2023 -- H 6220

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LC002567

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     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2023

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A N   A C T

RELATING TO INSURANCE – INSURANCE COVERAGE FOR MENTAL ILLNESS AND

SUBSTANCE ABUSE

     Introduced By: Representative Stephen M. Casey

     Date Introduced: March 29, 2023

     Referred To: House Finance

     It is enacted by the General Assembly as follows:

     SECTION 1. Chapter 27-38.2 of the General Laws entitled "Insurance Coverage for Mental

Illness and Substance Abuse" is hereby amended by adding thereto the following section:

     27-38.2-7. Payments for long-acting injectable medications for mental health or

substance use disorders.

     (a) Notwithstanding any other provisions to the contrary, a group health plan, an individual

or group health insurance plan, as defined under chapters 18, 19, 20, and 41 of title 27, the Rhode

Island medical assistance program, as defined under chapter 8 of title 40, and any contract between

the Rhode Island medical assistance program and a managed care organization shall separately

reimburse, at the prevailing fee schedule, for long-acting injectable medications administered for a

mental health condition or extended-release medications administered for a substance use disorder

in hospital emergency department and inpatient settings.

     (b) The executive office of health and human services, in consultation with the Hospital

Association of Rhode Island, shall implement a reimbursement policy for the use of long-acting

injectable medications administered for a mental health condition or extended-release medications

administered for a substance use disorder in hospital emergency department and inpatient settings.

     (c) If it determines that authorization from a federal agency is necessary for the

implementation of this section, the executive office of health and human services is authorized to

seek a state plan amendment and may delay implementing the provisions until the authorization is

granted.

     (d) The Rhode Island medical assistance program, as defined under chapter 8 of title 40,

shall require through amending current and future medical assistance managed care contracts that

the managed care organizations meet the provisions of this section.

     SECTION 2. This act shall take effect upon passage and applies to all policies, contracts,

and certificates executed, delivered, issued for delivery, continued or renewed in this state on or

after January 1, 2024.

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EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO INSURANCE – INSURANCE COVERAGE FOR MENTAL ILLNESS AND

SUBSTANCE ABUSE

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     This act would require a group health plan, an individual or group health insurance plan,

as defined under chapters 18, 19, 20, and 41 of title 27, the Rhode Island medical assistance

program, as defined under chapter 8 of title 40, and any contract between the Rhode Island medical

assistance program and a managed care organization to separately reimburse, at the prevailing fee

schedule, for long-acting injectable medications administered for a mental health condition or

extended-release medications administered for a substance use disorder in hospital emergency

department and inpatient settings.

     This act would take effect upon passage and would apply to all policies, contracts, and

plans executed, delivered, issued for delivery, continued or renewed in this state on or after January

1, 2024.

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LC002567

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