RI H7109

Prohibits offering, paying, soliciting, or receiving commissions, kickbacks, bribes, or split-fee arrangements to induce patient referrals to or from health care providers or facilities

Classifies violations as a felony with mandatory fines: $50,000 for fewer than 10 patients, $100,000 for 10-19 patients, and $500,000 for 20 or more patients

Authorizes the Rhode Island Attorney General to seek injunctive relief and recover investigative costs, court costs, attorneys' fees, and other expenses

Exempts legitimate activities including payments within group practices, professional consultation fees, lawful insurance agent commissions, health insurer payments, and practices permitted under federal anti-kickback statutes

Exempts assisted living facility marketing employees, referral services for non-Medicaid senior housing, and resident referral reward programs