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RI S0473

RI S0473
Extends coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome by removing the sunset date of December 31, 2025, and mandating such coverage.


summary

Introduced
02/26/2025
In Committee
06/16/2025
Crossed Over
03/20/2025
Passed
06/27/2025
Dead
Signed/Enacted/Adopted
06/27/2025

Introduced Session

2025 Regular Session

Bill Summary

This act would extend coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome by removing the sunset date of December 31, 2025, and mandating such coverage. This act would take effect upon passage.

AI Summary

This bill extends mandatory health insurance coverage for the treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and pediatric acute onset neuropsychiatric syndrome (PANS) by removing the previous sunset date of December 31, 2025. The bill requires all group health insurance contracts and policies in Rhode Island to provide coverage for these conditions, including treatments such as intravenous immunoglobulin therapy, starting January 1, 2023. The legislation applies to various types of health insurance carriers, including group health insurance, hospital service corporations, medical service corporations, and health maintenance organizations. The bill removes previous provisions that required health insurance carriers to collect and report cost data and conduct a cost-benefit analysis, effectively making the coverage a permanent mandate. The healthcare benefits primarily apply to services delivered within Rhode Island, but carriers must also provide coverage outside the state if the required services are unavailable within Rhode Island's provider network. Additionally, the bill corrects a minor spelling error, changing "immunoglobin" to the correct term "immunoglobulin." The act takes effect immediately upon passage.

Committee Categories

Health and Social Services

Sponsors (7)

Last Action

Signed by Governor (on 06/27/2025)

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