Loading chat...

RI H7113

Bill

Status

Introduced

1/15/2026

Primary Sponsor

Joseph McNamara

Click for details

Origin

House of Representatives

2026 Regular Session

AI Summary

  • Amends Rhode Island's Unfair Claims Settlement Practices Act to require dental insurers to honor "direction to pay" requests from insureds or claimants, allowing direct payment to any dental provider who meets the insurer's credentialing criteria, regardless of network participation status

  • Prohibits insurers from reducing or modifying benefit amounts paid directly to dental providers compared to what participating providers receive, while preserving the insurer's right to review patient records to verify services were rendered

  • Bans contracts between insurers and dental providers that require providers to accept payment only by virtual credit card; insurers must offer alternative payment methods with clear instructions

  • Prohibits insurers from charging dental providers any fees for access to payment or claims data, or for transmission, processing, or mailing of payments

  • Takes effect upon passage and applies to all domestic, foreign, or alien insurers settling dental claims in Rhode Island regardless of where the policy originated

Legislative Description

Prohibits dental insurers from refusing to honor directions to pay from insured, modifying benefits to be paid. Requires providers to accept payment by virtual credit card as unfair claims practices.

Insurance

Last Action

Introduced, referred to House Corporations

1/15/2026

Committee Referrals

Corporations1/15/2026

Full Bill Text

No bill text available