reglab/housing_qa huggingface dataset:
RI Gen L § 27-19-11 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-11 - Investment standards.

§ 27-19-11. Investment standards.(a) All nonprofit hospital service corporations shall protect the interests of subscribers by promoting company solvency and financial strength through the application of investment standards that facilitate a reasonable balance of the following objectives:(1) To preserve principal;(2) To assure reasonable diversification as to type of investment, issuer and credit quality; and(3) To allow the nonprofit hospital service corporation to allocate investments in a manner consistent with principles of prudent investment management to achieve an adequate return so that obligations to subscribers are adequately met and financial strength is sufficient to cover reasonably foreseeable contingencies.(b) All investments, including, but not limited to, those referred to in this chapter, shall be made and held in accordance with the objectives in subsection (a) of this section subject to the limitations set forth in this chapter and in regulations promulgated pursuant to this chapter. Investments not conforming to this chapter and any regulations promulgated pursuant to this chapter shall not be considered admitted assets.History of Section.P.L. 1939, ch. 719, § 7; G.L. 1956, § 27-19-11; P.L. 1999, ch. 45, § 1.
RI Gen L § 27-19-12 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-12 - Corporations deemed public charitable institutions.

§ 27-19-12. Corporations deemed public charitable institutions.Every nonprofit hospital service corporation is declared to be and shall be deemed to be a charitable corporation and an incorporated public charitable institution.History of Section.P.L. 1939, ch. 719, § 8; G.L. 1956, 27-19-12.
RI Gen L § 27-19-13 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-13 - Services rendered in certain institutions.

§ 27-19-13. Services rendered in certain institutions.No nonprofit hospital service corporation may deny payments for services rendered to its subscribers by hospitals operated by the state or any municipality of the state if the nonprofit hospital service corporation permits payment for similar services rendered by contracting hospitals as provided in this chapter.History of Section.P.L. 1961, ch. 191, § 1.
RI Gen L § 27-19-14 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-14 - Repealed.

§ 27-19-14. Repealed.History of Section.P.L. 1971, ch. 208, § 1; P.L. 1984, ch. 4, § 4; P.L. 1988, ch. 213, § 2; P.L. 1990, ch. 132, § 2; P.L. 1991, ch. 290, § 3; P.L. 1994, ch. 392, § 1; P.L. 2009, ch. 68, art. 23, § 8; Repealed by its own terms and pursuant to § 40-8-13.4(g), effective March 30, 2010.
RI Gen L § 27-19-15 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-15 - Repealed.

§ 27-19-15. Repealed.History of Section.P.L. 1971, ch. 208, § 1; P.L. 1984, ch. 4, § 4; P.L. 1989, ch. 542, § 80; P.L. 1994, ch. 392, § 1; P.L. 2009, ch. 68, art. 23, § 8; Repealed by its own terms and pursuant to § 40-8-13.4(g), effective March 30, 2010.
RI Gen L § 27-19-16 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-16 - Repealed.

§ 27-19-16. Repealed.History of Section.P.L. 1971, ch. 208, § 1; P.L. 2009, ch. 68, art. 23, § 8; Repealed by its own terms and pursuant to § 40-8-13.4(g), effective March 30, 2010.
RI Gen L § 27-19-17 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-17 - Additional benefits.

§ 27-19-17. Additional benefits.Notwithstanding the provisions of this chapter, any nonprofit hospital service corporation organized under this chapter may contract with any of its subscribers for coverage or benefits for medical services as may from time to time be provided under any plan adopted by the corporation. "Subscribers" as used in this chapter includes, in addition to those set forth in § 27-19-1, persons contracting with the corporation for coverage or benefits for medical services. "Medical services" as used in this chapter means professional services rendered by physicians, dentists, podiatrists, or other providers of health services for any medical, dental, surgical, and other health services as may lawfully be rendered by them to subscribers; the term includes appliances, drugs, medicines, supplies, and nursing care necessary in connection with those services, or the expense indemnity for those services, appliances, drugs, medicines, supplies, and care, as may be specified in any nonprofit medical service plan.History of Section.P.L. 1978, ch. 64, § 2; P.L. 1998, ch. 441, § 20.
RI Gen L § 27-19-18 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-18 - Coverage for adoptive children.

§ 27-19-18. Coverage for adoptive children.Subscribers to any nonprofit hospital service plan who have satisfied the continuous membership requirements of the plan, and who adopt children under the guardianship and custody of the director of the department of children, youth, and families, shall be afforded coverage under the plan for any adopted child without any waiting period, notwithstanding the fact that the adopted child may have any preexisting medical condition.History of Section.P.L. 1982, ch. 183, § 1.
RI Gen L § 27-19-19 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-19 - Changing coverage.

§ 27-19-19. Changing coverage.No group health insurer subject to the provisions of this chapter shall change contract provisions as specified in the group plan master contract during the term of that contract without prior written agreement of the employer, except for changes mandated under state or federal legislative enactment and changes resulting from a labor/management collective bargaining agreement, or changes necessary to meet insurance regulations promulgated by the department of business regulation.History of Section.P.L. 1988, ch. 384, § 2.
RI Gen L § 27-19-20 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-20 - Mammograms and pap smears - Coverage mandated.

§ 27-19-20. Mammograms and pap smears — Coverage mandated.(a) Subscribers to any nonprofit hospital service plan shall be afforded coverage under the plan for mammograms and pap smears, in accordance with guidelines established by the American Cancer Society.(b) Notwithstanding the provisions of this chapter, subscribers to any nonprofit hospital service plan shall be afforded coverage for two (2) screening mammograms per year when recommended by a physician for women who have been treated for breast cancer within the last five (5) years or who are at high risk of developing breast cancer due to genetic predisposition (BRCA gene mutation or multiple first degree relatives) or high risk lesion on prior biopsy (lobular carcinoma in situ) or atypical ductal hyperplasia.History of Section.P.L. 1988, ch. 532, § 1; P.L. 2005, ch. 405, § 2.
RI Gen L § 27-19-21 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-21 - Mammograms - Quality assurance standards.

§ 27-19-21. Mammograms — Quality assurance standards.A mammogram eligible for reimbursement under § 27-19-20 shall be reimbursed only if the facility in which the mammogram has been taken and processed, and the licensed physician interpreting the mammogram, both meet state approved quality assurance standards for taking, processing, and interpreting mammograms. The director of health shall have the authority to promulgate rules and regulations necessary to carry out the provisions of this section.History of Section.P.L. 1989, ch. 217, § 2.
RI Gen L § 27-19-22 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-22 - Pap smears - Quality assurance standards.

§ 27-19-22. Pap smears — Quality assurance standards.A pap smear eligible for reimbursement under § 27-19-20 shall be reimbursed only if the laboratory in which the pap smear is processed is licensed by the department of health specifically to perform cervical cytology, or is accredited by the American Society of Cytology, or is accredited by the College of American Pathologists, or is a hospital accredited by the joint commission on accreditation health care organizations or the American Osteopathic Association at the time the pap smear is processed.History of Section.P.L. 1989, ch. 217, § 9.
RI Gen L § 27-19-23 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-23 - Coverage for infertility.

§ 27-19-23. Coverage for infertility.(a) Any nonprofit hospital service contract, plan, or insurance policies delivered, issued for delivery, or renewed in this state, except contracts providing supplemental coverage to Medicare or other governmental programs, that includes pregnancy-related benefits, shall provide coverage for medically necessary expenses of diagnosis and treatment of infertility for women between the ages of twenty-five (25) and forty-two (42) years and for standard fertility-preservation services when a medically necessary medical treatment may directly or indirectly cause iatrogenic infertility to a covered person. To the extent that a nonprofit hospital service corporation provides reimbursement for a test or procedure used in the diagnosis or treatment of conditions other than infertility, those tests and procedures shall not be excluded from reimbursement when provided attendant to the diagnosis and treatment of infertility for women between the ages of twenty-five (25) and forty-two (42) years; provided, that a subscriber copayment, not to exceed twenty percent (20%), may be required for those programs and/or procedures the sole purpose of which is the treatment of infertility.(b) For purposes of this section, "infertility" means the condition of an otherwise presumably healthy individual who is unable to conceive or sustain a pregnancy during a period of one year.(c) For purposes of this section, "standard fertility-preservation services" means procedures consistent with established medical practices and professional guidelines published by the American Society for Reproductive Medicine, the American Society of Clinical Oncology, or other reputable professional medical organizations.(d) For purposes of this section, "iatrogenic infertility" means an impairment of fertility by surgery, radiation, chemotherapy, or other medical treatment affecting reproductive organs or processes.(e) For purposes of this section, "may directly or indirectly cause" means treatment with a likely side effect of infertility as established by the American Society for Reproductive Medicine, the American Society of Clinical Oncology, or other reputable professional organizations.(f) The health insurance contract may limit coverage to a lifetime cap of one hundred thousand dollars ($100,000).History of Section.P.L. 1989, ch. 478, § 2; P.L. 2002, ch. 292, § 37; P.L. 2006, ch. 246, art. 34, § 2; P.L. 2007, ch. 411, § 2; P.L. 2017, ch. 132, § 2; P.L. 2017, ch. 150, § 2.
RI Gen L § 27-19-23.1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-23.1 - Insurance coverage for post-partum hospital stays.

§ 27-19-23.1. Insurance coverage for post-partum hospital stays.(a) Every individual or group hospital or medical services plan contract delivered, issued for delivery, as renewed in this state shall provide coverage for a forty-eight (48) hour time period in a hospital after a vaginal birth and ninety-six (96) hours for a Cesarean section for a mother and her newly born child. Any decision to shorten these minimum coverages shall be made by the attending health care provider in consultation with the mother. The decision shall be made in accordance with the standards for guidelines for perinatal care published by the American College of Obstetrics and Gynecology and the American Academy of Pediatrics. The standards shall be relative to early discharge, defined as less than forty-eight (48) hours for a vaginal delivery and ninety-six (96) for a cesarean delivery. In the case of early discharge, post-delivery care shall include home visits, parent education, assistance and training in breast or bottle feeding and the performance of any necessary and appropriate clinical tests or any other tests or services consistent with the above guidelines.(b) For the purposes of this section, "attending health care provider" includes the attending obstetrician, pediatrician, family practitioner, general practitioner, or certified nurse midwife attending the mother and newly born child.(c) Any subscriber who is aggrieved by a denial of benefits to be provided under this section may appeal the denial in accordance with regulations of the department of health, which have been promulgated pursuant to chapter 17.12 of title 23. No policy or plan covered under this chapter shall terminate the services, reduce capitation payment, or penalize an attending physician or other health care provider who orders care consistent with the provisions of this section.History of Section.P.L. 1996, ch. 246, § 3; P.L. 1996, ch. 260, § 3; P.L. 2002, ch. 292, § 37.
RI Gen L § 27-19-24 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-24 - Nonprofit hospital service corporations assessment.

§ 27-19-24. Nonprofit hospital service corporations assessment.(a) Notwithstanding any other provisions of law, each domestic nonprofit hospital service corporation shall be charged an assessment to partially support the activities of the division of insurance in the department of business regulation.(b) The assessment referred to in subsection (a) of this section shall be calculated in the same manner as set forth in § 27-1-41 [Repealed.].(c) The minimum assessment charged shall be the greater of the sum determined by subsection (b) of this section or $ 1,000.History of Section.P.L. 1990, ch. 65, art. 29, § 2; P.L. 1993, ch. 180, § 14.
RI Gen L § 27-19-25 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-25 - Discontinuance of coverage - Chronic disabilities.

§ 27-19-25. Discontinuance of coverage — Chronic disabilities.No nonprofit hospital service corporation subject to the provisions of this chapter shall discontinue reimbursement for or providing services for covered health care services of chronic disabilities unless the patient has exhausted benefits to which he or she is entitled under the basic subscriber agreement, or unless it is at the end of the open enrollment period provided notice of the discontinuation is sent to subscribers who have been reimbursed for or utilized those services in the past three (3) years. The notice shall be mailed at least sixty (60) days prior to the beginning of the open enrollment period. For the purposes of this section "chronic disability" means an impairment or illness that is likely to continue indefinitely.History of Section.P.L. 1991, ch. 127, § 2.
RI Gen L § 27-19-26 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-26 - Drug coverage.

§ 27-19-26. Drug coverage.No group health insurer subject to the provisions of this chapter that provides coverage for prescription drugs under a group plan master contract delivered, issued for delivery, or renewed in this state may require any person covered under the contract to obtain prescription drugs from a mail order pharmacy as a condition of obtaining benefits for the drugs.History of Section.P.L. 1991, ch. 345, § 2; P.L. 2002, ch. 292, § 37.
RI Gen L § 27-19-26.1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-26.1 - Medication synchronization.

§ 27-19-26.1. Medication synchronization.(a) An individual or group health insurance plan or policy delivered, issued for delivery, or renewed in this state on or after January 1, 2017, providing prescription drug coverage in the state, must permit and apply a prorated, daily cost-sharing rate to covered prescriptions for a chronic condition that are dispensed by an in-network pharmacy for less than a thirty (30) days' supply if the prescriber and pharmacist determine the fill or refill to be in the best interest of the patient for the management or treatment of a chronic, long-term care condition and the patient requests or agrees to less than a thirty (30) days' supply for the purpose of synchronizing the patient's medications and the insured's or enrollee's maintenance-prescription drug(s) to be synchronized meets all of the following requirements:(1) Is covered by the policy, certificate, or contract described in this chapter;(2) Is used for the management and treatment of a chronic, long-term care condition and have authorized refills that remain available to the insured or enrollee;(3) Except as otherwise provided in this subparagraph, is not a controlled substance included in schedules II to V;(4) Meets all utilization management requirements specific to the maintenance-prescription drugs at the time of the request to synchronize the insured's or enrollee's multiple, maintenance-prescription drugs;(5) Is of a formulation that can be effectively split over required short-fill periods to achieve synchronization; and(6) Does not have quantity limits or dose-optimization criteria or requirements that will be violated when synchronizing the insured's or enrollee's multiple maintenance-prescription drugs.(b) The plan or policy described in subsection (a) shall apply a prorated, daily cost-sharing rate for maintenance-prescription drugs that are dispensed by an in-network pharmacy for the purpose of synchronizing the insured's or enrollee's multiple, maintenance-prescription drugs.(c) The plan or policy described in subsection (a) shall not reimburse or pay any dispensing fee that is prorated. The insurer shall only pay or reimburse a dispensing fee that is based on each maintenance-prescription drug dispensed.(d) A synchronization shall only occur once per year per maintenance-prescription drug.History of Section.P.L. 2016, ch. 179, § 2; P.L. 2016, ch. 196, § 2.
RI Gen L § 27-19-27 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-27 - Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists.

§ 27-19-27. Certified registered nurse practitioners and psychiatric and mental health nurse clinical specialists.(a) Every health insurance contract, plan, or policy delivered, issued for delivery, or renewed in this state shall provide coverage for the services of a certified registered nurse practitioner, practicing collaboratively, or in the employ of a physician licensed under chapter 37 of title 5, and psychiatric and mental health nurse clinical specialists, to subscribers if the services are within the certified registered nurse practitioner's or psychiatric and mental health nurse clinical specialist's area of professional competence as established by education and certification, and are currently reimbursed when rendered by any other licensed healthcare provider. No insurer or hospital or medical service corporation may require signature by any other healthcare provider as a condition of reimbursement. No insurer or hospital or medical service corporation may be required to pay for duplicative services actually rendered by both a certified nurse practitioner and any other healthcare provider.(b) Nothing in this chapter shall preclude the conducting of managed care reviews and medical necessity reviews by an insurer or hospital or medical service corporation or health maintenance organization.(c) Every individual or group hospital or medical expense insurance policy or individual or group hospital or medical service plan contract delivered, issued for delivery, or renewed in this state shall provide coverage for certified registered nurse practitioners to provide primary care, intermediate, home, long-term and inpatient care as primary care providers, when said certified registered nurse practitioner is a participating provider, consistent with, and practicing within, the scope of his/her professional license.(d) Notwithstanding any law to the contrary, all insurers, nonprofit medical service corporations, nonprofit hospital service corporations and health maintenance organizations shall provide subscribers with an opportunity to select a certified registered nurse practitioner, who is a participating provider, as a primary care provider.(e) Notwithstanding any law to the contrary, all insurers, nonprofit medical service corporations, nonprofit hospital service corporations and health maintenance organizations shall insure that all participating primary care provider certified registered nurse practitioners are included on any publicly accessible list of participating providers for the respective organization.History of Section.P.L. 1991, ch. 361, § 3; P.L. 1994, ch. 90, § 2; P.L. 2002, ch. 292, § 37; P.L. 2009, ch. 351, § 2; P.L. 2009, ch. 352, § 2.
RI Gen L § 27-19-28 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-28 - Rehabilitation, liquidation, or conservation.

§ 27-19-28. Rehabilitation, liquidation, or conservation.(a) Any rehabilitation, liquidation, administrative supervision, or conservation of a nonprofit hospital service corporation organized under this chapter shall be conducted under the supervision of the director of business regulation pursuant to chapters 14.1, 14.2, and 14.3 of this title. The director of business regulation may apply for an order from the superior court directing the director of business regulation to rehabilitate, liquidate, or conserve a nonprofit hospital service corporation upon any one or more of the following grounds:(1) That the nonprofit hospital service corporation is insolvent; for the purposes of this section, the term "insolvent" means the inability of the nonprofit hospital service corporation to meet its debts and financial obligations as they become due;(2) That the nonprofit hospital service corporation fails or refuses to comply with a lawful order of the director of business regulation reasonably designed to correct unsound business policies or practices which, if uncorrected, could reasonably lead to insolvency as defined in subdivision (1) of this subsection; or(3) That the nonprofit hospital service corporation's financial condition is such as to render its further transaction of business hazardous to the public or its subscribers or members.(b) A claim by a health care provider shall not be asserted against any subscriber or member of the nonprofit hospital service corporation in the event of the rehabilitation, liquidation, conservation, or administrative supervision of the nonprofit hospital service corporation.History of Section.P.L. 1993, ch. 180, § 15.
RI Gen L § 27-19-29 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-19 - Nonprofit Hospital Service Corporations|Section 27-19-29 - Holding company systems.

§ 27-19-29. Holding company systems.Except to the extent superseded by chapter 64 of this title, all of the provisions of chapter 35 of this title apply to corporations organized or licensed pursuant to this chapter.History of Section.P.L. 1993, ch. 180, § 15; P.L. 1998, ch. 90, § 1; P.L. 2000, ch. 178, § 3; P.L. 2000, ch. 200, § 13; P.L. 2000, ch. 229, § 13.