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Bill > H5832


RI H5832

RI H5832
Amends powers/duties of the office of the health insurance commissioner to increase total cost of care for services reimbursed under contracts after risk adjustment that exceeds the Consumer Price Index for all Urban Consumers percentage increase.


summary

Introduced
02/28/2025
In Committee
02/28/2025
Crossed Over
Passed
Dead
06/20/2025

Introduced Session

2025 Regular Session

Bill Summary

This act would amend the powers and duties of the office of the health insurance commissioner (OHIC) to review and grant prior approval to payment of healthcare services and hospital contracts, if any annual increase in the total cost of care for services reimbursed and hospital contracts after risk adjustment exceeds the Consumer Price Index for all Urban Consumers (CPI-U) percentage increase. This act would take effect upon passage.

AI Summary

This bill amends the powers and duties of the Rhode Island Office of Health Insurance Commissioner (OHIC) to provide more oversight on healthcare costs. Specifically, the bill requires prior review and approval from OHIC for population-based and hospital contracts if their annual cost increases exceed the Consumer Price Index for all Urban Consumers (CPI-U) percentage increase. For population-based contracts, the allowable increase is set at CPI-U plus 3.5% from October 1, 2025, to September 30, 2028. For hospital contracts, the allowable increase is set at CPI-U plus 3% during the same period. The CPI-U percentage will be reported by the commissioner by October 1 each year, in accordance with established regulations. This provision aims to help control healthcare spending by requiring additional scrutiny when contract rates grow faster than a benchmarked inflation rate, potentially helping to keep healthcare costs more predictable and manageable for consumers and the state. The bill will take effect immediately upon passage.

Committee Categories

Business and Industry, Health and Social Services

Sponsors (10)

Last Action

Committee recommended measure be held for further study (on 04/01/2025)

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