Subscribers to any health maintenance organization plan shall be afforded coverage under that plan on or after January 1, 2004, for diagnostic testing and long-term antibiotic treatment of chronic lyme disease when determined to be medically necessary and ordered by a physician acting in accordance with chapter 37.5 of title 5 entitled “Lyme Disease Diagnosis and Treatment” after making a thorough evaluation of the patient’s symptoms, diagnostic test results, and response to treatment. Treatment otherwise eligible for benefits pursuant to this section shall not be denied solely because the treatment may be characterized as unproven, experimental, or investigational in nature.
R.I. Gen. Laws § 27-41-65
Mandatory coverage for certain lyme disease treatments
Known as the Health Maintenance Organization Act
The act spans §§ 27–27 (122 sections).
P.L. 2003, ch. 113, § 6; P.L. 2003, ch. 114, § 6; P.L. 2004, ch. 34, § 5; P.L. 2004, ch. 35, § 5.
Official source: Rhode Island General Assembly. Reproduced from public-domain Rhode Island statutes; confirm against the official source for the current text. Not legal advice.