RI LEG Right to Choose, Prescriptions


On Jun. 20, RI LEG enacted bill to prohibit interference with choice.


  • RI LEG enacted bill SB 2086, HB 7365, on accident and sickness insurance policies.
  • Bill prohibits healthcare entities from interfering with a patient's right to choose.
  • To obtain a clinician-administered drug from their provider or pharmacy of choice.
  • Adds sections to RI INS 27-18 (accident and sickness), RI INS 27-19 (nonprofit hospital), RI INS 27-20 (nonprofit corporation), RI INS 27-41 (health maintenance).
  • Bill Provisions
  • Prevents healthcare entities from refusing to authorize, approve, or pay a provider.
  • For providing covered clinician-administered drugs, related services to covered person.
  • Would also prevent healthcare entities from imposing coverage or benefits limitations.
  • Alternatively, require enrollee to pay additional fee, higher copay, coinsurance, second copay, second coinsurance, other penalty when obtaining clinician-administered drugs.
  • Would prohibit interference with right to choose to obtain clinician-administered drug.
  • Legislative History
  • On Jan. 12, 2024, bill introduced in the Senate; on Mar. 7, 2024, bill passed in Senate.
  • On Mar. 8, 2024, bill introduced in the House; on Jun. 12, 2024, bill passed in House.
  • On Jun. 13, 2024, Senate passed in concurrence; on Jun. 24, 2024, bill was approved.
  • Effectiveness
  • This act, Ch. 223, 232, shall take effect on Jan. 1, 2025.

Regulators RI LEG
Entity Types Ins
Reference Bill SB2086, H7365, Ch. 223, 232, 6/24/2024; Citation: *RI INS* 27-18, 27-19, 27-20, 27-41;
Functions Claims/Accelerated Benefits; Compliance; Legal; Product Administration; Underwriting
Countries United States of America
Category
State
Products Accident; Insurance; Insurance-Health
Regions Am
Rule Type Final
Rule Date 6/24/2024
Effective Date 1/1/2025
Rule Id 216634
Linked to N/A
Reg. Last Update 6/24/2024
Report Section US Insurance

Last substantive update on 06/25/2024