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U.S. State Codes
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Rhode-Island
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Title 27 - Insurance
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Chapter 27-41 Health Maintenance Organizations
Chapter 27-41 Health Maintenance Organizations
Section 27-41-1 Short title.
Section 27-41-2 Definitions.
Section 27-41-3 Establishment of health maintenance organizations.
Section 27-41-4 Issuance of license.
Section 27-41-5 Powers of health maintenance organizations.
Section 27-41-6 Governing body.
Section 27-41-7 Fiduciary responsibilities.
Section 27-41-8 Evidence of coverage and charges for health care services.
Section 27-41-9 Required reports.
Section 27-41-10 Information to enrollees.
Section 27-41-11 Complaint system.
Section 27-41-12 Investments.
Section 27-41-13 Protection against insolvency.
Section 27-41-13.1 Initial net worth and capital requirements.
Section 27-41-13.2 Ongoing net worth and capital requirements.
Section 27-41-13.3 Waiver, surplus notes, and risk based capital requirements.
Section 27-41-14 Prohibited practices.
Section 27-41-14.1 Prohibition against restraint on provider - Patient communications.
Section 27-41-15 Powers of insurers and hospital and medical service corporations.
Section 27-41-16 Examination.
Section 27-41-17 Suspension or revocation of license.
Section 27-41-18 Rehabilitation, liquidation, or conservation of health maintenance organization.
Section 27-41-18.1 Summary orders and supervision.
Section 27-41-19 Rules and regulations.
Section 27-41-20 Administrative procedures.
Section 27-41-21 Penalties and enforcement.
Section 27-41-22 Statutory construction and relationship to other laws.
Section 27-41-23 Filings and reports as public documents.
Section 27-41-24 Director of health's authority to contract.
Section 27-41-25 Holding company systems.
Section 27-41-26 Enrollee liability.
Section 27-41-26.1 Patient responsibility - Administrative requirements.
Section 27-41-27 Offer of health maintenance organization alternative to employees.
Section 27-41-27.1 No derogation of attorney general.
Section 27-41-27.2 Health insurance rates.
Section 27-41-28 Applicability.
Section 27-41-29 Severability.
Section 27-41-29.1 Uniform explanation of benefits and coverage.
Section 27-41-29.2 Filing of policy forms.
Section 27-41-30 Mammograms and pap smears - Coverage mandated.
Section 27-41-30.1 Post-partum hospital stays.
Section 27-41-31 Mammograms - Quality assurance standards.
Section 27-41-32 Pap smears - Quality assurance standards.
Section 27-41-33 Coverage for infertility.
Section 27-41-34 Health maintenance organizations' assessment.
Section 27-41-35 Enrollment period in the event of insolvency.
Section 27-41-36 Services of midwives.
Section 27-41-37 Discontinuance of coverage - Chronic disabilities.
Section 27-41-38 Drug coverage.
Section 27-41-38.1 Medication synchronization.
Section 27-41-38.2 Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies.
Section 27-41-39 Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists.
Section 27-41-40 Certified counselors in mental health and therapists in marriage and family practice.
Section 27-41-41 Repealed.
Section 27-41-41.1 Repealed.
Section 27-41-41.2 Repealed.
Section 27-41-41.3 Repealed.
Section 27-41-42 Repealed.
Section 27-41-43 Mastectomy treatment.
Section 27-41-43.1 Insurance coverage for mastectomy hospital stays.
Section 27-41-44 Diabetes treatment.
Section 27-41-45 Primary and preventive obstetric and gynecological care.
Section 27-41-46 Whistleblowers protection.
Section 27-41-47 Penalties and remedies.
Section 27-41-48 Additional relief and damages - Reinstatement.
Section 27-41-49 Third party reimbursement for services of certain health care workers.
Section 27-41-49.1 Third party reimbursement for services of registered nurse first assistants.
Section 27-41-50 Human leukocyte antigen testing.
Section 27-41-51 Drug coverage.
Section 27-41-52 Restricted annual rate payments prohibited.
Section 27-41-53 Genetic testing.
Section 27-41-53.1 Genetic information.
Section 27-41-54 Disassociation prohibited.
Section 27-41-55 Repealed.
Section 27-41-56 Magnetic resonance imaging - Quality assurance standards.
Section 27-41-57 Acupuncture services.
Section 27-41-58 Prohibition against requiring indemnification from dentists.
Section 27-41-59 F.D.A. approved prescription contraceptive drugs and devices.
Section 27-41-60 Prostate and colorectal examinations - Coverage mandated.
Section 27-41-61 Eligibility for children's benefits.
Section 27-41-62 Temporary credentials.
Section 27-41-63 Hearing aids.
Section 27-41-64 Prompt processing of claims.
Section 27-41-65 Mandatory coverage for certain lyme disease treatments.
Section 27-41-66 Dental insurance assignment of benefits.
Section 27-41-67 Determination of maximum coverage limitation for prescription drug benefits.
Section 27-41-68 Coverage for early intervention services.
Section 27-41-69 Post-payment audits.
Section 27-41-70 Tobacco cessation programs.
Section 27-41-71 Mandatory coverage for scalp hair prosthesis.
Section 27-41-72 Reimbursement for orthotic and prosthetic services.
Section 27-41-73 Licensed ambulance service.
Section 27-41-74 Enteral nutrition products.
Section 27-41-75 Prohibition on rescission of coverage.
Section 27-41-76 Prohibition on annual and lifetime limits.
Section 27-41-77 Coverage for individual participating in approved clinical trials.
Section 27-41-78 Medical loss ratio reporting and rebates.
Section 27-41-79 Emergency services.
Section 27-41-80 Internal and external appeal of adverse benefit determinations.
Section 27-41-81 Prohibition on preexisting condition exclusions.
Section 27-41-82 Primary care provider designation requirement.
Section 27-41-83 Discretionary clauses.
Section 27-41-84 Orally administered anticancer medication - Cost-sharing requirement.
Section 27-41-85 Consumer notification.
Section 27-41-86 Opioid antagonists.
Section 27-41-87 Health care provider credentialing.
Section 27-41-88 Unfair discrimination prohibited.
Section 27-41-89 Health insurance contracts - Full year coverage for contraception.