20 |
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102 | 102 | | ======== |
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103 | 103 | | LC002437 |
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104 | 104 | | ======== |
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105 | 105 | | |
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106 | 106 | | |
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107 | 107 | | LC002437 - Page 4 of 4 |
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108 | 108 | | EXPLANATION |
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109 | 109 | | BY THE LEGISLATIVE COUNCIL |
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110 | 110 | | OF |
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111 | 111 | | A N A C T |
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112 | 112 | | RELATING TO INSURANCE -- ACCIDENT AND SICKNESS INSURANCE POLICIES |
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113 | 113 | | *** |
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114 | 114 | | This act would mandate insurance coverage for scalp cooling treatments for breast cancer 1 |
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115 | 115 | | patients undergoing chemotherapy to prevent hair loss during chemotherapy treatments. 2 |
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116 | 116 | | This act would take effect upon passage. 3 |
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117 | 117 | | ======== |
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118 | 118 | | LC002437 |
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119 | 119 | | ======== |
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