2017 -- S 0216

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LC001001

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2017

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A N   A C T

RELATING TO INSURANCE - ACCIDENT AND SICKNESS INSURANCE POLICIES

     

     Introduced By: Senators Goldin, Miller, Crowley, Paiva Weed, and Sosnowski

     Date Introduced: February 02, 2017

     Referred To: Senate Health & Human Services

     It is enacted by the General Assembly as follows:

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     SECTION 1. Chapter 27-18 of the General Laws entitled "Accident and Sickness

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Insurance Policies" is hereby amended by adding thereto the following section:

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     27-18-71.1. Special enrollment - Pregnancy.

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     In addition to any qualifying event under federal law, rule or regulation that makes one

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eligible for a special enrollment period for enrollment in a qualified health plan in the state health

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insurance exchange established pursuant to the federal Patient Protection and Affordable Care

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Act (Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a

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pregnant individual at any time after the commencement of the pregnancy. Upon such enrollment,

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any qualified health plan in the state health insurance exchange shall ensure that coverage is

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effective on the date of application.

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     SECTION 2. Chapter 27-18.5 of the General Laws entitled "Individual Health Insurance

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Coverage" is hereby amended by adding thereto the following section:

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     27-18.5-10.1. Special enrollment - Pregnancy.

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     In addition to any qualifying event under federal law, rule or regulation that makes one

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eligible for a special enrollment period for enrollment in a qualified health plan in the state health

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insurance exchange established pursuant to the federal Patient Protection and Affordable Care

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Act (Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a

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pregnant individual at any time after the commencement of the pregnancy. Upon such enrollment,

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any qualified health plan in the state health insurance exchange shall ensure that coverage is

 

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effective on the date of application.

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     SECTION 3. Chapter 27-18.6 of the General Laws entitled "Large Group Health

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Insurance Coverage" is hereby amended by adding thereto the following section:

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     27-18.6-3.1. Special enrollment - Pregnancy.

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     In addition to any qualifying event under federal law, rule or regulation that makes one

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eligible for a special enrollment period for enrollment in a qualified health plan in the state health

7

insurance exchange established pursuant to the federal Patient Protection and Affordable Care

8

Act (Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a

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pregnant individual at any time after the commencement of the pregnancy. Upon such enrollment,

10

any qualified health plan in the state health insurance exchange shall ensure that coverage is

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effective on the date of application.

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     SECTION 4. Chapter 27-19 of the General Laws entitled "Nonprofit Hospital Service

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Corporations" is hereby amended by adding thereto the following section:

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     27-19-68.1. Special enrollment - Pregnancy.

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     In addition to any qualifying event under federal law, rule or regulation that makes one

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eligible for a special enrollment period for enrollment in a qualified health plan in the state health

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insurance exchange established pursuant to the federal Patient Protection and Affordable Care

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Act (Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a

19

pregnant individual at any time after the commencement of the pregnancy. Upon such enrollment,

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any qualified health plan in the state health insurance exchange shall ensure that coverage is

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effective on the date of application.

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     SECTION 5. Chapter 27-20 of the General Laws entitled "Nonprofit Medical Service

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Corporations" is hereby amended by adding thereto the following section:

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     27-20-57.1. Special enrollment - Pregnancy.

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     In addition to any qualifying event under federal law, rule or regulation that makes one

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eligible for a special enrollment period for enrollment in a qualified health plan in the state health

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insurance exchange established pursuant to the federal Patient Protection and Affordable Care

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Act (Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a

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pregnant individual at any time after the commencement of the pregnancy. Upon such enrollment,

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any qualified health plan in the state health insurance exchange shall ensure that coverage is

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effective on the date of application.

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     SECTION 6. Chapter 27-41 of the General Laws entitled "Health Maintenance

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Organizations" is hereby amended by adding thereto the following section:

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     27-41-75.1. Special enrollment - Pregnancy.

 

LC001001 - Page 2 of 4

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     In addition to any qualifying event under federal law, rule or regulation that makes one

2

eligible for a special enrollment period for enrollment in a qualified health plan in the state health

3

insurance exchange established pursuant to the federal Patient Protection and Affordable Care

4

Act (Pub. L. 111-148), the state health insurance exchange shall allow for the enrollment of a

5

pregnant individual at any time after the commencement of the pregnancy. Upon such enrollment,

6

any qualified health plan in the state health insurance exchange shall ensure that coverage is

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effective on the date of application.

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     SECTION 7. This act shall take effect on January 1, 2018, and shall apply to all health

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insurance policies issued or renewed thereafter.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO INSURANCE - ACCIDENT AND SICKNESS INSURANCE POLICIES

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     This act would establish a special enrollment provision for pregnant women to obtain

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health insurance coverage at any time after the commencement of the pregnancy.

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     This act would take effect on January 1, 2018, and apply to all health insurance policies

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issued or renewed thereafter.

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LC001001

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LC001001 - Page 4 of 4