Mandates all health insurance contracts, plans, or policies provide the same reimbursement to independent healthcare facilities as that of hospital affiliated facilities where the same healthcare service is provided.

Plain-English Summary

This bill would require health insurance companies in Rhode Island to pay independent healthcare facilities the same amount they pay hospital-affiliated facilities for the same medical services. Right now, insurance companies often pay higher reimbursement rates to facilities that are owned by or connected to a hospital system compared to what they pay to standalone, independent clinics or medical offices — even when both places provide the exact same care.

The bill affects two main groups. First, it impacts independent healthcare facilities — such as privately owned doctor's offices, clinics, or outpatient centers that are not part of a larger hospital network. Currently, these facilities may receive lower payments from insurers, which can put them at a financial disadvantage. Second, it affects health insurance companies, which would be required to adjust how they calculate and distribute payments if this bill becomes law. Patients who use independent facilities could also be indirectly affected, as payment differences can sometimes influence where and how care is offered.

The bill was introduced in the Rhode Island House of Representatives and referred to the House Health & Human Services Committee. As of now, the committee has recommended the bill be held for further study, meaning it has not yet moved forward in the legislative process. No final decision has been made on whether it will become law.