Rhode Island 2026 Regular Session

Rhode Island House Bill H8382

Introduced
4/1/26  

Caption

Strengthens enforcement of the state's pharmacy audit law by clarifying and tightening audit procedures to ensure pharmacy audits are conducted fairly and transparently.

Impact

If passed, H8382 will amend Section 5-19.1-35 of Rhode Island's General Laws concerning pharmacies. It specifically addresses the conditions under which audits can occur, limiting the frequency of on-site audits to one per carrier every twelve months unless substantial evidence of wrongdoing is suspected. This amendment is aimed at preventing unnecessary disruptions to pharmacy operations and ensuring that any findings of overpayment or underpayment are based on actual rather than projected data.

Summary

House Bill H8382 is an act aimed at strengthening the enforcement of the state's pharmacy audit laws by enhancing and clarifying audit procedures. The bill seeks to ensure that pharmacy audits are conducted fairly and transparently, which includes stipulations on how such audits should be carried out, notification procedures, and the rights of pharmacies during the audit process. The overall intent is to protect pharmacies from unreasonable audit practices while ensuring compliance with state regulations.

Contention

The bill may face points of contention primarily around its enforcement provisions. While supporters argue that it rightly protects pharmacies from arbitrary and overly aggressive audit practices, critics may express concerns regarding the implications for accountability in cases of suspected fraud or abuse. The bill gives the Rhode Island attorney general authority to enforce compliance, which, while viewed positively as a check on audit practices, raises questions about the balance between regulatory oversight and protecting businesses from excessive scrutiny.

Companion Bills

No companion bills found.

Previously Filed As

RI H5248

Restricts audits of pharmacists conducted by insurers and their intermediaries, limiting audits to one per year unless an identified problem exists or fraud or misrepresentation is suspected.

RI S0314

Restricts audits of pharmacists conducted by insurers and their intermediaries, limiting audits to one per year unless fraud or misrepresentation is reasonably suspected. The RI attorney general has the authority to impose sanctions for violations.

RI S0433

Requires the auditor general to conduct performance audits of all state agencies.

RI H5880

Requires the auditor general to conduct performance audits of all state agencies.

RI S0482

Amends the types of products which pharmacists may prescribe as substitute drugs or products to include "devices and supplies" and "therapeutically equivalent drugs and pharmaceuticals".

RI H5855

Amends the types of products which pharmacists may prescribe as substitute drugs or products to include "devices and supplies" and "therapeutically equivalent drugs and pharmaceuticals."

RI H5854

Adds new sections that set forth conditions for pharmacists to prescribe tobacco cessation drug therapies, including education approved by state board of pharmacy. The cessation therapies to be covered by all health insurance carriers on or after 1/1/26.

RI S0685

Adds new sections that set forth conditions for pharmacists to prescribe tobacco cessation drug therapies, including education approved by state board of pharmacy. The cessation therapies to be covered by all health insurance carriers on or after 1/1/26.

RI H5254

Requires pharmacy benefit managers to reimburse pharmacist no less than national drug acquisition costs plus fee.

RI S0222

Requires pharmacy benefit managers to reimburse pharmacist no less than national drug acquisition costs plus fee.

Similar Bills

KS HB2551

Enacting the Kansas pharmacy services administrative organization act.

AR SB593

To Amend The Arkansas Pharmacy Benefits Manager Licensure Act; And To Create The Pharmacy Services Administrative Organization Act.

MS HB558

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

MS HB1125

Pharmacy services; prohibit insurers and PBMs from requiring persons to obtain exclusively through pharmacies that they own.

NJ S2345

"Patient and Provider Protection Act."

AR SB475

To Establish The Pharmacy Services Administrative Organization Act; And To Regulate Pharmacy Services Administrative Organizations.

AZ HB2429

Pharmacy benefits; pharmacy management networks

AZ HB2813

pharmacy benefits; workers' compensation