reglab/housing_qa huggingface dataset:
RI Gen L § 27-20-11 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-11 - Investment standards.

§ 27-20-11. Investment standards.(a) All nonprofit medical 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 medical 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 are not considered admitted assets.History of Section.P.L. 1945, ch. 1598, § 7; G.L. 1956, § 27-20-11; P.L. 1999, ch. 45, § 2.
RI Gen L § 27-20-12 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-12 - Corporation deemed public charitable institution.

§ 27-20-12. Corporation deemed public charitable institution.Every nonprofit medical 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. 1945, ch. 1598, § 8; G.L. 1956, § 27-20-12.
RI Gen L § 27-20-13 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-13 - Adoption of chapter by hospital service corporation.

§ 27-20-13. Adoption of chapter by hospital service corporation.Any nonprofit hospital service corporation organized pursuant to the provisions of chapter 19 of this title may, with the consent of the Rhode Island Medical Society evidenced by the affidavit of the president and secretary of the society filed in the office of the secretary of state, amend its articles of association to adopt the provisions of this chapter, and, upon that adoption, the corporation shall have and exercise all of the powers and be subject to all of the duties and responsibilities of a nonprofit medical service corporation to the same extent as though it had been incorporated as a nonprofit medical service corporation.History of Section.P.L. 1945, ch. 1598, § 9; G.L. 1956, § 27-20-13.
RI Gen L § 27-20-14 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-14 - Coverage for adoptive children.

§ 27-20-14. Coverage for adoptive children.Subscribers to any nonprofit medical 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 the 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, § 2.
RI Gen L § 27-20-15 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-15 - Itemized bills for services rendered.

§ 27-20-15. Itemized bills for services rendered.Upon completion of medical services under the provisions of this chapter, each provider of those services shall upon request provide a copy of an itemized bill to each patient; provided, that nothing contained in this section shall apply to any hospital operated by the state of Rhode Island, its departments, or agencies.History of Section.P.L. 1985, ch. 529, § 2.
RI Gen L § 27-20-16 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-16 - Changing coverage.

§ 27-20-16. 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, § 3.
RI Gen L § 27-20-17 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-17 - Mammograms and pap smears - Coverage mandated.

§ 27-20-17. Mammograms and pap smears — Coverage mandated.(a) Subscribers to any nonprofit medical 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 medical service plan shall be afforded coverage for two (2) paid 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, § 2; P.L. 2005, ch. 405, § 3.
RI Gen L § 27-20-17.1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-17.1 - Insurance coverage for post-partum hospital stays.

§ 27-20-17.1. Insurance coverage for post-partum hospital stays.(a) Every individual or group hospital or medical services plan contract delivered, issued for delivery, or 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 after 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 forth-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 guidelines provided in this subsection.(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, § 4; P.L. 1996, ch. 260, § 4; P.L. 2002, ch. 292, § 39.
RI Gen L § 27-20-18 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-18 - Mammograms - Quality assurance standards.

§ 27-20-18. Mammograms — Quality assurance standards.A mammogram eligible for reimbursement under § 27-20-17 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, § 3.
RI Gen L § 27-20-19 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-19 - Pap smears - Quality assurance standards.

§ 27-20-19. Pap smears — Quality assurance standards.A pap smear eligible for reimbursement under § 27-20-17 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 accredited by the joint commission on accreditation of health care organizations or the American Osteopathic Association, at the time the pap smear is processed.History of Section.P.L. 1989, ch. 217, § 10.
RI Gen L § 27-20-20 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-20 - Coverage for infertility.

§ 27-20-20. Coverage for infertility.(a) Any nonprofit medical 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 the 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 medical 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 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, § 3; P.L. 2002, ch. 292, § 39; P.L. 2006, ch. 246, art. 34, § 3; P.L. 2007, ch. 411, § 3; P.L. 2017, ch. 132, § 3; P.L. 2017, ch. 150, § 3.
RI Gen L § 27-20-21 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-21 - Nonprofit medical service corporation assessment.

§ 27-20-21. Nonprofit medical service corporation assessment.(a) Notwithstanding any other provisions of law, each domestic nonprofit medical service corporation shall be charged an assessment to partially support the activities of the division of insurance in the department of business regulations.(b) The minimum assessment charged shall be one thousand dollars ($1,000).History of Section.P.L. 1990, ch. 65, art. 29, § 3; P.L. 1993, ch. 180, § 16; P.L. 2002, ch. 292, § 132.
RI Gen L § 27-20-22 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-22 - Discontinuance of coverage - Chronic disabilities.

§ 27-20-22. Discontinuance of coverage — Chronic disabilities.No nonprofit medical service corporation subject to the provisions of this chapter shall discontinue reimbursement or providing services for the 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, § 3.
RI Gen L § 27-20-23 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-23 - Drug coverage.

§ 27-20-23. 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, § 3; P.L. 2002, ch. 292, § 39.
RI Gen L § 27-20-23.1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-23.1 - Medication synchronization.

§ 27-20-23.1. 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, § 3; P.L. 2016, ch. 196, § 3.
RI Gen L § 27-20-24 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-24 - Rehabilitation, liquidation, or conservation.

§ 27-20-24. Rehabilitation, liquidation, or conservation.(a) Any rehabilitation, liquidation, administrative supervision, or conservation of a nonprofit medical 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 medical service corporation upon any one or more of the following grounds:(1) That the nonprofit medical service corporation is insolvent; for the purposes of this section, the term "insolvent" means the inability of the nonprofit medical service corporation to meet its debts and financial obligations as they become due;(2) That the nonprofit medical 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); or(3) That the nonprofit medical 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 medical service corporation in the event of the rehabilitation, liquidation, conservation, or administrative supervision of the nonprofit medical service corporation.History of Section.P.L. 1993, ch. 180, § 17.
RI Gen L § 27-20-25 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-25 - Holding company systems.

§ 27-20-25. 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, § 17; P.L. 1998, ch. 90, § 2; P.L. 2000, ch. 178, § 4; P.L. 2000, ch. 200, § 14; P.L. 2000, ch. 229, § 14.
RI Gen L § 27-20-25.1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-25.1 - No derogation of attorney general.

§ 27-20-25.1. No derogation of attorney general.No provision of this chapter shall derogate from the common law or statutory authority of the attorney general nor shall any provision be construed as a limitation on the common law or statutory authority of the attorney general, including the authority to investigate at any time charitable assets for the purpose of determining and ascertaining whether they are being administered in accordance with law and with the terms and purposes of the charity.History of Section.P.L. 1998, ch. 90, § 7.
RI Gen L § 27-20-25.2 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-25.2 - Health insurance rates.

§ 27-20-25.2. Health insurance rates.No insurance company organized as a stock or mutual corporation which merges or consolidates with, acquires ownership or control or possession of twenty percent (20%) or greater of the operating assets of, or acquires control of a non-profit hospital service corporation organized under chapter 19 of this title, a non-profit medical service corporation organized under this chapter or a health maintenance organization organized under chapter 41 of this title may: (1) file with any state agency for review or approval any proposed rate to be used by the company in the state, or (2) charge to any party in the state any rate or premium, which takes into account or reflects in any manner the value of any contribution, distribution or allocation the company expends or incurs in establishing or funding a charitable foundation organized to maintain or account for the assets of a non-profit hospital service corporation, non-profit medical service corporation or health maintenance organization. For any rate that is to be charged to policy holders, regardless of whether this rate is subject to approval by a state agency under this or another chapter, the company shall at least thirty (30) days before implementing the rate submit under oath to the commissioner of insurance an accounting that documents the cost structure on which the rate is based and demonstrates the company's compliance with this section.History of Section.P.L. 1999, ch. 215, § 4; P.L. 1999, ch. 376, § 4.
RI Gen L § 27-20-26 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-26 - Regulations.

§ 27-20-26. Regulations.The director of the department of business regulation may adopt reasonable rules and regulations for the implementation and administration of the provisions of this chapter.History of Section.P.L. 1993, ch. 180, § 17.
RI Gen L § 27-20-27 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-27 - New cancer therapies - Under investigation. [Repealed on effective date of § 27-20-64.]

§ 27-20-27. New cancer therapies — Under investigation. [Repealed on effective date of § 27-20-64.]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 new cancer therapies still under investigation as outlined in this chapter.History of Section.P.L. 1994, ch. 301, § 3.
RI Gen L § 27-20-27.1 (2021)
2021 Rhode Island General Laws|Title 27 - Insurance|Chapter 27-20 - Nonprofit Medical Service Corporations|Section 27-20-27.1 - "Reliable evidence" defined. [Repealed on effective date of § 27-20-64.]

§ 27-20-27.1. "Reliable evidence" defined. [Repealed on effective date of § 27-20-64.]"Reliable evidence" means:(1) Evidence including published reports and articles in authoritative, peer reviewed medical and scientific literature;(2) A written informed consent used by the treating facility or by another facility studying substantially the same service; or(3) A written protocol or protocols used by the treating facility or protocols of another facility studying substantially the same service.History of Section.P.L. 1994, ch. 301, § 3.