Rhode Island 2025 Regular Session

Rhode Island Senate Bill S0786

Introduced
3/14/25  

Caption

Prohibits prior authorization or a step therapy protocol for the prescription of a nonpreferred medication on their drug formulary used to assess or treat an enrollee's bipolar disorder, schizophrenia or schizotypal.

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 H5320

Prohibits the Rhode Island medical assistance program and managed care organizations that it contracts with from requiring prior authorization or step therapy protocol for a prescription of a nonpreferred anticonvulsant or antipsychotic.

ND SB2076

Prior authorization and certification of medically necessary medication.

MA H2216

Relative to the administration of anti-psychotic or other psychotropic substances to nursing home residents

MA S1420

Relative to the administration of anti-psychotic or other psychotropic substances to nursing home residents

MN SF2392

Prior authorization mental health carve out expansion

MN HF2533

Prior authorization mental health carve out expanded.

WI AB54

Utilization management controls for antipsychotic prescription drugs under the Medical Assistance program. (FE)

WI SB83

Utilization management controls for antipsychotic prescription drugs under the Medical Assistance program. (FE)