Bill
Bill > H5624
RI H5624
RI H5624Removes the age restriction for benefits coverage/requires, after 1/1/26, for policies issued or renewed include coverage for reimbursement for provider services at a rate equal to, or greater than, Medicaid establishments of EOHHS.
summary
Introduced
02/26/2025
02/26/2025
In Committee
02/26/2025
02/26/2025
Crossed Over
Passed
Dead
06/20/2025
06/20/2025
Introduced Session
2025 Regular Session
Bill Summary
This act would remove the age restriction for benefits coverage and would require, for health insurance policies issued or renewed on or after January 1, 2026, that coverage shall include reimbursement for applied behavior analysis provider services. This act would also set a minimum reimbursement rate for applied behavior analysis services at equal to, or greater than, the prevailing integrated state Medicaid rate as established by the executive office of health and human services. This act would take effect upon passage.
AI Summary
This bill modifies existing Rhode Island law regarding health insurance coverage for individuals with autism spectrum disorders by removing the previous age limitation on benefits and establishing new reimbursement requirements. Specifically, the bill eliminates the prior age restriction of 15 years old for coverage of autism-related services, ensuring that individuals of all ages can access treatments like applied behavior analysis (ABA), which is a specialized therapy for individuals with autism. Starting January 1, 2026, health insurance carriers will be required to reimburse certified ABA providers at rates equal to or higher than the prevailing Medicaid rates set by the Executive Office of Health and Human Services (EOHHS). The bill applies to both group and individual health insurance contracts, expanding access to autism spectrum disorder treatments across different types of insurance plans. By removing age limits and standardizing reimbursement rates, the legislation aims to improve healthcare access and support for individuals with autism throughout their lifetime.
Committee Categories
Health and Social Services
Sponsors (6)
Tina Spears (D)*,
Samuel Azzinaro (D),
Justine Caldwell (D),
Megan Cotter (D),
Susan Donovan (D),
Kathleen Fogarty (D),
Last Action
Committee recommended measure be held for further study (on 04/01/2025)
Official Document
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://status.rilegislature.gov/ |
| BillText | https://webserver.rilegislature.gov/BillText25/HouseText25/H5624.pdf |
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