2022 -- H 7453 | |
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LC004636 | |
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STATE OF RHODE ISLAND | |
IN GENERAL ASSEMBLY | |
JANUARY SESSION, A.D. 2022 | |
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A N A C T | |
RELATING TO INSURANCE – ACCIDENT AND SICKNESS INSURANCE POLICIES | |
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Introduced By: Representative James N. McLaughlin | |
Date Introduced: February 11, 2022 | |
Referred To: House Health & Human Services | |
It is enacted by the General Assembly as follows: | |
1 | SECTION 1. Chapter 27-18 of the General Laws entitled “Accident and Sickness Insurance |
2 | Policies” is hereby amended by adding thereto the following section: |
3 | 27-18-89. Co-pay cap for diagnostic imaging tests. |
4 | (a) Every individual or group hospital or medical services plan contract delivered or |
5 | renewed in this state that provides coverage for diagnostic imaging testing, inclusive of magnetic |
6 | resonance imaging testing (MRIs), computed tomography scans (CT), ultrasound or x-ray, pursuant |
7 | to the terms of a health coverage plan shall cap the total amount that a covered person is required |
8 | to pay for a covered diagnostic imaging testing at an amount not to exceed forty dollars ($40.00). |
9 | (b) Nothing in this section prevents a health plan from reducing a covered person’s cost |
10 | sharing to an amount less than the amount specified in subsection (a) of this section. |
11 | (c) The office of the health insurance commissioner may use any of its enforcement powers |
12 | to obtain a health plan’s compliance with this section. |
13 | (d) The office of the health insurance commissioner may promulgate rules and regulations |
14 | as necessary to implement and administer this section and to align with federal requirements. |
15 | SECTION 2. Chapter 27-19 of the General Laws entitled “Nonprofit Hospital Service |
16 | Corporations” is hereby amended by adding thereto the following section: |
17 | 27-19-81. Co-pay cap for diagnostic imaging tests. |
18 | (a) Every individual or group hospital or medical services plan contract delivered or |
19 | renewed in this state that provides coverage for diagnostic imaging testing, inclusive of magnetic |
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1 | resonance imaging testing (MRIs), computed tomography scans (CT), ultrasound or x-ray, pursuant |
2 | to the terms of a health coverage plan shall cap the total amount that a covered person is required |
3 | to pay for a covered diagnostic imaging testing at an amount not to exceed forty dollars ($40.00). |
4 | (b) Nothing in this section prevents a health plan from reducing a covered person’s cost |
5 | sharing to an amount less than the amount specified in subsection (a) of this section. |
6 | (c) The office of the health insurance commissioner may use any of its enforcement powers |
7 | to obtain a health plan’s compliance with this section. |
8 | (d) The office of the health insurance commissioner may promulgate rules and regulations |
9 | as necessary to implement and administer this section and to align with federal requirements. |
10 | SECTION 3. Chapter 27-20 of the General Laws entitled “Nonprofit Medical Service |
11 | Corporations” is hereby amended by adding thereto the following section: |
12 | 27-20-77. Co-pay cap for diagnostic imaging tests. |
13 | (a) Every individual or group hospital or medical services plan contract delivered or |
14 | renewed in this state that provides coverage for diagnostic imaging testing, inclusive of magnetic |
15 | resonance imaging testing (MRIs), computed tomography scans (CT), ultrasound or x-ray, pursuant |
16 | to the terms of a health coverage plan shall cap the total amount that a covered person is required |
17 | to pay for a covered diagnostic imaging testing at an amount not to exceed forty dollars ($40.00). |
18 | (b) Nothing in this section prevents a health plan from reducing a covered person’s cost |
19 | sharing to an amount less than the amount specified in subsection (a) of this section. |
20 | (c) The office of the health insurance commissioner may use any of its enforcement powers |
21 | to obtain a health plan’s compliance with this section. |
22 | (d) The office of the health insurance commissioner may promulgate rules and regulations |
23 | as necessary to implement and administer this section and to align with federal requirements. |
24 | SECTION 4. Chapter 27-41 of the General Laws entitled “Health Maintenance |
25 | Organizations” is hereby amended by adding thereto the following section: |
26 | 27-41-94. Co-pay cap for diagnostic imaging tests. |
27 | (a) Every individual or group hospital or medical services plan contract delivered or |
28 | renewed in this state that provides coverage for diagnostic imaging testing, inclusive of magnetic |
29 | resonance imaging testing (MRIs), computed tomography scans (CT), ultrasound or x-ray, pursuant |
30 | to the terms of a health coverage plan shall cap the total amount that a covered person is required |
31 | to pay for a covered diagnostic imaging testing at an amount not to exceed forty dollars ($40.00). |
32 | (b) Nothing in this section prevents a health plan from reducing a covered person’s cost |
33 | sharing to an amount less than the amount specified in subsection (a) of this section. |
34 | (c) The office of the health insurance commissioner may use any of its enforcement powers |
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1 | to obtain a health plan’s compliance with this section. |
2 | (d) The office of the health insurance commissioner may promulgate rules and regulations |
3 | as necessary to implement and administer this section and to align with federal requirements. |
4 | SECTION 5. This act shall take effect upon passage. |
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LC004636 | |
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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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1 | This act would limit an individual’s co-pay for any diagnostic imaging tests, inclusive of |
2 | magnetic resonance imaging tests (MRIs), computed tomography scans (CT), ultrasound or x-ray, |
3 | to forty dollars ($40.00). |
4 | This act would take effect upon passage. |
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LC004636 | |
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