Sen. Ryan Pearson

Maddy summarySB 53, the "Rhode Island Prior Authorization Reform Act of 2025," would prohibit insurers from requiring prior authorization for healthcare services ordered by in-network primary care providers. This directly affects patients receiving routine care from their primary doctors and the providers themselves, as it removes an administrative barrier for common treatments. The key mechanism eliminates a requirement where insurers typically must approve services before they are provided, streamlining access to care. The bill is currently pending in the Senate Health and Human Services Committee after being referred in January 2025.

Limits prior authorization requirements for rehabilitative and habilitative services. Also prohibits prior authorization for the first twelve (12) visits of a new episode of care and for ninety (90) days following a chronic pain diagnosis.

Requires health plans that provide prescription benefits to cover at least one type of glucagon auto-injector, nasal spray, or formulation that does not require reconstitution to treat hypoglycemia. No copayment or deductible would be required.

Maddy summarySB 539 amends filing fees required to appeal certain district court decisions. It mandates a $50 attorney fee for all civil appeals (paid to the opposing party's lawyer) plus a $75 filing fee (including processing and technology fees), with a minimum $25 in other costs. Landlord-tenant cases get a longer 5-day appeal window (including weekends/holidays) versus the standard 2-day window for other civil appeals. The changes apply to all parties appealing district court judgments and take effect January 1, 2026.

Maddy summarySB 57 requires the state, not local towns, to handle all maintenance of sidewalks along state highways - such as repairs, cleaning, and replacing damaged sections - with the exception of snow and ice removal. This bill amends two sections of the state’s General Laws (24-7-8 and 24-8-6) to explicitly assign this responsibility to the state’s transportation director. It directly affects state highway authorities and eliminates prior ambiguity about who maintains sidewalks adjacent to state roads. The law takes effect upon passage and does not change existing requirements for sidewalk construction approval.

Creates commercial dock space for businesses subject to being reviewed by the DEM. Would also include commercial fishers to be eligible for a grant program.

Provides for paid leave for a state employee who donates an organ. The duration of the leave is dependent on the type of donation and notice should be provided to the employer at least thirty (30) days prior to the leave.

Maddy summarySB 728 requires family courts to establish court-ordered visitation rights between siblings separated through adoption, foster care placement, or guardianship. It directly affects children who are placed in adoptive, foster, or guardianship situations and separated from their siblings. The law mandates courts to grant these visitation rights if they determine it serves the children’s best interests, there is a significant emotional bond between siblings, and all parties (including birth parents and guardians) negotiate in good faith. The court must consider the child’s input if they are 12 or older, and agencies like child protective services must recommend visitation unless safety risks exist. This replaces ad-hoc arrangements with a standardized court process for maintaining sibling connections.

Requires each healthcare entity/network plan to compile/report to health insurance commissioner a summary of how the healthcare entity/network plan requires its contracted providers to submit claims for in-network outpatient behavioral health services.

Creates the Rhode Island Individual Market Affordability Act of 2024 to help reduce out-of-pocket costs for low- and moderate-income consumers enrolled in the health insurance coverage through the Rhode Island health benefits exchange.