Rhode Island 2025 Regular Session

Rhode Island Senate Bill S0473

Introduced
2/26/25  
Refer
2/26/25  
Report Pass
3/11/25  
Engrossed
3/20/25  

Caption

Extends coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome by removing the sunset date of December 31, 2025, and mandating such coverage.

Impact

If enacted, S0473 would amend existing Rhode Island laws related to health insurance by mandating that all group health insurance policies cover these specialized treatments. This would potentially alleviate the financial burden on families seeking treatment for their children, facilitating better access to care for conditions that are often misunderstood and misdiagnosed.

Summary

Bill S0473 aims to extend the mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. The bill proposes to remove the existing sunset date of December 31, 2025, thereby ensuring that this critical health coverage remains available to affected children beyond that date. It emphasizes the importance of providing necessary medical treatments such as intravenous immunoglobulin therapy, which has been shown to be effective for these conditions.

Contention

There may be varying opinions on the bill, particularly concerning its implications for insurance providers and the costs that may arise from mandated coverage. Proponents of the bill argue that it is vital for protecting children's health and ensuring that they receive the necessary treatments without financial strain. Conversely, critics may voice concerns over how this mandate could lead to increased insurance premiums or impacts on the insurance market, necessitating discussions and analyses to address these issues effectively.

Companion Bills

No companion bills found.

Previously Filed As

RI H5628

Mandates all health insurance contracts, plans, or policies provide the same reimbursement to independent healthcare facilities as that of hospital affiliated facilities where the same healthcare service is provided.

RI S0051

Limits copays, coinsurance or office deductibles for services of a physical therapist to the amount authorized for the services of a primary care physician or osteopath on or after January 1, 2026.

RI H5082

Limits copays, coinsurance or office deductibles for services of a physical therapist to the amount authorized for the services of a primary care physician or osteopath on or after January 1, 2026.

RI H6158

Mandates insurance coverage for scalp cooling treatments for breast cancer patients undergoing chemotherapy to prevent hair loss during chemotherapy treatments.

RI H6118

Requires coverage for acute mental health crisis mobile response and stabilization services to eligible individuals enrolled as plan beneficiaries.

RI S0263

Requires coverage for acute mental health crisis mobile response and stabilization services to eligible individuals enrolled as plan beneficiaries.

RI S0115

Requires health plans that provide prescription benefits to cover at least one type of glucagon auto-injector, nasal spray, or formulation that does not require reconstitution to treat hypoglycemia. No copayment or deductible would be required.

RI H5173

Requires health plans that provide prescription benefits to cover at least one type of glucagon auto-injector, nasal spray, or formulation that does not require reconstitution to treat hypoglycemia. No copayment or deductible would be required.

Similar Bills

RI H5625

Removes the sunset provision of all statutory law requiring coverage for the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome.

TX SB2234

Relating to the establishment of the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council.

TX HB2783

Relating to the establishment of the Pediatric Acute-Onset Neuropsychiatric Syndrome Advisory Council.

NJ A5325

Requires health insurance coverage for certain neurological diseases.

WV SB297

Requiring coverage for certain pediatric autoimmune neuropsychiatric disorders in certain circumstances

TX HB3808

Relating to the pediatric acute-onset neuropsychiatric syndrome advisory council.

TX SB1885

Relating to the pediatric acute-onset neuropsychiatric syndrome advisory council.

MA S1415

Relative to PANDAS/PANS