Chapter

Health Maintenance Organizations

R.I. Gen. Laws § 27-41-1— Short title
R.I. Gen. Laws § 27-41-2— Definitions
R.I. Gen. Laws § 27-41-3— Establishment of health maintenance organizations
R.I. Gen. Laws § 27-41-4— Issuance of license
R.I. Gen. Laws § 27-41-5— Powers of health maintenance organizations
R.I. Gen. Laws § 27-41-6— Governing body
R.I. Gen. Laws § 27-41-7— Fiduciary responsibilities
R.I. Gen. Laws § 27-41-8— Evidence of coverage and charges for healthcare services
R.I. Gen. Laws § 27-41-9— Required reports
R.I. Gen. Laws § 27-41-10— Information to enrollees
R.I. Gen. Laws § 27-41-11— Complaint system
R.I. Gen. Laws § 27-41-12— Investments
R.I. Gen. Laws § 27-41-13— Protection against insolvency
R.I. Gen. Laws § 27-41-13.1— Initial net worth and capital requirements
R.I. Gen. Laws § 27-41-13.2— Ongoing net worth and capital requirements
R.I. Gen. Laws § 27-41-13.3— Waiver, surplus notes, and risk-based capital requirements
R.I. Gen. Laws § 27-41-14— Prohibited practices
R.I. Gen. Laws § 27-41-14.1— Prohibition against restraint on provider — Patient communications
R.I. Gen. Laws § 27-41-15— Powers of insurers and hospital and medical service corporations
R.I. Gen. Laws § 27-41-16— Examination
R.I. Gen. Laws § 27-41-17— Suspension or revocation of license
R.I. Gen. Laws § 27-41-18— Rehabilitation, liquidation, or conservation of health maintenance organization
R.I. Gen. Laws § 27-41-18.1— Summary orders and supervision
R.I. Gen. Laws § 27-41-19— Rules and regulations
R.I. Gen. Laws § 27-41-20— Administrative procedures
R.I. Gen. Laws § 27-41-21— Penalties and enforcement
R.I. Gen. Laws § 27-41-22— Statutory construction and relationship to other laws
R.I. Gen. Laws § 27-41-23— Filings and reports as public documents
R.I. Gen. Laws § 27-41-24— Director of health’s authority to contract
R.I. Gen. Laws § 27-41-25— Holding company systems
R.I. Gen. Laws § 27-41-26— Enrollee liability
R.I. Gen. Laws § 27-41-26.1— Patient responsibility — Administrative requirements
R.I. Gen. Laws § 27-41-27— Offer of health maintenance organization alternative to employees
R.I. Gen. Laws § 27-41-27.1— No derogation of attorney general
R.I. Gen. Laws § 27-41-27.2— Health insurance rates
R.I. Gen. Laws § 27-41-28— Applicability
R.I. Gen. Laws § 27-41-29— Severability
R.I. Gen. Laws § 27-41-29.1— Uniform explanation of benefits and coverage
R.I. Gen. Laws § 27-41-29.2— Filing of policy forms
R.I. Gen. Laws § 27-41-30— Mammograms and pap smears — Coverage mandated
R.I. Gen. Laws § 27-41-30.1— Postpartum hospital stays
R.I. Gen. Laws § 27-41-31— Mammograms — Quality assurance standards
R.I. Gen. Laws § 27-41-32— Pap smears — Quality assurance standards
R.I. Gen. Laws § 27-41-33— Coverage for infertility
R.I. Gen. Laws § 27-41-34— Health maintenance organizations’ assessment
R.I. Gen. Laws § 27-41-35— Enrollment period in the event of insolvency
R.I. Gen. Laws § 27-41-36— Services of midwives
R.I. Gen. Laws § 27-41-37— Discontinuance of coverage — Chronic disabilities
R.I. Gen. Laws § 27-41-38— Drug coverage
R.I. Gen. Laws § 27-41-38.1— Medication synchronization
R.I. Gen. Laws § 27-41-38.2— Pharmacy benefit manager requirements with respect to multi-source generic pricing updates to pharmacies
R.I. Gen. Laws § 27-41-38.3— Specialty drugs
R.I. Gen. Laws § 27-41-38.4— Patient choice in dispensing of clinician-administered drugs
R.I. Gen. Laws § 27-41-39— Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists
R.I. Gen. Laws § 27-41-40— Certified counselors in mental health and therapists in marriage and family practice
R.I. Gen. Laws § 27-41-41— Repealed
R.I. Gen. Laws § 27-41-41.1— Repealed
R.I. Gen. Laws § 27-41-41.2— Repealed
R.I. Gen. Laws § 27-41-41.3— Repealed
R.I. Gen. Laws § 27-41-42— Repealed
R.I. Gen. Laws § 27-41-43— Mastectomy treatment
R.I. Gen. Laws § 27-41-43.1— Insurance coverage for mastectomy hospital stays
R.I. Gen. Laws § 27-41-44— Diabetes treatment
R.I. Gen. Laws § 27-41-45— Primary and preventive obstetric and gynecological care
R.I. Gen. Laws § 27-41-45.1— Hysterectomy or myomectomy treatment
R.I. Gen. Laws § 27-41-46— Whistleblowers protection
R.I. Gen. Laws § 27-41-47— Penalties and remedies
R.I. Gen. Laws § 27-41-48— Additional relief and damages — Reinstatement
R.I. Gen. Laws § 27-41-49— Third-party reimbursement for services of certain healthcare workers
R.I. Gen. Laws § 27-41-49.1— Third-party reimbursement for services of registered nurse first assistants
R.I. Gen. Laws § 27-41-50— Human leukocyte antigen testing
R.I. Gen. Laws § 27-41-51— Drug coverage
R.I. Gen. Laws § 27-41-52— Restricted annual rate payments prohibited
R.I. Gen. Laws § 27-41-53— Genetic testing
R.I. Gen. Laws § 27-41-53.1— Genetic information
R.I. Gen. Laws § 27-41-54— Disassociation prohibited
R.I. Gen. Laws § 27-41-55— Repealed
R.I. Gen. Laws § 27-41-56— Magnetic resonance imaging — Quality assurance standards
R.I. Gen. Laws § 27-41-57— Acupuncture services
R.I. Gen. Laws § 27-41-58— Prohibition against requiring indemnification from dentists
R.I. Gen. Laws § 27-41-59— FDA approved prescription contraceptive drugs and devices
R.I. Gen. Laws § 27-41-60— Prostate and colorectal examinations — Coverage mandated — The Maryellen Goodwin Colorectal Cancer Screening Act
R.I. Gen. Laws § 27-41-61— Eligibility for children’s benefits
R.I. Gen. Laws § 27-41-62— Temporary credentials
R.I. Gen. Laws § 27-41-63— Hearing aids
R.I. Gen. Laws § 27-41-64— Prompt processing of claims
R.I. Gen. Laws § 27-41-65— Mandatory coverage for certain lyme disease treatments
R.I. Gen. Laws § 27-41-66— Dental insurance assignment of benefits
R.I. Gen. Laws § 27-41-67— Determination of maximum coverage limitation for prescription drug benefits
R.I. Gen. Laws § 27-41-68— Coverage for early intervention services
R.I. Gen. Laws § 27-41-69— Post-payment audits
R.I. Gen. Laws § 27-41-70— Tobacco cessation programs
R.I. Gen. Laws § 27-41-71— Mandatory coverage for scalp hair prosthesis
R.I. Gen. Laws § 27-41-72— Reimbursement for orthotic and prosthetic services
R.I. Gen. Laws § 27-41-73— Licensed ambulance service
R.I. Gen. Laws § 27-41-74— Enteral nutrition products
R.I. Gen. Laws § 27-41-75— Prohibition on rescission of coverage
R.I. Gen. Laws § 27-41-76— Prohibition on annual and lifetime limits
R.I. Gen. Laws § 27-41-77— Coverage for individual participating in approved clinical trials
R.I. Gen. Laws § 27-41-78— Medical loss ratio reporting and rebates
R.I. Gen. Laws § 27-41-79— Emergency services
R.I. Gen. Laws § 27-41-80— Internal and external appeal of adverse benefit determinations
R.I. Gen. Laws § 27-41-81— Prohibition on preexisting condition exclusions
R.I. Gen. Laws § 27-41-82— Primary care provider designation requirement
R.I. Gen. Laws § 27-41-83— Discretionary clauses
R.I. Gen. Laws § 27-41-84— Orally administered anticancer medication — Cost-sharing requirement
R.I. Gen. Laws § 27-41-85— Consumer notification
R.I. Gen. Laws § 27-41-86— Opioid antagonists
R.I. Gen. Laws § 27-41-87— Healthcare provider credentialing
R.I. Gen. Laws § 27-41-88— Unfair discrimination prohibited
R.I. Gen. Laws § 27-41-89— Health insurance contracts — Full year coverage for contraception
R.I. Gen. Laws § 27-41-90— Prohibition on discrimination in organ transplants
R.I. Gen. Laws § 27-41-91— Health insurance contracts — Copayments exemption for COVID-19 vaccinations
R.I. Gen. Laws § 27-41-92— Perinatal doulas
R.I. Gen. Laws § 27-41-93— Gender rating
R.I. Gen. Laws § 27-41-94— Coverage for biomarker testing
R.I. Gen. Laws § 27-41-95— Mandatory coverage for treatment of pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections and pediatric acute onset neuropsychiatric syndrome
R.I. Gen. Laws § 27-41-96— Coverage for treatment of pre-exposure prophylaxis (PrEP) for the prevention of HIV and post-exposure prophylaxis (PEP) to prevent HIV infection
R.I. Gen. Laws § 27-41-97— [Repealed.]
R.I. Gen. Laws § 27-41-98— Dispensing and administration of HIV PrEP or PEP drugs
R.I. Gen. Laws § 27-41-99— Epinephrine injectors
R.I. Gen. Laws § 27-41-100— Acute mental health crisis mobile response and stabilization services. [Effective January 1, 2026.]