Rhode Island 2026 Regular Session

Rhode Island House Bill H7346

Introduced
1/28/26  

Caption

Prohibits insurance companies from paying a rate that is less than the approved Medicaid rate set by the executive office of health and human services.

Impact

The primary effect of H7346 will be on the practices of insurance companies that merge or consolidate with nonprofit hospital service corporations or health maintenance organizations. By mandating that rates cannot fall below the Medicaid rate, the bill seeks to stabilize and potentially increase the financial resources available to these nonprofits, thereby enhancing their capacity to provide services. This change could also impact the pricing strategies of health plans offered in the state, potentially leading to higher premiums for consumers as companies adjust to comply with the new restrictions.

Summary

House Bill 7346 addresses the regulation of health insurance rates in Rhode Island, specifically impacting how insurance companies operate in the market. The bill proposes to prohibit insurance organizations, including stock or mutual corporations, from charging rates lower than the approved Medicaid rate established by the executive office of health and human services. This measure is intended to ensure that the insurance rates remain aligned with government-set standards, likely aiming to benefit patients and policyholders reliant on these insurance services.

Contention

Discussion surrounding H7346 may revolve around concerns regarding the balance between regulating insurance rates and the operational flexibility of insurance companies. Critics could argue that by enforcing a floor on rate calculations, the bill could inadvertently lead to higher costs for consumers as companies seek to maintain profitability in light of increased operational constraints. Proponents, however, support the measure as a necessary step towards ensuring fair pricing that protects the interests of vulnerable populations dependent on Medicaid and other health services. The bill's implications on both consumer costs and company margins are likely to be significant points of debate during the legislative process.

Companion Bills

No companion bills found.

Previously Filed As

RI H5621

Prohibits insurance companies from paying a rate that is less than the approved Medicaid rate set by the executive office of health and human services.

RI S0791

Prohibits insurance companies from paying a rate that is less than the approved Medicaid rate set by the executive office of health and human services.

RI H6373

Requires the executive office of health and human services to increase Medicaid payment rates for primary care services furnished by primary care providers to be commensurate with Medicare rates.

RI H5416

Prohibits auto insurance companies from using certain race and geographical locations criteria when determining insurance rates.

RI H5862

Requires insurance companies to prove that a healthcare service or procedure is not medically necessary.

RI S0793

Increases individual, group, and Medicaid insurance rates of reimbursement for ambulance and wheelchair van services to be equal to reimbursement rates provided by Medicare for the same medical services.

RI H5772

Increases individual, group, and Medicaid insurance rates of reimbursement for ambulance and wheelchair van services to be equal to reimbursement rates provided by Medicare for the same medical services.

RI S1004

Requires the executive office of health and human services to apply to the Centers for Medicare and Medicaid Services for a state plan amendment for reimbursement for health services in a school.

RI H6308

Requires the executive office of health and human services to apply to the Centers for Medicare and Medicaid Services for a state plan amendment for reimbursement for health services in a school.

RI H5418

Amends the definition of "small employer" for purposes of the small employer health insurance availability act to mean a business employing less than one hundred (100) employees rather than fifty (50) employees.

Similar Bills

CA SB1240

Office of Nonprofit Empowerment.

AL SB277

Unincorporated nonprofit associations; decentralized associations provided for

AL HB483

Unincorporated nonprofit associations; decentralized associations provided for

HI HB1645

Relating To Liability.

CA SCR171

California Nonprofits Day.

CA ACR62

California Nonprofits Day.

CO HB1170

Lobbying by Nonprofit Entities

CA AB1836

California State Nonprofit Security Grant Program.