Rhode Island General Laws
Chapter 27-19 - Nonprofit Hospital Service Corporations
Section 27-19-45. - Repealed.

§ 27-19-45. Repealed.

Structure Rhode Island General Laws

Rhode Island General Laws

Title 27 - Insurance

Chapter 27-19 - Nonprofit Hospital Service Corporations

Section 27-19-1. - Definitions.

Section 27-19-2. - Organization as charitable corporation — Insurance laws inapplicable.

Section 27-19-2.1. - Investments and holdings in certain corporations authorized.

Section 27-19-3. - Repealed.

Section 27-19-4. - Certificate of public convenience and advantage.

Section 27-19-5. - Contracts with subscribers, hospitals, and other eligible entities.

Section 27-19-5.1. - Cancellation of coverage by employers.

Section 27-19-5.2. - Patient responsibility — Administrative requirements.

Section 27-19-5.3. - Additional powers.

Section 27-19-6. - Rates charged subscribers — Reserves. [Effective until January 1, 2023.]

Section 27-19-7. - Rates charged by hospitals.

Section 27-19-7.1. - Uniform explanation of benefits and coverage.

Section 27-19-7.2. - Filing of policy forms.

Section 27-19-8. - Annual and quarterly statements.

Section 27-19-9. - Examination of affairs of corporations.

Section 27-19-10. - Commission plans for solicitors or insurance producers.

Section 27-19-11. - Investment standards.

Section 27-19-12. - Corporations deemed public charitable institutions.

Section 27-19-13. - Services rendered in certain institutions.

Section 27-19-14. - Repealed.

Section 27-19-15. - Repealed.

Section 27-19-16. - Repealed.

Section 27-19-17. - Additional benefits.

Section 27-19-18. - Coverage for adoptive children.

Section 27-19-19. - Changing coverage.

Section 27-19-20. - Mammograms and pap smears — Coverage mandated.

Section 27-19-21. - Mammograms — Quality assurance standards.

Section 27-19-22. - Pap smears — Quality assurance standards.

Section 27-19-23. - Coverage for infertility.

Section 27-19-23.1. - Insurance coverage for post-partum hospital stays.

Section 27-19-24. - Nonprofit hospital service corporations assessment.

Section 27-19-25. - Discontinuance of coverage — Chronic disabilities.

Section 27-19-26. - Drug coverage.

Section 27-19-26.1. - Medication synchronization.

Section 27-19-26.2. - Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies.

Section 27-19-27. - Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists.

Section 27-19-28. - Rehabilitation, liquidation, or conservation.

Section 27-19-29. - Holding company systems.

Section 27-19-29.1. - No derogation of attorney general.

Section 27-19-30. - Regulations.

Section 27-19-30.1. - Health insurance rates.

Section 27-19-31. - Certified counselors in mental health and therapists in marriage and family practice.

Section 27-19-32. - Repealed.

Section 27-19-32.1. - Repealed.

Section 27-19-32.2. - Repealed.

Section 27-19-32.3. - Repealed.

Section 27-19-33. - Repealed.

Section 27-19-34. - Mastectomy treatment.

Section 27-19-34.1. - Insurance coverage for mastectomy hospital stays.

Section 27-19-35. - Diabetes treatment.

Section 27-19-36. - Primary and preventive obstetric and gynecological care.

Section 27-19-36.1. - Hysterectomy or myomectomy treatment.

Section 27-19-37. - Whistleblowers protection.

Section 27-19-38. - Penalties and remedies.

Section 27-19-39. - Additional relief and damages — Reinstatement.

Section 27-19-40. - Third-party reimbursement for services of certain healthcare workers.

Section 27-19-40.1. - Third party reimbursement for services of registered nurse first assistants.

Section 27-19-41. - Human leukocyte antigen testing.

Section 27-19-42. - Drug coverage.

Section 27-19-43. - Restricted annual rate payments prohibited.

Section 27-19-44. - Genetic testing.

Section 27-19-44.1. - Genetic information.

Section 27-19-45. - Repealed.

Section 27-19-46. - Magnetic resonance imaging — Quality assurance standards.

Section 27-19-47. - Acupuncture services.

Section 27-19-48. - F.D.A. approved prescription contraceptive drugs and devices.

Section 27-19-49. - Prostate and colorectal examinations — Coverage mandated — The Maryellen Goodwin Colorectal Cancer Screening Act.

Section 27-19-50. - Eligibility for children’s benefits.

Section 27-19-51. - Hearing aids.

Section 27-19-52. - Prompt processing of claims.

Section 27-19-53. - Mandatory coverage for certain lyme disease treatments.

Section 27-19-54. - Dental insurance assignment of benefits.

Section 27-19-55. - Coverage for early intervention services.

Section 27-19-56. - Post-payment audits.

Section 27-19-57. - Tobacco cessation programs.

Section 27-19-58. - Reimbursement for orthotics and prosthetic services.

Section 27-19-59. - Mandatory coverage for scalp hair prosthesis.

Section 27-19-60. - Licensed ambulance service.

Section 27-19-61. - Enteral nutrition products.

Section 27-19-62. - Prohibition on rescission of coverage.

Section 27-19-63. - Prohibition on annual and lifetime limits.

Section 27-19-64. - Coverage for individuals participating in approved clinical trials.

Section 27-19-65. - Medical loss ratio reporting and rebates.

Section 27-19-66. - Emergency services.

Section 27-19-67. - Internal and external appeal of adverse benefit determinations.

Section 27-19-68. - Prohibition on preexisting condition exclusions.

Section 27-19-69. - Primary care provider designation requirement.

Section 27-19-70. - Discretionary clauses.

Section 27-19-71. - Orally administered anticancer medication — Cost-sharing requirement.

Section 27-19-72. - Consumer notification.

Section 27-19-73. - Opioid antagonists.

Section 27-19-74. - Healthcare provider credentialing.

Section 27-19-75. - Unfair discrimination prohibited.

Section 27-19-76. - Health insurance contracts — Full year coverage for contraception.

Section 27-19-77. - Prohibition on discrimination in organ transplants.

Section 27-19-78. - Health insurance contracts — Copayments exemption for COVID-19 vaccinations.

Section 27-19-79. - Perinatal doulas.

Section 27-19-80. - Gender rating. [Effective January 1, 2023.]

Section 27-19-81. - Coverage for biomarker testing.

Section 27-19-82. - Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome. [Expires December 31, 2025.]