R.I. Gen. Laws tit. 27, ch. 19 – Nonprofit Hospital Service Corporations | Midpage

Collections
Rhode Island General Laws

Chapter 27-19

R.I. Gen. Laws tit. 27, ch. 19

Nonprofit Hospital Service Corporations

27-19-1Definitions 27-19-2Organization as charitable corporation — Insurance laws inapplicable 27-19-2.1Investments and holdings in certain corporations authorized 27-19-4Certificate of public convenience and advantage 27-19-5Contracts with subscribers, hospitals, and other eligible entities 27-19-5.1Cancellation of coverage by employers 27-19-5.2Patient responsibility — Administrative requirements 27-19-5.3Additional powers 27-19-6Rates charged subscribers 27-19-7Rates charged by hospitals 27-19-7.1Uniform explanation of benefits and coverage 27-19-7.2Filing of policy forms 27-19-8Annual and quarterly statements 27-19-9Examination of affairs of corporations 27-19-10Commission plans for solicitors or insurance producers 27-19-11Investment standards 27-19-12Corporations deemed public charitable institutions 27-19-13Services rendered in certain institutions 27-19-17Additional benefits 27-19-18Coverage for adoptive children 27-19-19Changing coverage 27-19-20Mammograms and pap smears — Coverage mandated 27-19-21Mammograms — Quality assurance standards 27-19-22Pap smears — Quality assurance standards 27-19-23Coverage for infertility 27-19-23.1Insurance coverage for postpartum hospital stays 27-19-24Nonprofit hospital service corporations assessment 27-19-25Discontinuance of coverage — Chronic disabilities 27-19-26Drug coverage 27-19-26.1Medication synchronization 27-19-26.2Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies 27-19-26.3Patient choice in dispensing of clinician-administered drugs 27-19-27Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists 27-19-28Rehabilitation, liquidation, or conservation 27-19-29Holding company systems 27-19-29.1No derogation of attorney general 27-19-30Regulations 27-19-30.1Health insurance rates 27-19-31Certified counselors in mental health and therapists in marriage and family practice 27-19-34Mastectomy treatment 27-19-34.1Insurance coverage for mastectomy hospital stays 27-19-35Diabetes treatment 27-19-36Primary and preventive obstetric and gynecological care 27-19-36.1Hysterectomy or myomectomy treatment 27-19-37Whistleblowers protection 27-19-38Penalties and remedies 27-19-39Additional relief and damages — Reinstatement 27-19-40Third-party reimbursement for services of certain healthcare workers 27-19-40.1Third-party reimbursement for services of registered nurse first assistants 27-19-41Human leukocyte antigen testing 27-19-42Drug coverage 27-19-42.1Specialty drugs 27-19-43Restricted annual rate payments prohibited 27-19-44Genetic testing 27-19-44.1Genetic information 27-19-46Magnetic resonance imaging — Quality assurance standards 27-19-47Acupuncture services 27-19-48FDA approved prescription contraceptive drugs and devices 27-19-49Prostate and colorectal examinations — Coverage mandated — The Maryellen Goodwin Colorectal Cancer Screening Act 27-19-50Eligibility for children’s benefits 27-19-51Hearing aids 27-19-52Prompt processing of claims 27-19-53Mandatory coverage for certain lyme disease treatments 27-19-54Dental insurance assignment of benefits 27-19-55Coverage for early intervention services 27-19-56Post-payment audits 27-19-57Tobacco cessation programs 27-19-58Reimbursement for orthotics and prosthetic services 27-19-59Mandatory coverage for scalp hair prosthesis 27-19-60Licensed ambulance service 27-19-61Enteral nutrition products 27-19-62Prohibition on rescission of coverage 27-19-63Prohibition on annual and lifetime limits 27-19-64Coverage for individuals participating in approved clinical trials 27-19-65Medical loss ratio reporting and rebates 27-19-66Emergency services 27-19-67Internal and external appeal of adverse benefit determinations 27-19-68Prohibition on preexisting condition exclusions 27-19-69Primary care provider designation requirement 27-19-70Discretionary clauses 27-19-71Orally administered anticancer medication — Cost-sharing requirement 27-19-72Consumer notification 27-19-73Opioid antagonists 27-19-74Healthcare provider credentialing 27-19-75Unfair discrimination prohibited 27-19-76Health insurance contracts — Full year coverage for contraception 27-19-77Prohibition on discrimination in organ transplants 27-19-78Health insurance contracts — Copayments exemption for COVID-19 vaccinations 27-19-79Perinatal doulas 27-19-80Gender rating 27-19-81Coverage for biomarker testing 27-19-82Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome 27-19-83Coverage for treatment of pre-exposure prophylaxis (PrEP) for the prevention of HIV and post-exposure prophylaxis (PEP) to prevent HIV infection 27-19-85Dispensing and administration of HIV PrEP or PEP drugs 27-19-86Epinephrine injectors 27-19-87Acute mental health crisis mobile response and stabilization services. [Effective January 1, 2026.]