H7947

Rhode Island H7947 includes costs paid by an enrollee or on their behalf by a third party in out-of-pocket maximum or cost sharing calculations for.

Rhode Island H7947 amends the state's health plan regulations to include any costs paid by an enrollee or on their behalf by a third party when calculating an enrollee’s overall contribution to any out-of-pocket maximum or cost sharing requirement under a health plan. This change takes effect on January 1, 2027, and applies to health plans entered into, amended, extended, or renewed on or after that date. The bill specifies that this requirement applies regardless of whether the enrollee has satisfied the minimum deductible under federal law, except for preventive care services.