Rhode Island 2026 Regular Session

Rhode Island House Bill H8367

Introduced
3/27/26  

Caption

Requires healthcare insurers, without prior authorization, to provide post-acute care services to patients discharged from a hospital for a minimum of seven (7) days commencing on or after January 1, 2027.

Impact

The introduction of H8367 has significant implications for state laws pertaining to health insurance. By prohibiting preauthorization for post-acute care services, the bill aims to alleviate administrative hurdles that often delay necessary care for patients after discharge. It establishes a framework that requires insurers to collaborate more closely with healthcare providers to ensure timely service provision, thereby advancing patient-centric care policies within the state.

Summary

House Bill H8367 seeks to enhance healthcare coverage by requiring that all individual or group health insurance policies provide coverage for post-acute care services without prior authorization. Specifically, the bill mandates that starting January 1, 2027, insurers must cover a minimum of seven days of post-acute care services for patients discharged from an acute care hospital. This initiative aims to improve patients' functional independence and address their ongoing health needs following hospitalization.

Contention

Despite its positive intentions, H8367 has sparked discussions regarding the balance of control between healthcare providers and insurers. Critics argue that while the bill facilitates easier access to necessary care, it could lead to increased healthcare costs and potential misuse of services by not having preauthorization protocols in place. Furthermore, some stakeholders express concern over the adequacy of a seven-day coverage period, suggesting that it may not be sufficient for all cases requiring post-acute services.

Companion Bills

No companion bills found.

Previously Filed As

RI S0121

Requires a report to be produced that focuses on prescription drug prior authorizations by January 1, 2026.

RI H5433

Requires a report to be produced that focuses on prescription drug prior authorizations by January 1, 2026.

RI S0848

Imposes a hospital licensing fee for fiscal year 2026 against net patient-services revenue of every non-government owned hospital for the hospital’s first fiscal year ending on or after January 1, 2024.

RI H6095

Imposes a hospital licensing fee for fiscal year 2026 against net patient-services revenue of every non-government owned hospital for the hospital’s first fiscal year ending on or after January 1, 2024.

RI H5120

Provides an insurer would not impose prior authorization requirements for any service ordered by an in-network primary care provider.

RI S0053

Provides an insurer would not impose prior authorization requirements for any service ordered by an in-network primary care provider.

RI S0168

Provides an insurer would not impose prior authorization requirements for any service ordered by an in-network primary care provider.

RI H6317

Prohibits an insurer from imposing a requirement of prior authorization for any admission, item, service, treatment, test, exam, study, procedure, or any generic or brand name prescription drug ordered by a primary care provider.

RI H5623

Prohibits health insurance plans from requiring prior authorization for a new episode of rehabilitative care for twelve visits, or from requiring prior authorization for rehabilitative care for chronic pain for ninety days.

RI S0485

Limits prior authorization requirements for rehabilitative and habilitative services. Also prohibits prior authorization for the first twelve (12) visits of a new episode of care and for ninety (90) days following a chronic pain diagnosis.

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