SB 2034 requires all health insurance plans sold in the state to cover at least one type of buprenorphine (used for opioid use disorder treatment) without any copayment or deductible for every 12-month plan year. It applies directly to insured individuals in the state who use these insurance plans, starting January 1, 2027. The bill mandates that plans provide this coverage for all forms of buprenorphine administration, eliminating out-of-pocket costs for this medication. Plans may still apply deductibles for health savings account (HSA) pairs, but early implementation before 2027 is permitted.
SB 2010 requires health insurers in Rhode Island to disclose how they use artificial intelligence (AI) to manage claims and coverage decisions, particularly for denials of medically necessary care. Insurers must document AI-driven decisions for five years, report system details to regulators, and ensure licensed healthcare providers review and approve any AI-related denial of medically necessary care before finalizing it. The bill mandates transparency about AI models, training data, and performance metrics, while requiring annual reports to the governor and legislature on insurer AI usage. This directly affects health insurers, enrollees (policyholders), and healthcare providers involved in coverage decisions.
Creates the public health data privacy and protection act to regulate the reporting of information relating to reportable disease data in the possession of the department of health.
Prescriptions for testosterone not allowed to be transmitted or reported within the prescription drug monitoring database and removes from the records all existing information concerning prior testosterone prescriptions.
Requires insurers to develop plans for coverage and access to nonnarcotic, nonopioid and nonmedication pain management for moderate to severe pain. It further restricts utilization review for nonopioid drugs.
Creates the position of dementia services coordinator within the department of health to coordinate the departments' approach to Alzheimer's disease and other forms of dementia.
Authorizes the secretary of the executive office of health and human services (EOHHS) to increase resource eligibility limits for persons with long-term care needs who reside at home to $12,000 for single persons and $18,000 for couples.
Provides that no contract between a dental plan or other healthcare entity and a dentist requires the dentist to accept exclusively by virtual credit cards.
Prohibits a healthcare provider from requiring patients to provide electronic payment information to be kept on file as a condition to receiving treatment and makes it a violation a deceptive trade practice.
Mandates insurance coverage for scalp cooling treatments for cancer patients undergoing chemotherapy to prevent hair loss during chemotherapy treatments.