Bill > H5494

This bill adds several important consumer protections to Medicare Supplement (Medigap) insurance laws in Rhode Island. The bill expands guaranteed issue rights for individuals under and over 65, ensuring they can obtain Medicare supplement insurance without medical underwriting during specific enrollment periods. For individuals under 65 with disabilities, the bill creates a new six-month open enrollment period when they turn 65 and remain enrolled in Medicare Parts A and B. The bill also establishes new requirements for rate reviews, including provisions that require insurers to cover the expenses of public hearings and rate review processes conducted by the state's health insurance commissioner. Additionally, the bill mandates that the health insurance commissioner evaluate the potential adoption of a community rating structure for Medicare supplement plans and report findings to the general assembly by January 1, 2026. The bill aims to improve access to Medicare supplement insurance, reduce barriers to coverage, and ensure more transparent and consumer-friendly insurance practices for Medicare beneficiaries in the state. The changes will take effect immediately upon passage of the legislation.

Health and Social Services

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