Bill > H5430

This bill amends several chapters of Rhode Island's insurance laws to prohibit health insurance providers, including group health plans, nonprofit hospital service corporations, nonprofit medical service corporations, and health maintenance organizations, from imposing any cost-sharing requirements (such as deductibles, coinsurance, copayments, or out-of-pocket expenses) for diagnostic and supplemental breast examinations. The bill defines diagnostic breast examinations as medically necessary breast exams (including mammography, MRI, or ultrasound) used to evaluate abnormalities detected during screening or through other means, and supplemental breast examinations as medically necessary breast screenings performed when no abnormality is initially suspected, based on personal or family medical history or other risk factors. By removing cost-sharing requirements, the bill aims to make these important breast cancer screening and diagnostic procedures more accessible and affordable for patients, with the provisions set to take effect on January 1, 2026, across different types of health insurance plans in the state.

Health and Social Services

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