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Bill > S0791


RI S0791

RI S0791
Prohibits insurance companies from paying a rate that is less than the approved Medicaid rate set by the executive office of health and human services.


summary

Introduced
03/14/2025
In Committee
06/02/2025
Crossed Over
06/04/2025
Passed
Dead
06/20/2025

Introduced Session

2025 Regular Session

Bill Summary

This act would prohibit insurance companies from paying a rate that is less than the approved Medicaid rate set by the executive office of health and human services. This act would take effect on January 1, 2026.

AI Summary

This bill modifies existing laws for various types of insurance corporations in Rhode Island, adding a provision that prohibits insurance companies from paying rates lower than the Medicaid rates established by the executive office of health and human services. Specifically, the bill amends four different sections of state law covering different types of insurance entities, including stock and mutual corporations, nonprofit hospital service corporations, nonprofit medical service corporations, and health maintenance organizations. The new provision prevents these entities from paying rates below the approved Medicaid rate when they merge, consolidate, or acquire control of other healthcare service organizations. Existing provisions in these laws already required companies to submit detailed rate information to the insurance commissioner at least 30 days before implementation, and this new requirement is added alongside those existing requirements. The bill has a delayed implementation date, with the new provisions set to take effect on January 1, 2026, giving insurance companies time to adjust their practices to comply with the new rate requirements.

Committee Categories

Health and Social Services

Sponsors (6)

Last Action

Senate read and passed (on 06/04/2025)

bill text


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