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RI H7427
Bill
Status
1/30/2026
Primary Sponsor
Marie Hopkins
Click for details
AI Summary
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Prohibits health insurers and other payors from including contract provisions that restrict physician practices from charging patients administrative or operational fees for non-clinical services such as scheduling, care coordination, referral management, and record handling
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Bars payors from imposing penalties or sanctions on physician practices for assessing such fees, provided fees are disclosed to patients in advance and not billed to the payor
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Payors are not required to reimburse physician practices or patients for these administrative fees
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Physician practices must still provide emergency or urgent care regardless of whether administrative fees have been paid
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Any contract provision violating these requirements is deemed null and void as a matter of public policy; the act takes effect upon passage
Legislative Description
Prohibits health insurance companies or other payors from including in physician participation agreements any provisions that restrict or prevent a physician from charging patients reasonable administrative or operational fees to support overhead.
Businesses And Professions
Last Action
Introduced, referred to House Health & Human Services
1/30/2026